Frequently Asked Questions

Axis Operating Systems uses a local database (Dexie/IndexedDB) to store records only on your device. All sensitive patient data is encrypted on-device for maximum protection. You are fully responsible for your data. Axis is designed to meet HIPAA requirements by never transmitting records, documents, or sensitive information to any external provider.

For PWA versions, login is required to access the app, but your data never leaves your device after login. There is no automatic cloud backup, sync, or third-party integration. To move data between devices, follow our instructions for manual sync within your practice.

Axis provides built-in tools for easy data management. To ensure your records are safe, we recommend a manual backup practice, such as a weekly or monthly export of your database. This is a small price to pay for true data ownership.

You are 100% responsible for creating and storing your own backups. If your device fails and you do not have a backup, your data is permanently unrecoverable.

Yes. Your data is always yours. Because Axis stores everything locally on your device and we have no access to it, you have complete control. You can export your records at any time into standard formats like JSON to use as you see fit.

Axis is a Progressive Web App (PWA) built to run on modern browsers. For the best performance and compatibility, we recommend using a recent version of Google Chrome on any computer manufactured in the last 5 years.

Your license covers unlimited users and devices within a single company or practice.

The initial signup creates a master company account using Clerk for authentication. Each team member then uses those same master credentials to install a unique, local version of Axis on their device, securing it with their own personal password.

Crucially, each installation is device-specific. Data is NOT synced between devices automatically. Manual sync is required for multi device practice. Guidelines are included in our manual.

Axis is designed to be offline-first. Thanks to its PWA capabilities, the application continues to work seamlessly even if your internet connection is disrupted. You can continue to view, add, and edit records. When your connection is restored, the app will automatically re-authenticate your session in the background with no interruption to your work.

No. Axis Operating Systems is focused on privacy, autonomy, and control. We intentionally do not integrate with clearinghouses, EHRs, or insurance platforms. Manual entry into your billing system is required.

No. Axis does not include its own payment processor. You can securely record payments and maintain accounting history, but all actual processing happens outside Axis, using your preferred tools.

Stripe, PayPal, or Square can be used alongside Axis, with setup instructions provided. No data is ever integrated inside Axis.