AI Medical Scribe for
Patients bring three problems to a fifteen-minute consult — your note has to cover all of them. Medical Scribe drafts a problem-by-problem Assessment & Plan from the conversation, so the last patient of the day doesn't get a thinner chart than the first.
A real example of the documentation Medical Scribe generates for general practitioners — ready before your patient leaves the room.
58F — presents with three issues: blood pressure review, 6 weeks of reflux symptoms, and a new pigmented lesion on the left shoulder. Current smoker, interested in quitting.
Home BP readings averaging 138/86 on amlodipine 5mg daily. Burning retrosternal discomfort after evening meals, worse lying flat; no dysphagia, no weight loss, no melena. Noticed darkening mole on left shoulder over recent months, no itch or bleeding. Smokes 10/day; keen to discuss cessation.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
The 'while I'm here, doctor' consult is the norm. Each problem needs its own assessment, plan, safety-netting, and referrals — the note takes longer than the visit.
A morning can run from a URTI to a mental health care plan to a skin check to chronic disease review. Each has different documentation requirements, and switching formats all day is its own cognitive load.
A fully booked day leaves a queue of open charts. Finishing them at home means either late nights or abbreviated notes — and neither is sustainable.
The General Practitioner's Note numbers each issue separately — assessment, differentials, investigations, treatment, and referrals per problem — so the BP review, the reflux, and the mole each get their own documented plan instead of dissolving into one paragraph.
General practice doesn't stop at the standard consult. Alongside the GP note, built-in Mental Health Care Plan and Skin Check Note templates cover the structured paperwork that otherwise eats your lunch break — from 280+ templates, with custom formats in minutes.
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.
General practice is breadth under time pressure: undifferentiated symptoms, chronic disease reviews, and opportunistic prevention in the same appointment. Medical Scribe records the consult — in person or telehealth — and drafts the note while you call in the next patient, so the depth of your documentation stops depending on the time left in the day.
The generated note follows the built-in General Practitioner’s Note: Subjective history, Objective findings and investigations, then a numbered Assessment & Plan where every issue gets its own likely diagnosis, differentials, investigations, treatment, and referrals. Mental Health Care Plan and Skin Check Note templates handle the structured visits that don’t fit a standard consult.
The advice you give at the door — when to come back, what symptoms can’t wait — is exactly what a chart review looks for later. Medical Scribe captures it from the conversation itself, documents only what was actually said and observed, and leaves the final word to you: review, edit, sign.
Yes — that's what the General Practitioner's Note template is built for. Its Assessment & Plan section numbers each issue with its own diagnosis, differentials, investigations, treatment, and referrals, drafted from however the conversation actually unfolded.
Built-in Mental Health Care Plan and Skin Check Note templates cover those visits, alongside 280+ other specialty templates. If your practice has its own format, you can build a custom template in minutes, including SOAP and DAP structures.
Medical Scribe works in 57 languages, for in-person and telehealth consults, on iOS, Android, Web, Apple Watch, and Mac.
Medical Scribe is HIPAA compliant, with recordings and notes encrypted in transit and at rest. Patients are informed and consent just as they would with any scribe, and nothing enters the record until you've reviewed and signed the note.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.