AI Medical Scribe for
Your hands are on the guitar, not a keyboard. Medical Scribe listens to the session and drafts your note — interventions, client responses, and progress toward goals — so documentation doesn't wait until the drive between facilities.
A real example of the documentation Medical Scribe generates for music therapists — ready before your patient leaves the room.
72M, 4 months post left MCA stroke with non-fluent aphasia, seen for individual neurologic music therapy. Wife reports increased frustration with word-finding at home this week. Patient indicated by gesture and partial verbalization that he wanted to continue singing-based work.
Alert and engaged throughout 45-minute session. Sustained phonation 8 seconds. Matched pitch and rhythm on familiar melodies. Visible frustration on two spoken trials, self-recovered with rhythmic cueing.
Produced target 4-syllable phrases with ~80% intelligibility with melodic support versus ~40% in spoken trials — improved from 60% with support last session. Goal 1 (functional phrase production) progressing.
Continue twice-weekly individual sessions. Home practice: recorded MIT phrases with wife twice daily. Coordinate with speech-language pathologist on shared phrase list at next team meeting.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
During re-creative singing or improvisation your hands and attention are on the music and the client. Affect shifts, vocalizations, and engagement get reconstructed from memory hours later.
Care teams, facilities, and payers expect notes that tie every intervention to a measurable goal. Vague session summaries undermine the case for music therapy as clinical treatment, not entertainment.
A day split between a memory care unit, a hospital floor, and private clients leaves no protected charting time — and each facility wants its own note format.
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.
Whether it’s neurologic music therapy after stroke, group work in memory care, or individual sessions in behavioral health, Medical Scribe records the session — in person or via telehealth — and drafts the note while you stay in the music. It runs on iOS, Android, Web, Apple Watch, and Mac, so it travels between facilities with you.
The Music Therapist’s note template captures Subjective and Objective observations, then dedicates separate Interventions and Evaluation sections to the techniques you used and the client’s measurable response — the structure treatment teams and payers look for when judging progress toward goals. You review, edit, and sign before it goes in the chart.
Music therapists constantly justify their clinical role. Notes that tie a specific intervention to a specific observed response — phrase intelligibility with melodic support, engagement duration, affect change — make that case in the chart. Medical Scribe documents only what was actually said and observed, so your Evaluation section reflects real session data.
Yes. The built-in Music Therapist's note template is structured as Subjective, Objective, Assessment, Plan, Interventions, and Evaluation — so what you did (MIT, improvisation, songwriting, lyric analysis) and how the client responded live in distinct, goal-linked sections. Psychotherapy and Mental Health note templates are also built in for behavioral health settings.
It documents what is said and observed aloud. Many music therapists briefly narrate during or after interventions ('nice sustained phonation, about eight seconds') — those spoken observations land in the note. It never invents client responses that weren't voiced.
You should obtain consent just as you would for any recording or observer, and facility policies vary. Medical Scribe is HIPAA compliant, encrypted in transit and at rest, and you control the recordings.
Yes. Use the built-in templates or create a custom template in minutes for each facility's required format, including SOAP and DAP. Notes are fully editable, and you review and sign before anything goes in a chart.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.