Let the patient tell the story before the clock starts.
Give patients more time without giving away more of yours.
Patients describe symptoms, cycles, previous treatment and concerns privately before the appointment. Letters and admin are ready afterwards.
- More patients. More revenue. Or more time for complex cases.
Class I medical device, registered with the MHRA. UK-hosted.

Exact patient words
Open any line.
Keep your scribe
Sagence gathers the history before the consultation.
You decide
Sagence organises the history. You examine, interpret and decide.
More of the consultation for the patient
Start with the chronology and priorities ready. Use the appointment to listen, examine and decide together.
Symptoms and chronology
Bleeding or cycle pattern, pain, related symptoms, impact and priorities.
Previous care and context
Treatment, procedures, investigations and relevant hormonal or reproductive history.
Letters and admin
Clinic letters and selected requests ready after your clinical decisions.
See what you receive
One page, ready before the appointment. The full document opens in a new tab.
Two years of worsening heavy periods, with the cycle, bleeding days and flooding days set out in the patient’s own words.
- At a glance, with the cycle and bleeding days recorded
- Key points and safety flags, present and absent
- Bleeding pattern
- Pain and associated symptoms
- Outstanding clinical questions the interview could not settle
Synthetic example. Not a real patient.
Open the full sample (PDF, opens in a new tab)How Sagence works
- Send one linkOr forward the referral.
- The patient completes itIn their own time. No app. No account.
- Review and approveThe history is ready before clinic. Letters and admin are ready afterwards.
One easy way in
Forward a referral email and Sagence takes it from there. Sending a single link or triggering it from your practice system reaches the same place.
What happens in the recording
- A referral email is forwarded to a Sagence address from the clinic inbox.
- The referral is checked and a contact number is added, then the pre-consultation is sent to the patient.
- The patient answers the specialist interview on their phone in their own words.
- The clinician opens the completed history before clinic, with each line traceable to the patient’s answer, and the letter drafted ready to review.
Patient control
Pause. Return. Skip a question. Stop.
Consent, safeguarding judgement, diagnosis and treatment remain in the consultation.
The same clinical bar. 44% fewer questions.
Each speciality starts with its own clinical map, refined with practising specialists. The interview decides what to ask, what to skip and when to stop.
Common questions
One link. No app. No account. They can pause and return. The appointment still goes ahead if they stop.
You get a structured history, not a transcript. Every line links to the patient’s words.
This is not a fixed form. Questions adapt as the patient answers.
Keep it. Sagence gathers the history before the consultation.
Yes. You review it. You don’t retake it.
No. Review on screen or file the structured export into the system you use.
No. Sagence organises. You decide.
Try it on five patients.
Let the next five patients tell their story before the appointment.
Free. No card.

