Dograh

use case · healthcare

HIPAA-ready voice agents for healthcare._

Patient scheduling, refill reminders, triage routing, and after-hours coverage, built on an open-source stack you can self-host for full data sovereignty.

§ the constraint

Cloud voice platforms don't fit healthcare.

Front desks miss calls. Every miss is a delayed appointment or a patient who finds another provider. Cloud voice AI seems like the fix, until your compliance team asks where the audio lives and who controls the keys.

Dograh is open source under BSD 2-Clause. Self-host it inside your HIPAA-controlled environment and patient audio never leaves. For the strictest cases, see the on-prem deployment path.

§ workflows we cover

Routine patient calls, handled.

Appointment scheduling· EHR syncRefill reminders· outboundAppointment reminders· reduce no-showsTriage routing· symptom-awareAfter-hours coverage· message + escalateMultilingual· English + Spanish

§ what you ship

Prebuilt workflows, your stack, your data center.

01

Patient scheduling and rescheduling

Checks real-time availability across providers, books or moves appointments, and syncs back to your EHR or practice management system.

02

Refill and appointment reminders

Configurable outbound campaigns with confirmation, cancellation handling, and SMS or voice hybrid delivery. Built to reduce no-shows.

03

Symptom-aware triage routing

Detects urgency from natural conversation, routes routine calls to scheduling and time-sensitive symptoms to on-call staff with the right escalation protocol.

04

Multilingual patient communication

Production-ready STT and TTS in English and Spanish, with broader language coverage available. Critical for practices serving diverse patient populations.

05

Self-host for full data sovereignty

Deploy on-premise or in your private cloud so patient audio, transcripts, and metadata stay inside your HIPAA-controlled environment. Healthcare specifically benefits from the on-prem path.

06

Bring your own stack

Plug in Twilio, Vonage, or your SIP trunk for telephony. Deepgram, Whisper, or AssemblyAI for STT. ElevenLabs, Azure, or Piper for TTS. LLM swapping is in beta, while STT and TTS are production-ready.

07

EHR integration

Webhook and REST API support for Epic, Cerner, athenahealth, and similar systems. Custom integrations available for in-house clinical systems.

08

Audit trail and access control

Every call recorded, transcribed, and access-controlled by role. TLS 1.3 in transit, AES-256 at rest, full audit logs your compliance team can pull on demand.

§ questions worth asking

The things you're wondering.

Dograh is open-source software you deploy in a HIPAA-compliant manner. With self-hosting you control all patient data inside your own infrastructure. We provide architecture guides, security configurations, and compliance documentation. Managed deployments come with BAA agreements.

§ ready to build

Patient calls handled, on your terms.

Talk to the founders about a HIPAA-ready build, or self-host the open-source stack from GitHub.