HIPAA Compliant
AI Medical Scribe for
Physical Therapists
Call out ROM degrees, strength grades, and today's exercises as you treat — Medical Scribe turns the session into a complete daily note while your hands stay on the patient.
Sample note
What your notes will look like
A real example of the documentation Medical Scribe generates for physical therapists — ready before your patient leaves the room.
Summary
32M — Visit 6 of 12, post-ACL reconstruction (12 weeks post-op). ROM and strength progressing; advanced to sport-specific drills this session.
Current Condition/Complaint
R knee ACL reconstruction 12 weeks ago after a soccer injury. Reports decreased morning stiffness; pain 2/10 with exercise, down from 4/10 last week. Compliant with home exercise program. Goal: return to recreational soccer.
Objective
- ROM: R knee flexion 130° (was 115°), extension 0°
- MMT: quadriceps 4/5, hamstrings 4+/5
- Gait: normal pattern, no compensations
- Single-leg balance: 30 sec eyes open, R equal to L
Treatment
- Stationary bike warm-up, 10 min
- Leg press 3x10, resistance progressed
- Single-leg balance with perturbations, 3x30 sec
- Lateral agility ladder drills introduced; form cued and corrected
Plan
Continue 2x/week for 6 more visits per plan of care. Progress to plyometrics next session if no effusion. HEP updated: single-leg squats 3x10 daily. Reassess quad strength at visit 8; progress note due at visit 10.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
PT documentation is a second job that payers keep grading
No gap between patients for point-of-service notes
Back-to-back 45-minute sessions leave no charting time. Typing while a patient works through sets means half-finished daily notes that wait until after close.
Medicare's paperwork cadence never stops
Progress notes at least every 10th visit, plan-of-care certifications, and skilled-care justification in every daily note — Part B documentation has rules, and thin notes are what audits catch.
Cloned notes are an audit flag
Copy-forward daily notes that repeat yesterday's text are exactly what payer reviews look for. Every session needs its own objective measures and treatment detail.
Hands-free capture
Record from the wrist while you treat
Start a session from the Apple Watch, phone, or web app and keep your hands on the patient. The measurements and cues you say out loud become the note.
Objective measures
Numbers land in the Objective section
ROM degrees, MMT grades, pain scores, and special test results you state during the session are captured exactly as spoken into the Physical Therapist's note.
PT Daily Note
Summary
Current Condition/Complaint
Objective
Treatment
AI-Powered Documentation
Real-time transcription that understands medical terminology and clinical context.
Specialty Vocabulary
Recognizes terms, conditions, and procedures specific to your practice area.
Save Hours Daily
Generate comprehensive clinical notes in minutes instead of hours.
HIPAA Compliant
Enterprise-grade encryption and security to protect sensitive data.
Built-in templates
Note templates built for physical therapists
These aren't generic formats — they ship in the product today, structured around how you actually document.
Mental Health Note
Physical Therapist's note
Patient Information
Medical History
Social History
Current Condition/Complaint
Patient Goals
Objective
Plus 280+ templates across every specialty — or build your own in minutes.
Documentation between sets, not after close
A PT session is constant motion — manual therapy, cueing reps, adjusting load. Medical Scribe records the session from your watch or phone while you work, then drafts the daily note, initial evaluation, or re-evaluation from what was actually said and done. In person or telehealth, the note is ready to review before your next patient is on the table.
What the Physical Therapist’s note captures
The built-in Physical Therapist’s note follows a full episode of care: Current Condition/Complaint and Patient Goals up front; Objective for ROM, strength, and special tests; Treatment for the education, hands-on work, and active therapy delivered this session; then Assessment and Plan with progress toward goals, home exercise program details, and treatment frequency and duration.
Defensible skilled-care documentation
Payer reviews target thin and cloned notes. Because every note is generated from that session’s conversation, each visit shows its own measurements, its own interventions, and its own clinical reasoning — the skilled-care story reviewers expect to see. Nothing is invented, and nothing enters the chart until you’ve reviewed and signed it.
Frequently asked questions
Does it handle Medicare Part B documentation requirements?
It documents each visit thoroughly — objective measures, skilled interventions, and progress toward plan-of-care goals — which is the substance Medicare expects in daily notes and in the progress note due at least every 10th visit. To be clear about scope: Medical Scribe drafts the visit documentation; it doesn't track visit counts, certify plans of care, or file claims. You review and sign every note.
Will it capture my measurements accurately?
State them aloud as you measure — flexion 130 degrees, quads 4 out of 5, pain 2 out of 10 — and they're documented in the Objective section exactly as spoken. It never invents a measurement you didn't say.
Won't every daily note end up looking the same?
No. Each note is generated from that session's actual conversation — today's measures, today's treatments, today's response — so notes are unique per visit rather than copy-forward text, which is what payer reviews flag.
How do I record with my hands full?
Start recording from the Apple Watch, iOS, Android, Web, or Mac app and treat normally — in person or via telehealth. Everything is HIPAA compliant and encrypted in transit and at rest.
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