AI Medical Scribe for
Casting, fitting, and gait checks keep your hands on the patient — not a keyboard. Medical Scribe drafts your assessment, device justification, and follow-up plan from the appointment itself.
A real example of the documentation Medical Scribe generates for orthotists — ready before your patient leaves the room.
62M with type 2 diabetes referred for right posterior tibial tendon dysfunction, stage II. Reports medial ankle pain 6/10 after 20 minutes of walking, progressively worse over 4 months. Currently wears standard athletic shoes with no orthoses.
Casted for custom right ankle-foot orthosis (Arizona-style) with medial arch support. Fitted motion-control footwear with interim semi-rigid orthosis for use until delivery. Wear schedule and daily skin checks reviewed given diabetic status.
Fitting appointment in 2 weeks. Review gait, pain score, and skin tolerance 2 weeks post-fitting. Correspondence to referring podiatrist. Reassess single-leg heel raise and walking tolerance at 6-week review.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Casting, strap adjustments, and gait observation can't pause for typing. Details like trimlines, ROM measurements, and skin findings get reconstructed from memory hours later.
Insurers and funding programs expect documented medical necessity: functional limitations, patient goals, and why this device over a cheaper one. Thin notes mean denied claims and re-work.
Assessment, casting, fitting, review — each visit needs its own note tracking changes, wear tolerance, and modifications. The charting multiplies faster than the caseload.
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.
An orthotic episode of care is a series of hands-on appointments, and Medical Scribe covers each one. Record the initial biomechanical assessment, the casting session, the fitting, and every review — in person or via telehealth — and get a distinct, editable note for each visit. Narrate ROM measurements, gait observations, and device adjustments as you work; review and sign afterward.
The built-in Orthotist’s note template mirrors how you actually document: Patient Information, Medical History, Social History, Current Condition/Complaint, Patient Goals, Objective, Treatment, Assessment, and Plan. Work demands, activity levels, and device details all have a home — and among 280+ specialty templates, you can also build a custom structure in minutes or use SOAP.
Denials usually trace back to a missing link between impairment, function, and device choice. Because the note is drafted from the full appointment conversation, the patient’s own goals, your objective findings, and your device rationale are captured together — nothing invented, nothing padded. You sign off before anything reaches the chart or a claim.
Yes. Whatever you discuss or dictate during the appointment — materials, trimlines, componentry, modifications, wear schedules — lands in the Treatment and Plan sections of the note. It only documents what was actually said or observed; it never invents specifications.
The Orthotist's note template has dedicated Patient Goals, Current Condition/Complaint, Objective, and Assessment sections — the functional limitations and goal-linked reasoning funding reviewers look for. You review and sign every note before it's submitted anywhere.
Yes. Medical Scribe records the appointment on iOS, Android, Web, Apple Watch, or Mac, in person or via telehealth. Narrate findings as you work — heel raise results, ROM, skin condition — and they're captured without you touching a device.
Medical Scribe is HIPAA compliant, with encryption in transit and at rest. Recordings are processed securely, and nothing enters the chart until you've reviewed and signed the note.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.