AI Medical Scribe for
Injection clinics move fast — a full schedule of OCTs, dilated exams, and anti-VEGF decisions, each needing its own note. Medical Scribe drafts the retina note from the visit itself, from visual acuity to the treat-and-extend plan.
A real example of the documentation Medical Scribe generates for retinal surgeons — ready before your patient leaves the room.
74F with neovascular AMD OD, presenting for scheduled anti-VEGF follow-up — injection #6 of aflibercept. Denies new floaters, flashes, or curtain-type field loss. Vision 'about the same' since last visit. No pain or redness after prior injection.
Neovascular AMD OD — anatomic improvement on aflibercept with reduced central subfield thickness; trace subretinal fluid persists. Nonexudative AMD OS, stable.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Treat-and-extend schedules bring the same patients back every 4-12 weeks, and each visit still needs a complete note — VA, IOP, exam, OCT interpretation, and the injection record.
Every exam element is documented per eye — OD and OS acuities, pressures, anterior and posterior segment findings — and a laterality error in the chart is more than a typo.
Intravitreal injections and surgical planning carry real medicolegal weight. The consent discussion, the drug and dose, and the return precautions all need to be in writing, every time.
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.
Medical Scribe fits the two speeds of a retina practice: rapid-fire anti-VEGF follow-ups and long surgical consults for detachments, membranes, and macular holes. It records the visit — in the lane or over telehealth — and drafts a complete note you review and sign, so the chart keeps pace with the schedule.
The Retinal Surgeon’s note template — one of 280+ built-in specialty templates — organizes the visit into Subjective, Objective, Assessment, and Plan, with the Objective section built for visual acuity, intraocular pressure, anterior and posterior segment findings, and OCT or angiography results. Dictated exam findings land exactly where a retina chart expects them.
In retina, the difference between OD and OS is the difference between a correct chart and an incident report. Medical Scribe documents only what was said and observed in the encounter — no inferred findings, no autofilled fellow eye — and every note passes through your review before it becomes part of the record.
The note records the laterality you state during the exam — dictate 'CST 288 OD' and that's what appears, filed under Objective. It never infers or invents findings for the fellow eye, and you verify every line before signing.
Yes. The consent discussion, drug and dose, the eye injected, and post-injection checks are captured in the Plan section as they're spoken in the room — giving you a procedure record grounded in what was actually said.
Each encounter is recorded and drafted independently, so a 7-minute follow-up produces a concise note ready for review between patients. Runs on iOS, Android, Web, Apple Watch, and Mac, for clinic and telehealth visits alike.
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.