AI Medical Scribe for
Your clients tell their stories through sandtrays and puppets, but insurers still want structured clinical notes. Medical Scribe captures the session — including what you narrate and the caregiver check-in — and drafts the note before pickup time.
A real example of the documentation Medical Scribe generates for play therapists — ready before your patient leaves the room.
7M attending session 9 of weekly child-centered play therapy, referred for aggressive outbursts and sleep disturbance following parents' separation. Mother reports two outbursts this week, down from near-daily at intake; sleep onset improved with consistent routine.
No statements or play content indicating harm to self or others. Caregiver denies safety concerns at home.
Continue weekly sessions. Caregiver to maintain bedtime routine and feelings chart at home; filial skills discussion planned for next parent consultation.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Play themes, affect shifts, and symbolic reenactment are your data — but converting an hour of child-directed play into clinical language for the record is a second job after the session ends.
Reimbursement requires presenting problems, interventions, progress toward treatment goals, and risk screening — documented in structured clinical terms for every session with a child.
Pre-session updates from parents and post-session guidance are clinically important and easy to lose. What a caregiver reports about home behavior belongs in the record too.
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.
A session is caregiver check-in, 40 minutes of child-directed play, and a debrief — often with the next family already in the waiting room. Medical Scribe records the session (in the playroom or via telehealth) and drafts a structured progress note from your spoken reflections, tracked themes, and the caregiver conversation. You review, refine the clinical language, and sign.
Using the built-in Psychotherapy Note template — which covers play therapists — the draft organizes the session into Presenting Problem, Mental Status Examination, Treatment Plan with interventions and progress, Risk Assessment, and Next Steps. Play themes you narrated become documented clinical observations tied to treatment goals, in the format reviewers and referrers expect.
Interpretation is your clinical judgment, and the note should never get ahead of it. Medical Scribe only documents what was actually said and observed in the session — it won’t ascribe meaning to play you didn’t verbalize, and it won’t generate risk language you didn’t assess. Every note is yours to approve before it enters the child’s record.
Medical Scribe documents what is said and observed aloud. Many play therapists narrate reflections during the session ('you're making the dinosaur guard the little one') and summarize observations at the end — those spoken observations, plus the caregiver check-in, become the structured note. It never invents interpretations you didn't voice.
Recording consent works like any scribe or observer: a parent or legal guardian consents on the child's behalf, consistent with your practice's policies and state rules. Medical Scribe is HIPAA compliant, with encryption in transit and at rest.
Progress notes — the documentation that belongs in the clinical record with presenting problem, MSE, interventions, and risk screening. Your private process notes stay yours. The Psychotherapy Note template covers play therapists, and DAP, SOAP, and custom formats are built in.
Yes. Caregiver-reported updates land in the presenting problem and the home-plan guidance lands in next steps, so the parent conversation is captured alongside the session itself. You review and edit everything before signing.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.