AI Medical Scribe for
Assessments, fittings, and reviews all end the same way — with another note to write. Medical Scribe drafts it from the appointment itself: thresholds, device recommendations, and the advice you gave.
A real example of the documentation Medical Scribe generates for audiometrists — ready before your patient leaves the room.
58M, self-referred for hearing assessment. Reports 30 years of construction noise exposure, inconsistent hearing protection in early career.
Difficulty following conversation in groups and on the phone for ~5 years, gradually worsening. Constant high-pitched bilateral tinnitus. No previous hearing devices. Denies vertigo, otalgia, or discharge.
Bilateral noise-induced sensorineural hearing loss with characteristic 4 kHz notching, consistent with occupational exposure history. No findings requiring medical referral. Suitable candidate for binaural amplification.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
A full day of hearing assessments and fitting reviews leaves the narrative write-ups — history, results, recommendations, counseling — for after the last client leaves.
Device selected, settings, counseling given, and follow-up arrangements all have to be on record — for clinical continuity, for audits, and for funded-client programs with their own documentation rules.
Noise-induced hearing loss assessments can surface years later in compensation claims. A thin note about exposure history or the 4 kHz notch is a liability; a precise one is your defense.
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.
Whether it’s a first hearing assessment, a fitting, or a two-week review, Medical Scribe records the appointment — in the clinic or over telehealth — and drafts the note from what was said: the history the client gave, the results you called out, the device discussion, and the follow-up you arranged.
The built-in Audiometrist’s Note template runs from Patient Information and Subjective through Objective, Assessment, Plan, Interventions, Evaluation, and Plan for Continuing Care — covering the assessment visit and the fitting-and-review cycle that follows it. Your clinic’s own report format can be built as a custom template in minutes.
Noise-induced loss claims turn on details: the exposure history, the notch, what was recommended and when. Because Medical Scribe documents only what was said and observed in the appointment — never a reconstructed version written hours later — your records carry the precision that occupational and funded-program reviews demand.
Yes. State the thresholds, speech scores, and tympanometry findings as you record them, and they're structured into the Objective section of the Audiometrist's Note. Nothing is inferred or invented — the note contains only what you actually said.
The note documents the exposure history the client gave, the results you stated, and your recommendations, in a structured format you review and sign at the time. That contemporaneous, precise record is exactly what a later review needs.
Yes. A fitting generates a note covering the device, counseling, and follow-up arrangements; a review visit produces a concise note tying the client's report to any adjustments. The Audiometrist's Note template includes Interventions, Evaluation, and Plan for Continuing Care sections for exactly this.
Medical Scribe is HIPAA compliant and encrypted in transit and at rest, and it works in 57 languages — useful when assessments happen through an interpreter or in a client's first language.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.