AI Medical Scribe for
You can't palpate somatic dysfunction and type at the same time. Medical Scribe drafts your Subjective, Objective, Assessment, and Interventions from the treatment session itself — so notes stop following you home.
A real example of the documentation Medical Scribe generates for osteopaths — ready before your patient leaves the room.
41F office manager with 3 weeks of interscapular and neck pain after switching to a standing desk. Aching, 5/10 by end of workday, eases with heat. No radiation, no paraesthesia, no red flags. Taking ibuprofen 400mg PRN, two to three times weekly.
Somatic dysfunction of the thoracic, cervical, and rib regions consistent with postural strain from new workstation setup. No indicators requiring referral.
Post-treatment cervical rotation 75° bilaterally; pain 2/10 on active movement. Treatment tolerated well with no adverse response. Review in 1 week; anticipate discharge with self-management if gains maintained.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Palpation, muscle energy, HVLA — osteopathic treatment is continuously hands-on. Segment-level findings and tissue changes noticed mid-technique rarely survive intact until you finally sit down to type.
A full day of treatments can mean 15+ notes. Written between patients they're rushed; written at night they blur together — and each one still needs technique-level detail.
Health funds, insurers, and registration bodies expect which regions were treated, which techniques were used, and how the patient responded. 'OMT performed, tolerated well' is a liability.
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 osteopathic session flows from case history to palpation to treatment without a natural pause for typing. Medical Scribe records the whole session — in the clinic or over telehealth — and drafts a complete note while you set up for the next patient. Brief narration during treatment (“HVLA T5-T6, cavitation achieved”) is all the note needs.
The built-in Osteopath’s note template generates Subjective, Objective, Assessment, Plan, Interventions, and Evaluation sections — so somatic dysfunction findings, the techniques you applied, and the immediate post-treatment response each land where they belong. It’s one of 280+ specialty templates; a custom structure for your clinic takes minutes.
When a treatment outcome is questioned, the note is your account. Because Medical Scribe drafts from the actual session, consent discussions, pre-treatment screening, and the patient’s reported response are captured in their words — never invented, never generic. You edit and sign every note, so the record stays yours.
Yes. The Osteopath's note template includes dedicated Interventions and Evaluation sections, so MET, HVLA, soft tissue, and counterstrain work is documented by region and segment — along with the patient's response — exactly as you narrated or discussed it.
The note captures the elements auditors look for: presenting complaint, objective findings, clinical reasoning, treatment delivered, and outcome. It only documents what was said or observed in the session, and you review and sign before it enters the record.
Start a recording on iOS, Android, Web, Apple Watch, or Mac and treat as normal. The note is generated from the session conversation — brief verbal cues like 'right first rib elevated' are enough to place findings in the right section.
Medical Scribe is HIPAA compliant with encryption in transit and at rest. Patients are informed and consent just as they would with a human scribe, and recordings are processed securely.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.