AI Medical Scribe for
Your notes have to hold a full MSE, cognitive testing, and neurological context in one document — often with collateral from family. Medical Scribe drafts the whole neuropsychiatric evaluation from the conversation itself.
A real example of the documentation Medical Scribe generates for neuropsychiatrists — ready before your patient leaves the room.
58M referred for low mood and cognitive complaints 7 months after left frontal ischemic stroke. Reports pervasive sadness, loss of interest, and poor concentration; abandoned his return-to-work plan. Wife (present, consenting) describes uncharacteristic apathy and irritability since the stroke, worse in the evenings. No prior psychiatric history. Sleep fragmented; appetite reduced with 4 kg weight loss.
Passive thoughts that 'it wouldn't matter if I didn't wake up'; denies active suicidal ideation, plan, or intent. No prior attempts, no access to firearms. Protective factors: supportive spouse, engaged with rehabilitation team. Overall risk currently low; safety discussed with patient and wife.
Depressive disorder due to another medical condition (post-stroke depression), with contribution of vascular cognitive impairment — MoCA 23/30 with frontal-predominant deficits consistent with left frontal infarct on MRI.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
A post-TBI or suspected-dementia evaluation needs a structured mental status exam, cognitive screening scores, and neurological findings — every domain reconstructed after a 90-minute interview.
Family members describe the personality change, the disinhibition, the missed bills. Capturing two narrators faithfully while observing the patient is beyond what typing allows.
Capacity opinions, post-injury assessments, and risk documentation get read by courts, insurers, and guardianship proceedings. Every observation needs to be precise and attributable.
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.
Ninety-minute evaluations with a patient and a family member, post-TBI follow-ups, and telehealth cognitive reviews are all recorded the same way — in person or virtual — and drafted into a complete note while the interview is still fresh. You stay focused on observing affect, speech, and behaviour instead of transcribing them.
Generated notes follow the built-in Neuropsychiatrist’s note template: History of Presenting Complaints, Past Medical & Psychiatric History, Medications, Family History, Social History, Mental Status Examination, Risk Assessment, Diagnosis, Treatment Plan, and Safety Plan. A Mental Health Care Plan template handles GP-referred care planning. Custom formats take minutes.
Distinguishing post-stroke depression from vascular cognitive impairment — or bvFTD from late-life depression — turns on exact observations and scores. Medical Scribe documents only what was said and observed in the room: the MoCA result you stated, the collateral the spouse gave, the risk language the patient used. Nothing is invented, and nothing is signed but by you.
Yes. The built-in Neuropsychiatrist's note template spans History of Presenting Complaints, Past Medical & Psychiatric History, Medications, Family and Social History, a full Mental Status Examination, Risk Assessment, Diagnosis, Treatment Plan, and Safety Plan — with cognitive findings and scores documented where you state them.
Yes. The note reflects the whole conversation, attributing collateral observations to the informant — often the core of a neuropsychiatric history in TBI, dementia, and personality-change presentations.
The Risk Assessment section records exactly what was said about ideation, intent, plan, and protective factors — never inferred, never invented. You review, edit, and sign before the note is filed, so the record reflects your clinical judgment.
Yes. Alongside the Neuropsychiatrist's note there's a built-in Mental Health Care Plan template covering diagnosis, clinical details, MSE, risk, formulation, patient education, the care plan itself, and review arrangements.
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