AI Medical Scribe for
Whole-person consultations generate layered histories — diet, stress, sleep, structure — and hands-on treatments leave no time to type. Medical Scribe captures the full session and drafts your note while both hands stay on the treatment.
A real example of the documentation Medical Scribe generates for alternative medicine practitioners — ready before your patient leaves the room.
38M with 4 months of low back pain and tension headaches, worse with desk work and stress; pain 6/10 by end of the workday. Sleeping 5-6 hours, high caffeine intake, walks twice weekly. No red flag symptoms. Taking magnesium 300mg nightly; no prescription medications.
Posture: forward head carriage, increased lumbar lordosis. Palpation: marked paraspinal tension L3-S1 and bilateral upper trapezius. Lumbar flexion limited by tightness rather than pain. Neurological screen clear.
Somatic dysfunction of the lumbar and cervicothoracic regions with postural and stress-related contributors. Good prognosis with manual treatment alongside sleep, caffeine, and workstation changes.
Responded well to first treatment. Workstation setup reviewed; agreed on hourly movement breaks and stepped caffeine reduction. Review in one week; anticipate 4-6 sessions.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Lifestyle, diet, stress, sleep, movement, supplements — a whole-person history is your clinical foundation, and it takes nearly as long to write down as it did to take.
You can't chart mid-treatment. Which techniques you used, where, and how the patient responded — those details fade fast once the next client is on the table.
Referring GPs, insurers, and professional associations judge your practice by your notes. Thorough, contemporaneous records are how complementary care gets taken seriously.
Real-time transcription that understands medical terminology and clinical context.
Recognizes terms, conditions, and procedures specific to your practice area.
Generate comprehensive clinical notes in minutes instead of hours.
Enterprise-grade encryption and security to protect sensitive data.
These aren't generic formats — they ship in the product today, structured around how you actually document.
Plus 280+ templates across every specialty — or build your own in minutes.
A first consultation can run an hour of conversation before you ever touch the patient; a follow-up is mostly table time. Medical Scribe records either kind of session, in person or over telehealth, and drafts the note so the intake’s rich lifestyle history and the follow-up’s treatment details both land in the chart without an evening of typing.
The built-in Alternative Medicine Practitioner’s Note runs Subjective, Objective, Assessment, Plan, Interventions, and Evaluation — separating the techniques you applied this session from the ongoing plan, and pairing each treatment with the patient’s response. It’s the structure that shows your care is systematic, session after session.
When a GP refers a patient or an insurer reviews a claim, your notes represent your practice. Medical Scribe documents only what was actually said and observed — no embellished findings, no invented outcomes — and every note is yours to review, edit, and sign before it’s final.
The built-in Alternative Medicine Practitioner's Note is structured around manual and whole-person practice — including dedicated Interventions and Evaluation sections for techniques used and the response to them. For naturopathy, homeopathy, or your own hybrid approach, a custom template takes minutes.
Yes. What you observe and the patient reports immediately after treatment — pain change, range of movement, how it felt — is captured under Interventions and Evaluation, so progress between sessions is documented rather than remembered.
Yes. Medical Scribe is HIPAA compliant, with recordings encrypted in transit and at rest. You review and sign every note before it becomes part of the record.
Yes — tell your client the session is recorded to draft your notes and get their consent, exactly as you would with any assistant in the room. Most appreciate that it means your full attention stays on them.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.