Medical Triage & Clinical Assistants
We tested and ranked all 5 Medical Triage & Clinical Assistants apps for Mac — updated August 2026.
Every app here was run on our own Apple-silicon Macs and scored on the published rubric — capability, craft, privacy, value. We watch the network while we test. How we rank →
You notice a new symptom — or your patient mentions one — and you want a structured, AI-assisted assessment before deciding what to do next. The apps on this page turn your Mac (or paired iPhone) into a clinical reasoning workspace: symptom triage powered by medical language models, image-aware Q&A for radiology and dermatology cases, structured progress-note generation for therapists, and ECG interval analysis from Apple Watch recordings. Every app here processes your data on the device itself rather than routing it through a remote server; where an optional cloud mode exists, we call it out.
We scored five Mac-native medical triage and clinical assistant apps on capability, craft, privacy, and value. The category is small but specialized — here is how each one performed.
The ranking — all 5
NeutronTriage
Joshua HippsA fully on-device triage app that runs Google's MedGemma 4B via MLX on Apple Silicon, pairing a five-step reasoning workflow with a nine-category safety guard and standards-based FHIR R4 export. Its stateless, no-telemetry design is unusually rigorous for an indie medical tool.
” Powered by Google's MedGemma 1.5 4B model running locally on Apple Silicon... all inference runs entirely on-device via MLX; no cloud, no API calls — test note
Euni™ - Client Note
Tucuxi, Inc.A practical note-writing tool for therapists that generates SOAP, BIRP, and DAP records locally via Ollama, with modality-specific prompts covering CBT, DBT, and EMDR workflows. In Local AI mode, session data stays on the machine and aligns with HIPAA expectations.
” on-device AI... notes are written entirely on your machine using local AI models via the Ollama engine... no data is ever sent to the cloud — test note
Radex AI: Health Assistant
Mustafa Cemil GuneyAn educational clinical assistant that runs an open medical vision-language model locally, generating structured radiology, pathology, and dermatology report drafts from uploaded images. Multi-specialty report templates and fully local processing make it a credible study tool.
” powered by an open medical vision-language model running locally; Works fully on your device – images and prompts are processed locally — test note
CardioWatch Pro
铁峰 肖Turns Apple Watch ECG recordings into detailed timelines with QTc, PR, and QRS intervals plus PVC, PAC, and SVT labeling — all processed on your iPhone with no cloud calls. Extracts clinical interval data that Apple's stock ECG report does not surface.
” Every 30-second ECG recording is processed locally on your iPhone; All data stays on your device. No cloud — test note
Q-Bio Genesis: Stack Analyzer
EUNMIN PARKA drug and supplement interaction analyzer that pairs open pharmacological databases with an on-device AI interpreter via Apple Foundation Models, producing a transparent reasoning chain for each prediction. The research-use-only framing is refreshingly honest.
” on-device AI interpreter (Apple Foundation Models) — test note
Free AI Symptom Checkers and Clinical Assistants for Mac
Three of the five apps here are genuinely free with no feature gates: NeutronTriage delivers full medical triage powered by MedGemma 4B, Euni generates complete therapy notes via Ollama, and Radex AI offers image-aware medical Q&A across radiology, pathology, and dermatology. CardioWatch Pro and Q-Bio Genesis are free to download but lock core functionality behind subscriptions — CardioWatch paywalls its clinical interval features, and Q-Bio Genesis caps the free tier at three predictions per month before jumping to $79.99/month. If cost is the deciding factor, NeutronTriage stands out as a full-featured triage tool with no paywall at all. Read the review ↑
How to choose Medical Triage & Clinical Assistants for Mac
These five apps target distinct clinical workflows, so your first filter is the task itself. NeutronTriage runs a dedicated medical model for symptom assessment and risk stratification. Radex AI takes uploaded images and drafts structured reports across radiology, pathology, and dermatology. Euni generates session notes for therapists in SOAP, BIRP, and DAP formats. CardioWatch Pro reads Apple Watch ECG data and computes clinical intervals. Q-Bio Genesis checks drug and supplement interactions. Pick the workflow that matches yours.
Model transparency is a meaningful differentiator. NeutronTriage names its model — MedGemma 4B — and documents a five-step reasoning pipeline with a safety guard. Radex AI references an open medical vision-language model without naming it. Euni delegates inference to whatever model you pull through Ollama, giving you control but also the setup burden. Where model identity matters to your confidence in the output, favor the apps that disclose it.
Watch for hidden costs. All five apps are free to download, but CardioWatch Pro paywalls its core clinical features behind a subscription, and Q-Bio Genesis charges $79.99 per month after a three-prediction free cap. NeutronTriage, Euni, and Radex AI are genuinely free with no gated features.
On privacy, every app here runs inference locally. Euni is the exception that also offers an OpenAI cloud toggle — if HIPAA-aligned local processing is critical, verify Local AI mode is selected.
Questions people ask
What is the best AI symptom checker that runs on a Mac?
In our scoring, NeutronTriage leads the category. It bundles Google's MedGemma 4B and runs the full triage pipeline on-device via MLX, with a nine-category safety guard and FHIR R4 export for handing structured data to a clinician. It requires Apple Silicon, macOS 26, and at least 16 GB of RAM. No app in this category replaces professional diagnosis — each one helps you organize observations before a medical visit.
Can these medical AI apps work without an internet connection?
NeutronTriage, Radex AI, and CardioWatch Pro run entirely on the device with no network calls once installed. Euni works offline in Local AI mode after Ollama and a model are set up, though it also has a cloud option you can leave disabled. Q-Bio Genesis uses Apple Foundation Models locally but caps free usage at three predictions per month, which may push you toward a subscription before the offline question matters.
Are on-device medical AI apps safe enough for real clinical decisions?
The responsible apps in this list are explicit that they are not diagnostic tools. NeutronTriage ships a clinical disclaimer alongside its safety guard. Radex AI labels itself educational-only. CardioWatch Pro states it is not a medical device. These tools are best used to structure symptoms, generate draft notes, or surface information for a follow-up conversation with a qualified clinician — not to replace one.