Key points
- Miami-Dade had 8,486 physicians in 2021 to 2022, the most of any Florida county, at 296.6 per 100,000 residents.1
- In 2024, 67.0% of Miami-Dade residents aged five and over spoke Spanish at home, and 33.5% of all residents reported speaking English less than very well.2
- Florida requires offsite electronic patient records held by providers using certified record technology to sit physically in the continental United States, its territories or Canada.3
- Florida is an all-party consent state, so every person in the consulting room agrees before an ambient note is recorded.4
- wai hosts each clinic's records in its own country, under that country's rules. We set this up with your clinic.7
Summary
Miami clinics can run AI at the front desk and in the consulting room under HIPAA and three Florida rules. Offsite records stay in the continental US, its territories or Canada, everyone in the room agrees before a recording, and a breach is notified within 30 days. Two in three residents speak Spanish at home, so replies are drafted in Spanish for the team to approve.
Every Spanish WhatsApp sent at ten at night answered in the clinic's own voice by the time the desk opens, and every visit closed with a signed note. Florida law shapes how that runs, from where the records sit to who agrees before a consultation is recorded.
Part of the Joint Commission hub, with the framework explained, a readiness checklist and 8 guides.
Part of the AAAHC hub, with the framework explained, a readiness checklist and 7 guides.
See it in your clinicThirty minutes on your own patients and doctors.
Request a demoSee a Spanish enquiry drafted for your team to approve, a deposit taken in dollars and a signed note, on your own diary in fifteen minutes.
| Rule | What it requires | What to ask a vendor | How wai meets it |
|---|---|---|---|
| HIPAA, 45 CFR 164.502(e) | Written assurance from any business associate handling protected health information | When is the business associate agreement signed | Signed before go-live for Checkout |
| Florida Statutes 408.051(3) | Offsite records kept physically in the continental US, its territories or Canada | Where does every copy and every subprocessor sit | Records hosted in the United States, under US rules |
| Florida Statutes 501.171 | Breach notice to individuals within 30 days, and to the state for 500 or more Floridians | How fast will you tell us of an incident | A full log of messages, drafts, approvals and signatures the clinic can export |
| Florida Statutes 934.03 | Prior consent from all parties before a conversation is intercepted | Can the clinician record consent for each person present | The clinician confirms consent before the note is drafted |
| Florida Board of Medicine licensure | A licensed physician remains responsible for the record | Who signs every note and letter | Drafts only, the clinician reviews and signs |
The private care market in Miami
Florida Department of Health data presented to the Florida Senate Health Policy Committee counted 8,486 physicians in Miami-Dade in 2021 to 2022, the highest total of any county, at 296.6 per 100,000 residents.1 The same packet counted 2,368 primary care physicians in the county, at 86.7 per 100,000.1
Those doctors serve 2.69 million residents aged five and over, three in four of whom speak a language other than English at home.2 Patients here write in their own language at the hour that suits them, and the clinic's reply meets them there.
The rules a clinic in Miami works under
Under HIPAA, a covered entity may let a business associate create, receive, maintain or transmit protected health information on its behalf only with satisfactory assurance, documented in a written agreement, that the information will be safeguarded.6 For wai Checkout, a business associate agreement is signed before anything goes live.7
Florida also sets where records may sit. Section 408.051 requires a provider using certified electronic health record technology to keep all patient information stored offsite, including with a cloud provider, physically in the continental United States, its territories or Canada.3
Florida's Information Protection Act sets the breach clock. Notice to affected individuals is due no later than 30 days after a breach is determined, and a breach affecting 500 or more Floridians must also be reported to the state within the same 30 days.5
Section 934.03 makes it lawful to intercept a conversation when all of the parties have given prior consent, so an ambient note needs consent from the patient and anyone with them in the room.4 Physicians are licensed by the Florida Board of Medicine, and the clinician who signs the note remains responsible for it.9
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 Miami.7 For a Miami clinic that means records held in the United States, under US rules, which sits inside the Florida location rule.
The languages patients write in
The Census Bureau's 2024 American Community Survey counts 1,799,905 Spanish speakers among Miami-Dade's 2,686,930 residents aged five and over, or 67.0%.2 Only 24.3% speak English alone at home, and 898,816 people, a third of the county, report speaking English less than very well.2
The second language group is French, Haitian or Cajun, at 117,989 residents or 4.4%.2 Inside the City of Miami the Spanish share rises to 68.6%.2 Replies are drafted in the language the patient wrote in, since wai works in any language, and the team approves each one.8
What a demo shows in Miami
A WhatsApp message arrives in Spanish at 10:14 at night asking to move Thursday's appointment. wai reads the clinicians' busy times in Google Calendar, Outlook or Apple Calendar, finds an open slot and drafts the reply in Spanish, in the clinic's voice, and the front desk approves it the next morning with one tap. A missed call at lunch becomes a drafted text, approved the same afternoon.
The patient books on the clinic's own website in three taps, earliest time first, and pays a deposit in dollars by card or Apple Pay through the clinic's own Stripe account, with the clinic as merchant of record.7 In the consulting room the clinician records consent from everyone present, the note is drafted during the visit, and the clinician reviews and signs it. More on consent wording in the consent form template.
For health systems, insurers and public bodies in Florida
Hospital groups, insurers and public health bodies in South Florida can have wai build a system of their own on one patient record, starting with a single pathway and measured outcomes, with data and exit rights agreed in the contract. The approach is set out on the organisations page.
Where to start
First, confirm in writing that every vendor stores patient records in the continental United States, its territories or Canada, and that each subprocessor does too. Second, sign the business associate agreement before any patient data moves. Third, add an all-party recording line to your consent form and train the team to ask everyone in the room.
Then count last month's Spanish enquiries by channel and the hours they arrived, and book a fifteen-minute demo to see those same enquiries drafted and approved. Pricing is published on the pricing page. The Florida statutes above were read on 14 October 2026, and the clinic's adviser should confirm how they apply.
Bring last month's Spanish enquiries to the demo and watch them drafted for your team to approve.
Frequently asked questions
Can a Miami clinic use AI that stores records outside the United States?
Only in a US territory or Canada. Florida's section 408.051 requires offsite records held by providers using certified record technology to sit physically in the continental United States, its territories or Canada.3
Does Florida require consent to record a consultation for an AI note?
Yes, from everyone. Section 934.03 makes interception lawful when all parties to the conversation have given prior consent.4
What happens if a vendor has a data breach?
The clinic must notify affected individuals within 30 days of determining the breach, and notify the state as well if 500 or more Floridians are affected.5
Do we need a business associate agreement?
Can patients write to a Miami clinic in Spanish?
Who takes the deposit, wai or the clinic?
The clinic. Payments run on the clinic's own Stripe account and the clinic stays the merchant of record.7
Sources
- 1The Florida Senate, 2023Health Policy Committee meeting packet, presentations on health care workforce shortages, 14 November 2023 (Florida Department of Health data)Read 14 October 2026Read source
- 2US Census Bureau, 2025American Community Survey 2024 1-year estimates, table C16001, language spoken at home, Miami-Dade County and Miami cityRead 14 October 2026Read source
- 3Florida Legislature, 2026Florida Statutes section 408.051, Florida Electronic Health Records Exchange ActRead 14 October 2026Read source
- 4Florida Legislature, 2026Florida Statutes section 934.03, interception and disclosure of wire, oral or electronic communicationsRead 14 October 2026Read source
- 5Florida Legislature, 2026Florida Statutes section 501.171, security of confidential personal informationRead 14 October 2026Read source
- 6Electronic Code of Federal Regulations, 202645 CFR 164.502, uses and disclosures of protected health information, general rulesRead 14 October 2026Read source
- 7wai, 2026wai CheckoutRead 14 October 2026Read source
- 8wai, 2026wai changelog, intake answered by voice in any languageRead 14 October 2026Read source
- 9Florida Department of Health, 2026Florida Board of Medicine, licensing, renewals and complaintsRead 15 October 2026Read source
Every Spanish and English enquiry answered, every note signed.
Fifteen minutes with a clinician who uses wai daily, on your own diary and deposits in dollars. We reply within one working day.
Partner with us
See it on your own patients, then build it with us
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.
See what wai does between the visits

