Clinical work quietly became an administrative sport. We're quietly building it back.
Tools that work without integration. Consulting that works without slides. Both built for how clinics actually run.
Paste your notes
Your clinic shorthand, exactly as you wrote it.
- No integration. No retyping.
- Identifiers extracted locally.
The long forms, drafted in the time it takes to review them.
Three steps, all local. Clinician-voice output. Built to slot into your existing workflow — no integration required.
From 30 minutes drafting by hand to around five with Performa. Every report, every week.
Identifiers stay in your browser. AI runs on infrastructure we control, in Canada — never consumer AI.
ICBC, WSBC, Sun Life, Manulife, Canada Life, Pacific Blue Cross. One product, a growing library.
Two ways we work.
Pick one. Or both.
Three kinds of practice.
Each one's pain is different. Each one's path with us is different too.
From the first referral to the last follow-up.
Five stages across clinical operations. Three ways into each — consulting, automation, or an app we built.
Refer
Triage
Schedule
Document
Follow-up
Refer
Cleaner intake. Faster triage.
An ICBC referral lands. A WSBC claim opens. A self-pay patient books online. Each route needs a different intake path — and usually doesn't get one.
Triage
Right pathway, right length.
Physio or RMT or both. 45-minute initial or 30-minute follow-up. Who actually needs a longer session. The 10-minute decision at the desk usually shapes the whole episode.
Schedule
Protect the block. Fill the gaps.
Twelve-session treatment blocks spread across 10 weeks. Cancellations happen. The waitlist wants those spots. Nobody wants to spend an hour on the phone rebooking.
Document
The long forms, drafted.
The ICBC progress report. The WSBC treatment plan. The insurer's pre-auth letter. The forms that eat Sundays — drafted in your clinical voice, not a chatbot's.
Follow-up
Close the loop cleanly.
Discharge summary. Return-to-work recommendations. Outcome measures for the insurer. The loop that has to close — even when the last visit already happened.
Essays on healthcare ops, AI, and craft.
Why local AI is the only AI that belongs in a clinic
Patient data leaves the clinic the moment a clinician pastes it into a chatbot. Here's why we built our tools to never let that happen — what that costs in speed, what it pays back in trust.
Read the essay“A feature is something you market. A posture is something you build everything else around.”
Ready to talk?
Thirty minutes. No deck. We listen first, then either suggest a path forward or tell you it's not a fit.