Try it instantly
No login, no sign-up. Tap a sample below and watch it write a full consultant-grade letter. (Demo letters are stamped “DEMO — not for clinical use.”)
Got an access code?
Teach the engine YOUR style per document type. Styles are tied to your access code and follow you to any device. Remove patient names and identifiers first — only your writing style is kept, never patient details.
1Pick the document type
2Paste one or two de-identified examples
3Learn it
EMR insertion lives in the Chrome/Edge extension. On your clinic computer, the extension connects to your EMR and types the finished letter straight into the note box — this web app is for writing and copying anywhere. The desktop companion's pairing will live here when it ships.
Access is by your personal code (kept under Advanced). Plan, usage and billing appear here once accounts are switched on.
Ctrl/Cmd + Entergenerate the document
Ctrl/Cmd + .Fast ⇄ Comprehensive
Ctrl/Cmd + 'Essential ⇄ Academic plan
hold Ctrldictate while held
/name + spacedrop a saved template
Enter / Escadvance / skip the quiz
Not tested yet
1Clinical shorthand
Examination & plan — physician
Dictation uses your browser's speech service — de-identified wording only.
Audio leaves this device for the browser's speech service.
Hands-free: dictate the shorthand, then say “generate consult” or “generate procedure” — Presto shows what it heard for 1.5 seconds before drafting (say “cancel” to stop it). Hold Ctrl (or press-and-hold the Dictate button) to speak only while held. In the quiz, say an answer, “next” to move on, a box name to jump, or “generate letter” to finish.
Hands-free: dictate the shorthand, then say “generate consult” or “generate procedure” — Presto shows what it heard for 1.5 seconds before drafting (say “cancel” to stop it). Hold Ctrl (or press-and-hold the Dictate button) to speak only while held. In the quiz, say an answer, “next” to move on, a box name to jump, or “generate letter” to finish.
How Presto works
Type the way you think between patients — it writes the finished letter. It handles any dermatology presentation; the examples below are just to get you started.
The shorthand key
Ex — what you examined Dx — dermoscopy Mx — your plan
Leave the diagnosis blank, or add diff, and it suggests differentials.
( … ) → an instruction to me [ … ] → a blank you fill in later.
Example — 31F, alopecia patch occiput 3wk, NKDA. Ex: 3x2cm patch. Dx: exclamation-mark hairs. Mx: ILT Kenalog 6mg/ml, r/v 6wk.
Examples to try — tap one to fill the box
Save what's in the box as your own example
2Document type
3Draft depth
4Finished document
On OSCAR? The Chrome/Edge extension inserts this straight into the note with one click.
On Accuro or a Citrix-delivered EMR? The desktop companion pastes anywhere with one keystroke.
Refine
Prescribeadds a detailed item per medication to the plan
Reviserefine the whole letter in plain English