AI Medical Scribe for
Your notes have to bridge medicine and mind — illness adjustment, behavior change, risk, and a formulation the referring physician can act on. Medical Scribe drafts the full Clinical Interview and Treatment Plan while you keep your attention where the therapy happens.
A real example of the documentation Medical Scribe generates for health psychologists — ready before your patient leaves the room.
58M referred by cardiology 3 months post-NSTEMI. Persistent health anxiety with panic episodes featuring chest tightness and pulse-checking; avoiding cardiac rehab despite medical clearance. PHQ-9 12 (moderate), GAD-7 14 (moderate). Denies suicidal ideation.
Predisposing: father's fatal MI at 61; longstanding tendency to somatic vigilance. Precipitating: NSTEMI 03/2026. Perpetuating: interoceptive avoidance, pulse-checking, activity restriction maintaining threat appraisal. Protective: motivated, medically cleared, strong spousal support, engaged cardiology team.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Presenting problems, current functioning across sleep, work, and family, mental state exam, psychometrics, and a 4P formulation — a proper health psychology intake note takes longer to write than the session took to run.
Motivational interviewing and illness-adjustment work depend on attunement. Typing while a patient describes their cancer diagnosis or cardiac scare is exactly the wrong signal.
Referring cardiologists, oncologists, and GPs act on your formulation and treatment goals — vague notes waste the referral, and risk documentation still has to be airtight.
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.
Health psychology sessions range from pre-surgical evaluations to chronic-pain programs to adjustment work after a cardiac event or cancer diagnosis. Medical Scribe records the session — office or telehealth — and drafts the note that fits: a full intake with formulation, or a focused progress note tracking exposure homework and outcome measures. You review, edit, and sign.
Drafts follow the built-in Health Psychologist’s Note: a Clinical Interview covering presenting problems, current functioning, history, risk assessment, mental state exam, psychometric findings, and clinical formulation, then a Treatment Plan organized by DSM-5-TR diagnosis with goals and outcome measures. The Psychology Progress Note handles ongoing sessions, and custom formats take minutes.
Your value to the medical team is a clear causal story — what predisposed, what precipitated, what perpetuates, what protects. Because Medical Scribe drafts from the actual session rather than memory at 9pm, that story reaches the referring physician intact, with risk statements recorded precisely as assessed and nothing invented.
Yes. The built-in Health Psychologist's Note follows the full Clinical Interview structure — presenting problems, current functioning, risk assessment, mental state exam, psychometric findings, and a formulation broken into predisposing, precipitating, perpetuating, and protective factors — populated only from what the session contained.
When you state or discuss scores in session, they are captured in the Formal Psychometric Assessments and outcome-measure sections exactly as given. Medical Scribe never generates or estimates a score itself.
Alongside the Health Psychologist's Note, the built-in Psychology Progress Note covers ongoing sessions — session content, obstacles and progress, interventions, and risk management — so a 50-minute follow-up produces a right-sized note, not a re-run of the intake.
Medical Scribe is HIPAA compliant with encryption in transit and at rest. Patients are informed and consent as they would for any scribe or recording, you control the process, and every note is reviewed and signed by you before it goes anywhere.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.