If you have ever tried to gather your own medical history in the US, you already know the problem. Your primary care doctor uses one patient portal, the hospital uses another, the specialist across town uses a third, and the urgent care clinic you visited on vacation uses none you can remember the login for. Some of it is in PDFs in your email, some is on paper, and the records from before portals existed are wherever the old practice left them. Nobody’s job is to put it all together for you.
Several apps try to help, and they work in genuinely different ways. Some connect to your portals, some read documents you upload, some ask you to type everything in, and one will request your records for you. The right one depends on which of those you need. This article compares the options an American can realistically use in 2026, with prices, platforms and sources you can check yourself.
Disclosure, before anything else
I founded exora, which appears in this comparison. You should read everything below with that in mind.
What I have tried to do instead of pretending to be neutral: state exactly what each app does and what it costs, link to the source for every claim, note the date I checked it, and be specific about what exora does not do. Where a competitor is better for a particular job, I have said so, and in the US that is true more often than it is in Australia, where we started. Everything here was checked on November 4, 2026 against the US App Store, Google Play or the publisher’s own site. If something has changed since, tell me and I will correct it.
The short answer
Seven apps, what each is actually for, and where each one stops. Every tile links to the section that backs it.
Apple Health
Free · iPhone only
Built into every iPhone, and in the US it can download your clinical records straight from many health systems' portals. It shows what those systems share, and nothing they do not.
Best forPulling portal records onto your iPhone for free
Guava
Free · iOS and Android
Connects to US patient portals and reads PDFs and photos you upload, wrapped in a strong symptom and medication tracker. Designed around chronic illness.
Best forPortal records plus daily tracking of a chronic condition
Sync.MD
Free, Premium from $4.99/month · iPhone and iPad
Pulls records from supported portals, stores your documents, and shares them with anyone you choose, from doctors to attorneys. AI summaries are optional and off until you turn them on.
Best forCollecting and sharing documents with lots of different people
Tidy Health PHR
Free, Tidy+ from $1.99/month · Apple devices only
A private, on-device record with a broad idea of what belongs in one. Apple devices only.
Best forA private record that never leaves your Apple devices
KeepTrackMed
From $9.99/year · iOS, Android and web
A thorough, well-organized logbook for a whole family. Every entry is typed in by you.
Best forDisciplined manual tracking you are willing to keep up
PicnicHealth
$499/year, or $0 in a research study · web and app
The only one here that requests your records for you, from every provider, including imaging. You pay for that, or you join a research study.
Best forSomeone with a complex condition who wants the chasing done for them
exora
oursFree to start · iOS, Android and web
Reads the documents you already have and builds one record from them, and every fact links back to the exact page it came from. Also records your appointments. Does not connect to US portals.
Best forRecords scattered across PDFs, paper and portals, when you want to check every line
The one-line version: start with your patient portals, and with Apple Health if you have an iPhone, because they are free and already hold a lot. Choose an app for the rest by what you need: portal syncing, document reading, manual tracking, or someone to do the requesting. Everything below is the working.
First, the free things you already have
The US has no single national health record. What it has instead is a legal right and a lot of portals.
- Your HIPAA right of access. Every doctor, hospital and health plan must give you a copy of your records, in electronic form if they keep them that way, within 30 days. Our guide to your HIPAA right of access explains how. Every app below depends on this one way or another.
- Medicare’s Blue Button. If you have Medicare, you can download your claims data from your Medicare account or connect it to apps you authorize. Claims show what was billed, not what the doctor wrote, but they are a useful map of where your records are. If you are in a Medicare Advantage plan, the download covers your drug claims only.
- Your patient portals. More on these below, because they are the biggest piece of the US picture.
1. Apple Health
Made by: Apple. Cost: free, built into iPhone. Platforms: iOS.
Most people know Apple Health for steps, sleep, heart rate and anything an Apple Watch sends it. In the US it does something more: its Health Records feature connects to a hospital or clinic account and downloads your clinical records, such as conditions, medications, lab results and immunizations, into the Health app. Apple lists “Download Health Records to iPhone” as available in the United States on its feature availability page (it is not available in Australia, which is why our Australian comparison reads differently).
What it is genuinely good at: it is free, it is already on your phone, and for health systems that support it, records arrive without you typing or uploading anything.
Where it stops: it holds what connected health systems share. Paper records, PDFs a practice emailed you, and providers that do not support the connection are outside it. It is iPhone only, which matters if you are managing records for someone with an Android phone.
2. Guava
Made by: Guava Health, Inc. Cost: free to join, according to its website. Platforms: iOS and Android.
Guava is the app in this list that overlaps most with exora, and in one respect it goes further. Its App Store listing says it connects “to 50,000+ US providers through patient portals like MyChart and Cerner”, and that you can “upload CCDA files, X-rays & MRIs (DICOM), PDFs, or images” and it “uses AI to digitize, extract, and organize data into a searchable, easy-to-understand format”. Around that sits a full tracker: symptoms, pain, mood, medication reminders and pill counts, sleep, cycle tracking, and correlations between them. The listing names conditions like POTS, EDS, MCAS, ME/CFS and long COVID, and its website offers a printable summary to take to appointments.
What it is genuinely good at: if you live with a chronic condition and want your portal records, your uploaded reports and your day-to-day symptoms in one app, Guava is built for exactly that, and it connects to portals, which exora does not.
Where it stops: its design centers on tracking, so if all you want is a record of what your doctors wrote, much of the app is not for you. That is a matter of fit, not a flaw.
3. Sync.MD
Made by: VYRTY Corp. Cost: free, with Premium at $4.99 a month or $47.90 a year (US App Store, November 4, 2026). Platforms: iPhone and iPad; I could not confirm an Android version.
Sync.MD is a records locker with strong sharing. Its App Store listing describes collecting, organizing and storing medical and other important documents, finding and retrieving “available records from supported patient portals and connected health networks - including MyChart”, and sharing them with “healthcare professionals, family members, caregivers, attorneys, and other trusted recipients”. Its AI assistant, Sync.Sense, can summarize and search documents, and the listing is explicit that “AI-powered features are disabled unless you choose to enable them”. It also states plainly that Sync.MD “is not offered by or on behalf of a healthcare provider or HIPAA-covered entity”, which is true of most consumer health apps and worth knowing.
What it is genuinely good at: getting documents in from portals and out to whoever needs them, with careful, opt-in AI.
Where it stops: the listing puts its AI assistant, Sync.Sense, among the features Premium “may include”, and describes it as helping you explore documents rather than building a structured record from them.
4. Tidy Health PHR
Made by: HealthBook LLC. Cost: free, with Tidy+ at $1.99 a month or $15.99 a year (US App Store, November 4, 2026). Platforms: iPhone, iPad and Mac.
Tidy Health is a personal health record for conditions, medications, visits, tests, documents and your care team, with reminders and an emergency widget. Its listing describes a deliberately broad scope, including supplements, biomarkers, mental health, preventive health and longevity, and an AI that answers questions “based specifically upon your complete personal health records”. Its privacy stance is unusual: “all data is saved locally on your own trusted devices and not stored by third-party cloud services. You own your data - and keep it forever - even if Tidy Health goes away someday.”
What it is genuinely good at: a well-thought-out, private record that stays on your own devices, at a low price.
Where it stops: Apple devices only, so it is a dead end if anyone in your household is on Android.
5. KeepTrackMed
Made by: Keep Track Solutions Ltd. Cost: subscription, from $9.99 a year. Platforms: iOS, Android and web.
KeepTrackMed is a structured manual logbook, and a thorough one: vitals, allergies, appointments, conditions, family history, hospitalizations, procedures, medications and supplements, symptoms, tests and vaccinations, with reminders, for multiple family members. From the publisher’s pricing page on November 4, 2026: LITE is $9.99 a year; PRO is $39.99 a year or $3.99 a month and is the tier that adds file attachments and tracking for appointments, medications, symptoms and tests. Both plans include the web version. Each plan has a free trial.
What it is genuinely good at: disciplined, structured tracking across a whole family, across iPhone, Android and the web.
Where it stops: the typing is yours to do. It does not read a lab report and fill itself out.
6. PicnicHealth
Made by: Mission Health Labs, Inc. Cost: $499 a year, or $0 if you join a research study. Platforms: web, plus an app for members.
PicnicHealth works differently from everything else here: it does the requesting for you. Its website says “we gather your records from every point of care into a single, organized view”, and its pricing page describes a $499-a-year membership with “automatic record refreshes throughout the year, including imaging”, or $0 a year “when you join a research study”. A clinical team reviews your records, and you can book a virtual visit with one of its providers. If you join a study, its website says your “anonymized data help researchers”, working with pharmaceutical companies and academic centers. Participation is your choice.
What it is genuinely good at: taking the chasing off your hands. For someone with a complex condition and many providers, that is worth a great deal.
Where it stops: it is the most expensive option here unless you join a study, and the free route means your anonymized data goes to research. Its app is “available for current members only”.
7. exora
Made by: Exora Health Pty Ltd (Australia). Cost: free to start, with an optional membership; prices are on our pricing page. Platforms: iOS, Android and web.
This is mine, so treat the description as a claim to check rather than a verdict.
exora starts from the assumption that you already have the documents, and the hard part is making sense of them. You upload medical documents, such as lab results, discharge summaries, specialist letters, imaging reports, prescriptions and immunization records, as PDFs or photos, from any provider in any country. An AI pipeline reads them and pulls out the conditions, medications, vitals, lab results, procedures, allergies and immunizations, and organizes them into one searchable record with a timeline.
The part I would judge it on is the receipts. Every fact in your record links back to the exact page and text it came from, and when you ask a question in the chat, the answer cites the document behind it. AI gets things wrong, and an AI health record that cannot show its working is not one you should trust.
Other things it does: profiles for your children, aging parents or anyone you care for, under one account; sharing a part of your record with a doctor or family member, with a time limit and a log of who looked; and appointment recording, which turns a visit into a summary, your next steps and the warning signs to watch for, in your language, with every line linked to the words that were said. How your data is handled is in our privacy policy.
Where it stops, honestly:
- No US portal connections. Guava, Sync.MD and Apple Health can pull records from portals; exora cannot. You download what your portals hold and upload it, which works but is a manual step.
- It does not request records for you. PicnicHealth does. With exora, you request them, using your HIPAA right of access.
- It is not covered by HIPAA, like most consumer health apps. Our guide to choosing a health record app explains what that means.
- The free tier has a page limit. Free covers 50 pages to start, then 5 a month. A large history needs patience or a membership; see the pricing page.
- It is young, and Australian. Open signup began in July 2026, and the membership is billed in Australian dollars.
- It is not medical advice. It organizes and presents your health information. It does not diagnose or tell you what to do.
What it is genuinely good at: turning a mess of documents from many places, including paper and the years before portals, into one record you can read, search, check line by line and share.
Patient portals: the biggest piece of the US picture
I have kept patient portals out of the comparison above, because they are not apps you choose. You get one because a health system treats you, and it runs it.
The most widely used is MyChart, made by Epic, which runs the electronic records at many US hospitals and health systems. Its App Store listing describes reviewing “test results, medications, immunization history, and other health information”, viewing “clinical notes your provider has recorded and shared with you”, and connecting “your accounts from other healthcare organizations so you can see all your health information in one place, even if you’ve been seen at multiple healthcare organizations”. With hundreds of thousands of App Store ratings, it is the health record most Americans already use. If your providers offer it, use it.
The listing is also clear about the limit: “what you can see and do within the MyChart app depends on which features your healthcare organization has enabled”. A portal shows what a health system has shared, from the organizations that connect to it. Paper records, practices on other systems, care from years ago and care abroad usually sit outside it. That is not a flaw in any particular portal. It is what a portal is for.
That boundary is the gap the apps above try to fill, each in its own way.
So which one should you use?
Most people should use more than one, because these tools cover different parts of the same problem.
Start with your patient portals, and turn on Apple Health Records if you have an iPhone. Both are free, and they may already cover most of your recent care.
If you live with a chronic condition and want portal records, uploaded reports and daily symptom tracking together, look at Guava.
If you mainly need to collect documents and share them with a lot of different people, including non-medical ones, Sync.MD is built for that.
If you want a disciplined logbook you fill in yourself, Tidy Health (free, Apple devices only, on-device) and KeepTrackMed (paid, iPhone, Android and web) are both credible.
If you want someone else to chase your records, PicnicHealth is the only option here that does, at a price or through a research study.
If your problem is that nothing holds all of it, and you want to be able to check every line, that is what exora is for: the PDFs, the paper, the downloads from three portals and the letter from a practice that closed, read rather than retyped, with every fact traceable to its page. And if you want help remembering what the doctor said, it records the appointment too. It is free to try.
How this comparison was put together
Every app here was checked on November 4, 2026 against the US App Store, Google Play or the publisher’s own website, and every factual claim links to its source. Prices are as listed on that date, in US dollars unless stated, and change without notice.
I left out apps I could not verify as available to anyone in the US today. One example is b.well Connected Health, whose App Store listing says it “is currently only available to select individuals”.
I have also avoided saying an app lacks a feature unless its publisher says so or it is plainly absent. A feature not being documented is not evidence that an app does not have it.
If I have got something wrong about your app, I would genuinely like to fix it. Use our contact page.
This article is general information about software, not medical advice. Talk to a qualified health professional about your health. Prices, availability and features were correct on November 4, 2026 and are sourced inline; this page will be updated as they change.