How to Record Telehealth Sessions with AI Scribe: Setup Guide

Why Telehealth Documentation Is Different

Telehealth has become a standard part of clinical practice across Australia. Whether you are conducting sessions over Zoom, Google Meet, Microsoft Teams, or a healthcare-specific platform like Coviu or Healthdirect, the documentation challenge remains the same: you need accurate session notes, and writing them manually after each call takes time.

With in-person sessions, you can place a microphone on your desk and record the entire conversation. With telehealth, your client's voice is coming through your computer's speakers or headphones — a standard microphone cannot capture it. You would need to dictate notes after every call, losing the benefit of a real-time transcript.

Grounded Scribe's telehealth recording mode solves this by capturing both sides of the conversation — your voice through the microphone and your client's voice through the video call tab — then running the combined audio through the same transcription and note generation pipeline used for in-person sessions.

This guide walks you through the setup step by step.

What You Need

Before you start, check that you have the following:

• Google Chrome or Microsoft Edge on a desktop or laptop computer. Telehealth recording is not available in Firefox, Safari, or on mobile devices (this is a browser limitation — see why below).
• A working microphone — the same one you use for your video calls.
• Your video call running in a browser tab — the feature works by capturing audio from a browser tab, so your telehealth platform needs to be open in Chrome or Edge (not a standalone desktop app).

If you currently use a desktop application for your video calls (for example, the Zoom desktop app), you can switch to the browser version instead. Most platforms offer a "Join from your browser" option.

Step-by-Step Setup

1. Open Grounded Scribe in one tab, your video call in another

Start your video call in one browser tab as usual. Then open Grounded Scribe in a separate tab. Both tabs should be in the same browser window.

2. Select "Telehealth" as your audio source

On the Sessions page, click the dropdown arrow next to the Record button. You will see the recording options organised into two sections:

• Recording Type — choose Dictation or Session depending on the length of your call.
• Audio Source — select Telehealth instead of Microphone Only.

The button label will update to show "Telehealth (Audio)" to confirm your selection.

3. Click the Record button

When you click Record (or Telehealth), two things happen in sequence:

1. Microphone permission — your browser asks for microphone access (if it hasn't already). Grant this.
2. Tab picker — your browser shows a window asking you to select which tab to capture audio from. This is the critical step.

4. Select your video call tab and tick "Share audio"

The tab picker will show a list of your open browser tabs. Select the tab running your video call (e.g. "Zoom Meeting" or "Google Meet").

This is the most important step: at the bottom of the picker dialog, there is a checkbox labelled "Share tab audio" (in Chrome) or "Share audio" (in Edge). You must tick this checkbox. If you do not, the browser will only share the visual content of the tab — no audio will be captured, and Grounded Scribe will show an error.

Once you select the tab and confirm, recording begins. Grounded Scribe captures your microphone audio and the video call audio simultaneously, mixing them into a single stream.

5. Conduct your session as normal

The recording bar will show the green waveform visualiser responding to both your voice and your client's voice. You can pause, resume, or stop the recording at any time.

Your video call continues working normally in the other tab. The audio capture runs silently in the background — your client will not see or hear anything different.

6. Stop recording and generate notes

When you stop recording, Grounded Scribe processes the combined audio through the standard pipeline: transcription, then note generation using your selected template. The generated note will include content from both sides of the conversation.

Supported Platforms

Grounded Scribe automatically detects the following telehealth and video call platforms when you select a tab:

Major video conferencing:

• Zoom (browser version)
• Microsoft Teams (browser version)
• Google Meet
• Webex
• Skype for Web
• GoTo Meeting
• Whereby
• Jitsi Meet

Healthcare-specific platforms:

• Coviu
• Doxy.me
• Healthdirect Video Call
• Halaxy (telehealth feature)
• Cliniko (telehealth feature)
• Jane App
• Power Diary
• VSee
• SimplePractice
• TheraNest
• Practice Better

If your platform is not on this list, it will still work — the recording captures audio from any browser tab regardless of the platform. The detection simply displays the provider name for your reference.

Why Chrome or Edge Only?

Telehealth recording relies on a browser feature called the Screen Capture API with audio support. Specifically, it uses `getDisplayMedia` with audio capture enabled. This allows the browser to share the audio output from another tab.

This capability is only available in Chromium-based browsers:

This is a fundamental browser engine limitation, not something that can be worked around. Firefox has explicitly chosen not to implement tab audio capture, and Safari does not support it either.

For the best experience, we recommend Google Chrome on a desktop or laptop computer.

Troubleshooting

"No audio detected from the selected app"

This means you did not tick the "Share audio" / "Share tab audio" checkbox in the tab picker. Cancel the recording and try again, making sure to enable the checkbox before confirming your selection.

"Selection was cancelled"

You closed the tab picker without selecting a tab. Click the Record button again and select the tab running your video call.

Audio quality is poor or one-sided

• Check your microphone. If only your client's voice appears in the transcript, your microphone may not be working. Test it in your browser settings.
• Check the video call tab. If only your voice appears, the tab audio capture may not be working. Make sure the "Share audio" checkbox was ticked, and that your video call has not been muted in the browser tab.
• Avoid using the desktop app. If your video call is running in a standalone desktop application (not a browser tab), the tab audio capture cannot reach it. Switch to the browser version of your video call platform.

The waveform is not moving

If the green waveform bars are flat during recording, no audio is being received. Check that:

1. Your microphone is not muted.
2. You selected the correct tab in the tab picker.
3. The "Share audio" checkbox was enabled.
4. Your video call is active (not paused or disconnected).

The video call tab shows a "sharing" indicator

This is normal. When you share a tab's audio, the browser displays a small indicator (usually a blue border or icon) on the shared tab. This is purely a local browser notification — your client cannot see it and it does not affect the video call.

Privacy and Consent

Recording a telehealth session captures both sides of the conversation. This is functionally the same as recording an in-person session — the same consent requirements apply.

Before recording a telehealth session, ensure you have:

1. Informed consent from your client that the session will be recorded for documentation purposes.
2. Awareness of your state or territory's surveillance legislation. Some jurisdictions require all-party consent for recording conversations. This applies equally to telehealth and in-person sessions.
3. A clear explanation of what happens to the recording. With Grounded Scribe, audio is deleted immediately after transcription — it is never stored permanently.

For detailed guidance on consent and privacy obligations, see our guide on Audio Privacy in AI Clinical Documentation.

Tips for Best Results

• Use headphones during the call. This prevents your client's voice from being picked up through your microphone as well as through the tab audio, which can create echo in the transcript.
• Use the browser version of your video call platform. Desktop apps cannot be captured through tab audio sharing.
• Keep both tabs in the same browser window. This ensures smooth tab selection in the picker.
• Select "Session" mode for full consultations. Telehealth sessions are typically longer than dictations, so session mode gives you the appropriate time limit for your plan.
• Close unnecessary tabs before opening the tab picker. This makes it easier to find and select the correct video call tab.

Which Plans Include Telehealth Recording?

Telehealth recording is included on all AI Scribe plans, including the free tier. There is no additional cost — it uses the same session or dictation quota as in-person recordings. The only requirement is a compatible browser (Chrome or Edge on desktop).

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Telehealth recording turns your existing video call workflow into an automated documentation pipeline. Set up once, and every telehealth session gets the same transcription and note generation as your in-person sessions — without any additional hardware, software, or subscriptions.

Get started free and try telehealth recording on your next video call.

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