AI Medical Scribe for
Your sessions generate numbers — heart rates, workloads, walk distances, RPE scores — and every one has to make it into the record. Medical Scribe captures the data as you call it out and drafts the note before your next patient arrives.
A real example of the documentation Medical Scribe generates for physiologists — ready before your patient leaves the room.
62M, 8 weeks post-NSTEMI with PCI to LAD, attending session 6 of supervised cardiac rehabilitation. Reports no angina or dyspnea since last session. Walking 30 minutes daily at home. Medications unchanged: metoprolol 50mg BID, atorvastatin 80mg daily, aspirin 81mg daily.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Baseline vitals, exercise responses, test results, and symptom reports accumulate across a single session. Recalling exact figures afterwards is exactly where transcription errors creep in.
When patients are booked hourly, notes get batched to the end of the day — and a morning stress test or rehab session is documented eight hours after it happened.
Physicians act on your findings. Notes need clean objective data, clear interpretation, and progress against the referral question — every session, for every referrer.
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 you run cardiac rehab classes, exercise tolerance tests, or one-on-one clinical exercise sessions, Medical Scribe records the encounter — in person or via telehealth — and drafts the note from what actually happened. Narrate readings as you take them and they are captured in real time, not reconstructed from a clipboard at day’s end.
The generated note follows the built-in Physiologist’s note template: Subjective for symptoms, adherence, and medications; Review of Systems; Objective for vitals, exercise responses, telemetry, and test results; and Assessment & Plan for interpretation, exercise prescription changes, and follow-up. An OT Note format is also available when a functional framing fits better.
Referring physicians make medication and clearance decisions off your reports, so precision matters. Medical Scribe records only the values and observations stated during the session — no inferred results, no filled-in blanks — and you verify every figure before signing. The note that reaches the referrer is yours, checked and complete.
Yes. Speak the measurements as you record them ('peak heart rate 112, RPE 13') and they appear in the Objective section of the note as stated. Medical Scribe documents only what was said and observed — it never estimates or invents values.
The built-in Physiologist's note (Subjective, Review of Systems, Objective, Assessment & Plan) works out of the box, and an OT-style note is also available. With 280+ templates plus SOAP, DAP, and custom formats, you can match your service's reporting style in minutes.
Yes. Apps for iOS, Android, Web, Apple Watch, and Mac let you record while your hands are on the patient or the equipment — in the lab, the gym floor, or a telehealth review.
Yes. Medical Scribe is HIPAA compliant, with encryption in transit and at rest. You review and sign every note before it goes into the record.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.