AI Medical Scribe for
Six sessions a day shouldn't mean six notes a night. Medical Scribe turns each 50-minute session into a progress note with interventions, risk, and goal progress already in place.
A real example of the documentation Medical Scribe generates for mental health counselors — ready before your patient leaves the room.
29F, session 8 of weekly counseling for generalized anxiety disorder. Reports reduced worry about work performance and fewer nights of disrupted sleep. GAD-7 today 8, down from 16 at intake.
Explored avoidance of delegating tasks at work and the underlying belief 'if I don't do it myself, it will fail.' Reviewed thought records from the past week; client independently identified catastrophizing in two entries.
Denies suicidal ideation, homicidal ideation, and self-harm. No substance use reported. Risk assessed as low; no changes to management plan.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
A full day of 50-minute sessions leaves no realistic gap for charting. Notes drift to lunch, then to evening, then to the weekend — and unsigned-note backlogs become their own stressor.
Payers expect each note to connect diagnosis, treatment plan goals, named interventions, and measurable progress. A note that just says "discussed stressors" doesn't survive a records request.
By the fourth client, the details blur. Writing notes hours later means thinner risk documentation and vaguer intervention language — precisely the parts that matter most.
Attunement is the treatment. With Medical Scribe listening, you can track affect, sit with silence, and respond in the moment — and still walk out of the session with the note essentially written.
The Mental Health Counselor's note and DAP formats are built in; BIRP or a group-practice house style takes minutes to create as a custom template. Every session drafts straight into the structure you sign.
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.
Weekly individual sessions, intakes, telehealth check-ins between office days — Medical Scribe records each one (iOS, Android, Web, Apple Watch, or Mac) and drafts the note before your next client sits down. CBT, ACT, EMDR, person-centered: you run the session your way; it documents what happened.
The built-in Mental Health Counselor’s note maps to how you already think: Current Presentation, Past Medical & Psychiatric History, Mental Status Examination, Session Content, Obstacles, Setbacks and Progress, Interventions, Risk Assessment and Management, Session Summary, and Next Steps. Even brief but meaningful topic threads make it into Session Content instead of evaporating.
The most consequential lines in a counseling note — ideation denied, safety plan reviewed, protective factors present — are the ones memory degrades fastest. Because the note is drafted from the session itself, your risk documentation reflects the client’s actual words, and nothing is ever invented to fill a section.
A progress note — the chart-facing record of presentation, interventions, risk, and plan. It's not a substitute for private psychotherapy (process) notes, which counselors keep separately under HIPAA. Nothing enters the chart until you've reviewed and signed it.
Yes. DAP and SOAP are supported natively — the DAP note is among 280+ built-in templates, next to the dedicated Mental Health Counselor's note. A BIRP or custom practice format can be set up in minutes.
The same consent conversation you'd have about any scribe applies, and many clients notice the difference when their counselor isn't typing. Medical Scribe is HIPAA compliant and encrypted in transit and at rest, and it works for both in-office and telehealth sessions.
Each note ties the session to treatment — current presentation with severity, named interventions, progress and setbacks against goals, and a documented risk assessment. That's the golden thread reviewers look for, drawn only from what actually happened in session.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.