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HIPAA Compliant

AI Medical Scribe for

Holistic Health Practitioners

Your intakes cover diet, sleep, stress, movement, and history — 90 minutes of conversation that becomes an evening of typing. AI drafts the whole-person note while you stay in the conversation.

Sample note

What your notes will look like

A real example of the documentation Medical Scribe generates for holistic health practitioners — ready before your patient leaves the room.

Initial Consultation Ready to copy

Current Condition/Complaint

45F presenting with 8 months of fatigue, afternoon energy crashes, and bloating after meals. Symptoms began following a period of high work stress. GP workup earlier this year: TSH 2.1, ferritin 48, HbA1c 5.4% — all within range. Currently taking escitalopram 10mg daily; no supplements.

Patient Goals

  • Sustain energy through the workday without caffeine reliance (currently 4 coffees/day)
  • Identify food triggers for bloating
  • Re-establish a consistent sleep routine (currently 5-6 hours, screens until midnight)

Objective

BP 118/76, HR 72. Appears well but tired; skin dry. Reports 3-4 bloating episodes weekly, worse after bread and pasta. Sleep diary reviewed: average 5.5 hours, sleep onset ~12:30am.

Assessment

Fatigue and digestive symptoms in the context of chronic stress, poor sleep hygiene, and irregular eating patterns; recent conventional workup unremarkable. Good readiness for change.

Plan

  • 2-week food and symptom diary before any elimination trial
  • Sleep routine: screens off by 10pm, consistent 10:30pm bedtime; reduce coffee to 2/day before noon
  • Magnesium glycinate 300mg in the evening; review tolerance at next visit
  • 10-minute daily breathing practice introduced in session
  • Follow-up in 3 weeks; coordinate with GP if symptoms change

Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.

Whole-person care means whole-person notes

90-minute intakes, hours of write-up

A thorough holistic intake covers medical history, nutrition, sleep, stress, relationships, and goals. Capturing all of it faithfully after the fact is where your evenings go.

No single note format fits every modality

One session is nutrition-focused, the next is bodywork, the next is stress and lifestyle coaching. Rigid note templates force your practice into someone else's boxes.

Rapport is the treatment

Clients open up because you're fully listening. Breaking eye contact to type — or trailing off to scribble — undermines the therapeutic relationship your practice is built on.

AI-Powered Documentation

Real-time transcription that understands medical terminology and clinical context.

Specialty Vocabulary

Recognizes terms, conditions, and procedures specific to your practice area.

Save Hours Daily

Generate comprehensive clinical notes in minutes instead of hours.

HIPAA Compliant

Enterprise-grade encryption and security to protect sensitive data.

Built-in templates

Note templates built for holistic health practitioners

These aren't generic formats — they ship in the product today, structured around how you actually document.

GP MP/TCA

Patient's Medical Background Clinical History GP Management Plan (GPMP) Patient Problem or Need or Relevant Condition 2 Patient Problem or Need or Relevant Condition 3

Mental Health Care Plan

Patient & GP Details Referring GP Details Problem/Diagnosis Clinical Details Mental Status Examination Risk Assessment

OT Note

Subjective Objective Assessment

Physio Note

Patient Information Employment status, Physical demands of job, Work-related activities] Medical History Current Condition/Complaint Patient Goals Subjective

Skin Check Note

Plus 280+ templates across every specialty — or build your own in minutes.

Made for sessions that don’t fit a checkbox

A holistic consultation wanders on purpose — from digestion to sleep to stress to what’s happening at home. Medical Scribe records the session (in person or telehealth) and drafts a structured note from that winding conversation: presenting concerns, history, client goals, observations, and the plan you actually agreed on. You review, edit, and sign.

One practice, many note formats

Holistic practitioners work across modalities, and the template library reflects that: the OT Note and Physio Note for functional and bodywork sessions, the GP MP/TCA format for chronic disease management plans, and the Mental Health Care Plan when your work touches emotional wellbeing. Custom templates take minutes if your practice needs its own structure.

Notes that stand up alongside conventional care

Your clients often see GPs and specialists too. Because Medical Scribe documents only what was said and observed — medications with doses, prior workups, the recommendations you actually made — your records read credibly to any collaborating provider, and referral conversations start from a clear, professional chart.

Frequently asked questions

My sessions mix nutrition, lifestyle, and hands-on work. Can one note handle that?

Yes. Medical Scribe ships with 280+ specialty templates — practitioners in this space use formats like the OT Note, Physio Note, GP MP/TCA, and Mental Health Care Plan — and you can build a custom template matching your own session structure in minutes.

Will it document supplements, dosages, and lifestyle recommendations?

Yes. Whatever you actually recommended in the session — supplement names and doses, dietary changes, sleep and movement practices — is captured in the plan. It only documents what was said, never inventing recommendations.

Is a recorded session appropriate for the personal topics clients share?

Medical Scribe is HIPAA compliant with encryption in transit and at rest. You tell clients you use an AI scribe and obtain consent, just as with a human scribe — and you review and edit every note before it's final.

Does it work for telehealth and long in-person intakes?

Both. It records in-person and telehealth sessions on iOS, Android, Web, Apple Watch, and Mac, and a 90-minute intake generates just as readily as a 30-minute follow-up.

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