AI Medical Scribe for
A genetic counseling session weaves together a three-generation pedigree, risk figures, and an emotional conversation — and all of it belongs in the note. Medical Scribe drafts the documentation from the session itself so you can stay focused on the family in front of you.
A real example of the documentation Medical Scribe generates for genetic counselors — ready before your patient leaves the room.
34F — Referred following mother's diagnosis of ovarian cancer at 58 with a pathogenic BRCA1 variant identified. Patient seeks predictive testing. Family history: mother BRCA1-positive ovarian cancer at 58; maternal grandmother breast cancer at 61; maternal aunt unaffected, untested. Patient well, no personal cancer history. Two children, ages 4 and 7. Expressed worry about implications for her sister and children.
Candidate for predictive single-site BRCA1 testing given a known familial pathogenic variant. Up to 50% prior probability of carrying the variant. Patient demonstrated good understanding of inheritance pattern and testing implications; some anticipatory anxiety about a positive result, coping appropriately with family support.
Results within 3-4 weeks; disclosure session scheduled. If positive, referral to high-risk breast clinic and gynecologic oncology for surveillance planning. Sister encouraged to seek independent counseling referral. Patient given contact details for questions before results.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
A pedigree conversation covers relatives, ages at diagnosis, cancer types, and ancestry — details that drive risk models. One missed aunt with ovarian cancer at 52 changes the recommendation.
What you disclosed about VUS possibilities, insurance implications, and the limits of a negative result matters later. If informed consent for testing isn't documented, it effectively didn't happen.
Sessions involve fear, guilt, and family dynamics. Watching a patient absorb a risk figure tells you what support they need — screens and keyboards get in the way of seeing it.
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.
Genetic counseling sessions run 45-60 minutes and move between technical risk discussion and emotional support. Medical Scribe records the session — in person or telehealth — and drafts the note from it, so the pedigree details, the risk figures you quoted, and the patient’s decisions are captured while you stay engaged with the family.
Notes follow the built-in Genetic Counselor’s Note template: Patient Information and Subjective for the referral reason and the patient’s understanding and concerns; Objective and Assessment for findings and identified needs; then Plan, Interventions, Evaluation, and Plan for Continuing Care — covering testing ordered, counseling provided, the patient’s response, and cascade-testing follow-up.
What separates a defensible genetic counseling note is evidence of what was actually disclosed — result scenarios, limitations, insurance implications. Medical Scribe documents only what was said in the session, never inventing content, so your record of informed consent matches the conversation word for word. You review and sign every note.
It captures the family history exactly as spoken — relatives, ages at diagnosis, cancer types, testing status — and never invents or extrapolates details. The draft is yours to review against your pedigree tool before signing.
Yes. The Genetic Counselor's Note template includes Interventions and Evaluation sections where the counseling you provided — result scenarios, VUS possibilities, insurance implications, psychosocial support — is documented from the actual conversation.
Medical Scribe is HIPAA compliant with encryption in transit and at rest. Patients can be informed and consent just as they would with any scribe, and you control the note before anything enters the record. It also works in 57 languages for counseling diverse families.
Yes — genetic counseling is heavily telehealth-based, and Medical Scribe records both in-person and virtual sessions, with apps for iOS, Android, Web, Apple Watch, and Mac.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.