Key points
- CPSA advice updated in March 2026 says implied consent is not recommended for AI scribes, and asks physicians to document how and when AI is used in the patient record.1
- Alberta's Health Information Act requires a custodian to prepare a privacy impact assessment and submit it to the Information and Privacy Commissioner before introducing a new information system.23
- Punjabi, Tagalog, Cantonese, Mandarin and Spanish are the leading non-official mother tongues among 1,470,355 Calgary area residents, 2021 Census.5
- Alberta Netcare is the provincial electronic health record, and the CPSA expects interactions with it to be noted in the patient record.46
Summary
A Calgary clinic can use AI for notes and the front desk in 2026 once a privacy impact assessment has gone to the Information and Privacy Commissioner and each patient has given documented informed consent. The CPSA holds the physician accountable for reviewing every AI output.
Calgary clinics now reply to the night's messages in Punjabi, Tagalog or English before the morning list starts, and physicians close their notes before they drive home. The CPSA and Alberta's Health Information Act set the terms for AI in that work.
See it in your clinicThirty minutes on your own patients and doctors.
Request a demoWatch a Punjabi WhatsApp message sent from the northeast at 10:05pm become an approved reply and a booking with a deposit in Canadian dollars, in fifteen minutes with a clinician who uses wai daily.
| Body or law | Rule | What to check | How wai meets it |
|---|---|---|---|
| CPSA Advice on AI in Clinical Practice (March 2026) | Documented informed consent, implied consent not recommended | Where consent is recorded for each patient | The physician confirms consent and signs every drafted note |
| CPSA, documentation | Record how and when AI is used, review every AI output | Can anything reach the record unsigned | Notes and letters stay drafts until the physician signs |
| Health Information Act, section 64 | Privacy impact assessment submitted to the Commissioner before a new information system | Is the assessment filed before go-live | The exportable event log supports the assessment |
| Health Information Act, sections 60 and 66 | Reasonable safeguards, a written information manager agreement | Who processes the data, and where | Records hosted in Canada, subprocessors named with thirty days notice |
| Health Information Act, section 60.1 | Notice to the Commissioner, the Minister and the individual when a loss carries a risk of harm | Who sends notice, from which records | Every message, draft, approval and signature logged |
| Alberta Netcare | Provincial electronic health record, interactions noted in the record | Which providers hold Netcare access | wai is built to connect to Alberta Netcare |
The private care market in Calgary
The 2021 Census counted 1,470,355 residents outside institutions in the Calgary census metropolitan area.5 English is the mother tongue of 973,465 of them, and non-official languages are the mother tongue of 406,585.5
Physicians practising here are regulated by the College of Physicians & Surgeons of Alberta. Under the Health Information Act, a health services provider designated in the regulations is a custodian, responsible for the health information it collects and the systems that hold it.12
The rules a Calgary clinic works under
The CPSA published its Advice to the Profession on Artificial Intelligence in Clinical Practice in October 2025 and updated it in March 2026.1 It asks physicians to inform patients clearly and obtain documented informed consent for any AI tool, including AI scribes, and states that implied consent is not recommended.1 It also asks them to record how and when AI is used, especially when it shapes clinical notes, and to review every AI output for accuracy and hallucinations before it enters care or documentation.1
Section 64 of the Health Information Act requires a custodian to prepare a privacy impact assessment and submit it to the Commissioner for review and comment before introducing or changing an information system that handles individually identifying health information.2 The CPSA applies that to any AI tool used for documentation, decision support or patient communication.1 The Office of the Information and Privacy Commissioner of Alberta receives those assessments and oversees the Act.3
Section 60 requires reasonable safeguards for health information, including information stored or used outside Alberta.2 Section 66 requires a written agreement with any information manager that handles the clinic's health information, and section 60.1 requires notice to the Commissioner, the Minister and the individual after a loss or unauthorised access that carries a risk of harm.2
wai hosts each clinic's records in its own country, under that country's rules. We set this up with your clinic. wai is compliant with these rules and built for clinics in Calgary. Every message, draft, approval and signature is logged and exportable, which gives the privacy impact assessment its audit trail, and each subprocessor is named with thirty days notice before any change.9
Alberta Netcare is the provincial electronic health record, and the Netcare Portal shows key information such as lab results, medications and immunizations.4 The CPSA's patient record standard lists interactions with Netcare among the things a record contains.6 wai is built to connect to Alberta Netcare. We set up your clinic's connection with you.
The languages Calgary patients write in
After English, the largest mother tongues in the Calgary area in 2021 were Punjabi at 48,850, Tagalog at 43,615, Cantonese at 32,655, Mandarin at 31,825 and Spanish at 31,360.5 Arabic followed at 21,215, French at 18,810 and Urdu at 17,780.5
wai works in any language, and Calgary patients can give their intake answers by voice in Punjabi, Tagalog or whatever they speak at home.7 A member of the team approves each drafted reply, and the physician reviews the note in English before signing it.
What a demo shows in Calgary
The demo opens on a WhatsApp message in Punjabi, sent at 10:05pm from Saddle Ridge, asking whether a mother and her adult daughter can both be seen on Thursday after work. wai reads the physicians' busy times from Google Calendar, Outlook or Apple Calendar and drafts a Punjabi reply offering two adjoining open times. The front desk approves it at 7:45am.
The deposit is paid in Canadian dollars by card or Apple Pay straight into the clinic's own Stripe account, the clinic is merchant of record, and Checkout has no wai subscription or setup fee.8 Each patient receives a confirmation, a receipt and an intake questionnaire, so the AI scribe explanation the CPSA asks for is read before the visit.81
On Thursday the physician confirms consent, records it, and reviews the drafted note and referral letter before signing.1 A missed call during the afternoon becomes a drafted text for the team to send. Bring a week of real Punjabi, Tagalog and English enquiries and watch each one drafted.
For health systems, insurers and public bodies in Alberta
Primary care networks, insurers and public bodies in Alberta can commission a system built on wai for one care pathway, with records hosted in Canada and the privacy impact assessment prepared alongside the build. Data and model rights sit in the contract, as the organisations page explains.
Where to start
First, draft the privacy impact assessment for the new system and submit it to the Commissioner before go-live, as section 64 requires.2 Second, add an informed consent step for the scribe to intake and the visit script, using the consent form template, and note each consent in the record.1
Third, put a written information manager agreement in place under section 66.2 Fourth, count last month's enquiries by language and by hour, so the demo runs on the Punjabi, Tagalog and English messages the clinic really received.
Bring last month's Punjabi, Tagalog and English enquiries and watch each one drafted for your team to approve.
Frequently asked questions
Does a Calgary clinic need a privacy impact assessment for an AI scribe?
Is implied consent enough for an AI scribe in Alberta?
The CPSA says implied consent is not recommended, and asks physicians to obtain and document meaningful informed consent.1
Who is accountable for an AI-drafted note in Alberta?
The physician. CPSA advice says physicians review, verify and remain fully accountable for all clinical decisions and documentation, whether or not AI is used.1
Can patient data be stored outside Alberta?
The Act requires safeguards that protect information stored or used outside Alberta.2 wai keeps a Calgary clinic's records in Canada.
Can Calgary patients write in Punjabi or Tagalog?
Does wai work with Alberta Netcare?
wai is built to connect to Alberta Netcare. We set up your clinic's connection with you, and Netcare interactions stay part of the record as the CPSA expects.6
Sources
- 1College of Physicians & Surgeons of Alberta, 2026Advice to the Profession, Artificial Intelligence in Clinical PracticeRead 15 October 2026Read source
- 2Alberta King's Printer, 2026Health Information Act, RSA 2000, c H-5Read 15 October 2026Read source
- 3Office of the Information and Privacy Commissioner of Alberta, 2026Office of the Information and Privacy Commissioner of AlbertaRead 15 October 2026Read source
- 4Government of Alberta, 2026Alberta NetcareRead 15 October 2026Read source
- 5Statistics Canada, 2022Table 98-10-0182-01, Mother tongue by language spoken most often at home, Calgary (CMA), 2021 CensusRead 15 October 2026Read source
- 6College of Physicians & Surgeons of Alberta, 2026Standard of Practice, Patient Record ContentRead 15 October 2026Read source
- 7wai, 2026wai changelog, intake answered by voice in any languageRead 15 October 2026Read source
- 8wai, 2026wai CheckoutRead 15 October 2026Read source
- 9wai, 2026Security and trustRead 15 October 2026Read source
Every Calgary enquiry answered by morning and every note signed before the drive home.
Fifteen minutes with a clinician who uses wai daily, on your own enquiries and Alberta consent wording. We reply within one working day.
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Thirty minutes on your own patients, doctors and rules, in your market. We reply within one working day, and the clinics that partner with us early shape what we build next.
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