AI Medical Scribe for
You can't write a progress note while holding space for someone's worst week. Medical Scribe drafts the session note — presentation, interventions, risk, next steps — from the conversation itself.
A real example of the documentation Medical Scribe generates for counselors — ready before your patient leaves the room.
41F, session 8, adjustment difficulties following divorce finalized 4 months ago. Reports a 'heavier week' after the custody schedule was confirmed. Sleep disrupted 2 nights; appetite and work functioning maintained.
Denies suicidal or homicidal ideation, no self-harm history. Alcohol unchanged at 1-2 drinks weekly. No impulsivity or risk-taking reported. No changes to management required; continue routine monitoring.
Homework: thought record on handover days; practice grounding before pickups. Next session scheduled in one week, same time.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Counseling works through presence and rapport. Clients read every glance down at your notes — and disclose less when they sense your attention is divided.
Six or eight clients a day leaves no gaps for charting. Session details blur together by evening, and the notes you write from memory are the thinnest part of your practice.
Suicidal ideation, substance use, and safety plans need exact wording; funders and clinical supervisors want evidence of goals, interventions, and progress. Vague notes serve neither.
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 counseling session is fifty minutes of listening you can’t do while typing. Medical Scribe records the session — in the office or via telehealth — and drafts a complete progress note in the built-in Counselors’s Note template. Between clients you skim, adjust, and sign instead of reconstructing an hour from three lines of scribble.
The generated note follows the template’s real structure: Current Presentation, Session Content, Obstacles, Setbacks and Progress, Interventions, Risk Assessment and Management, Session Summary, and Next Steps — including assigned homework. Goals discussed in passing and progress mentioned once at minute forty both make it into the record.
When a client mentions ideation, self-harm history, or substance use, the exact words matter clinically and legally. Because the note is drafted from the session itself, your Risk Assessment and Management section reflects what was truly said — and because you review before signing, nothing leaves your hands unverified.
The generated note is a progress note for the clinical record: presentation, interventions, risk, and plan. Your private psychotherapy notes — hunches, process observations — stay separate, exactly as good practice keeps them. You edit and sign every note before it's filed.
Yes. The built-in Counselors's Note template is used across addiction, bereavement, grief, marriage guidance, mental health, and substance abuse counseling, with sections for session content, obstacles and progress, interventions, and risk. Custom templates take minutes if your agency has its own format.
With consent, the same way recording for supervision works. Many counselors find clients open up more once the notepad disappears. Sessions are encrypted in transit and at rest, and Medical Scribe is HIPAA compliant.
Never. The note documents only what was actually said in session — no invented symptoms, no assumed progress, no fabricated risk statements. Silence about a topic stays silent in the note.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.