Family medicine, OB/GYN, internal medicine, pediatrics, urgent care, and specialty practices: HIPAA-compliant intake, gender-affirming care + reproductive-health record protection, person-first language by default, crisis routing with 988 + Trans Lifeline + Crisis Text Line. Built with input from trans-affirming providers in hostile-legislation states.
“Thanks for calling — to be clear, I can't share details about specific patients or what they're seen for. I can help you book a consultation, leave a message, or connect you to crisis resources if you need them right now. What name should I use, and how can I help?”
Built for the calls medical practices + clinics actually get
Pronouns + chosen-name capture is first-class, not an afterthought
The AI never assumes gender from caller-ID name or voice. It captures chosen name + pronouns from the caller themselves and uses them on every callback / text confirmation. Trans + non-binary patients are not misgendered on call one. Same protection for cis patients whose legal name differs from preferred name.
Care-type non-confirmation under HIPAA + state shield laws
Hostile callers asking "do you provide gender-affirming care?" / "do you do abortions here?" / "is my daughter being seen for hormone therapy?" get a hard-coded refusal: "I can't share details about the care our patients receive." Enforced at the system-prompt level — not optional, not bypassable.
State-AG + parental-coercion subpoena pushback
If we're served a state-AG fishing subpoena for gender-affirming or reproductive-care records, we notify you within 24 hours (unless gagged), assert HIPAA + state shield-law protections (CA, CO, NY, IL, WA, MN, MA, NJ, NM, OR, VT, MD, CT, RI as of 2026), and refuse to produce care-type data without a court order specifically addressing the shield-law exception. See /privacy.
Crisis routing — 988 + Trans Lifeline + Trevor + Crisis Text Line
When a caller says they're in crisis, the AI shares 988 + the population-specific resource (Trans Lifeline 1-877-565-8860, The Trevor Project 1-866-488-7386, Veterans Crisis Line 988 press 1, Crisis Text Line text HOME to 741741) — then pages you immediately, regardless of after-hours rules.
How it works for medical practices + clinics
Person-first language by default
The AI says "pregnant person" not "mother" until told otherwise. Insurance card with deadname? The AI captures the legal name on the card silently + uses chosen name on the call. Medical-record naming honors clinician policy.
Insurance + sliding-scale + payment-plan intake
Captures insurance carrier + plan + member ID (without reading it back over recorded line per HIPAA), sliding-scale eligibility, payment-plan requests. Honest about what you accept; takes a message for the rest.
BAA + identity-non-confirmation + audit-log
Toggle HIPAA mode in Settings → Privacy; we send the BAA via email for your countersignature, extend retention to 6 years, lock down identity + care-type confirmation, and capture audit-log timestamps for compliance reviews.
Your dashboard
Here's what you wake up to.
Latest call · 9 min ago
$389
Maria Hernandez · Emergency leak repair
Tomorrow · 9:00 AM· 412 Oak St· with Carlos
“You're booked, Maria — Carlos will be there tomorrow at 9 with parts for a copper pinhole leak.”
From $107/mo (billed annually). No contract. Cancel anytime.
$129/mo if you go month-to-month. Three plans (Starter / Professional / Enterprise), voice cloning included with any active plan, BYO phone number. Most medical practices + clinics start on Professional for multi-staff routing.
I run a trans-affirming OB/GYN in a hostile state — is the AI safe to use?
Yes, with the safeguards above. The AI never confirms identity OR care type. State-AG subpoenas get the 24-hour notification + shield-law pushback per /privacy → Legal process. Texas + Florida + similar hostile states: we've explicitly added shield-law alignment for CA / CO / NY / IL / WA / MN / MA / NJ / NM / OR / VT / MD / CT / RI shield-law states — those laws protect out-of-state patients receiving care via telehealth from your practice. Email us if your specific state regulatory posture needs review.
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Will the AI misgender my patient if their voice doesn't match their pronouns?
No. The AI is instructed (safety.ts ALWAYS rule 10a) to never assume gender from voice, caller-ID name, or any other signal, and to use "they/them" until the caller offers pronouns themselves. When a caller offers a different name than caller-ID, the chosen name is used on every subsequent callback / text confirmation.
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Stripe deplatforming risk for trans-care + reproductive-health practices?
Stripe historically has deplatformed certain trans-care and reproductive-health businesses without warning, citing "high-risk merchant category" reviews. RingDispatch billing is via Stripe; we have no special protections against this. If you're deplatformed by Stripe mid-month, your AI keeps working through the end of your paid period. We are exploring alternative payment processors for at-risk practices (Square + bank-direct ACH) — email if this is a current concern.
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What about pediatric-trans-care intake involving minors?
Particularly sensitive. The AI never confirms a minor patient's identity OR care type to ANY caller, including a self-identified parent or guardian. "Is my daughter being seen here?" gets the standard non-confirmation. Parents seeking access to their minor's records must go through the clinician's documented release-of-information process — not the phone-AI. This protects you against parental-coercion lawsuits and against state-AG fishing for minor gender-affirming care records.
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Crisis routing for OB-specific emergencies?
Yes. Ectopic pregnancy pain, severe 1st-trimester bleeding, postpartum hemorrhage, postpartum depression with self-harm risk — all trigger 911 / 988 / OB-on-call paging per safety.ts rules 11-12. Postpartum depression specifically gets 988 + a clinician page (it's a high-suicide-risk perinatal-period mood disorder).
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