AI Medical Scribe for
You coach sets on the gym floor, then reconstruct loads, reps, and RPE at a desk. Medical Scribe captures the whole session — assessment findings, exercises delivered, and progressions — while you coach.
A real example of the documentation Medical Scribe generates for exercise physiologists — ready before your patient leaves the room.
62M, 8 weeks post-PCI for NSTEMI, attending supervised cardiac rehabilitation twice weekly. Reports no angina or dyspnea with daily 30-minute walks. Meds: aspirin 100mg, ticagrelor 90mg BID, metoprolol 47.5mg daily, atorvastatin 80mg nightly.
Resting HR 62, BP 118/74. Six-minute walk test: 510m, up from 470m at week 4. RPE 11-12 maintained through aerobic block with no symptoms provoked.
Progress treadmill duration to 25 minutes next session. Home program: four 30-minute walks weekly at RPE 11-12. Repeat 6MWT at week 12 and prepare progress summary for referring cardiologist as discussed.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Exercises prescribed, sets, reps, loads, RPE, and modifications — a single supervised session generates a dozen data points that all have to make it into the record.
A full floor schedule leaves no time between sessions, so documentation piles up until the end of the day — when the details of session three have gone fuzzy.
Clients arrive under chronic disease management plans and insurer referrals. Measurable goals, objective outcomes, and progress have to be documented for the referring doctor.
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.
Initial assessments, supervised one-on-one sessions, cardiac rehab classes, and telehealth check-ins — Medical Scribe records each from your phone, Apple Watch, or laptop and drafts the note while you set up the next client. The coaching cues and numbers you already say out loud become the documentation.
The built-in Exercise Physiologist’s Note covers Patient Information, Medical History, Social History, Current Condition/Complaint, Patient Goals, Objective measures, Treatment delivered — educational, hands-on, and active therapy — plus Assessment and Plan including the home exercise program with sets, reps, and frequency. OT and Physiotherapy note templates are built in too.
Exercise physiology justifies itself with numbers: baseline tests, session loads, functional gains. Medical Scribe records the measurements and progressions you actually state — never inventing a test result — so when a referrer or insurer reviews the file, your outcomes are there in objective, defensible form.
Yes — whatever you say out loud while coaching ('leg press, three by ten at sixty kilos') lands in the Treatment section of the note. It records only what was actually stated, so your prescription is documented, not approximated.
The Exercise Physiologist's Note template has dedicated Patient Goals, Objective, Assessment, and Plan sections — short- and long-term goals with time frames, test results like a 6MWT, and progress toward goals — which is exactly what care-plan referrers look for.
Yes. An initial assessment produces a full note with medical history, social history, condition, and baseline measures; a routine session produces a focused treatment-and-progression note. There are also built-in OT and Physiotherapy note templates if you work across formats.
Yes. Medical Scribe is HIPAA compliant with encryption in transit and at rest, and every note is reviewed and signed by you before it goes into the client record.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.