AI Medical Scribe for
Eval reports that take longer than the eval, daily notes for a full caseload — Medical Scribe drafts both from the session itself, with trial data, cueing levels, and goal progress intact.
A real example of the documentation Medical Scribe generates for speech-language pathologists — ready before your patient leaves the room.
6M attending twice-weekly therapy for speech sound disorder targeting /s/ and /z/. Mother reports increased home practice this week and that his teacher noticed clearer speech during show-and-tell.
Progressing toward goal of 90% accuracy for /s/ at word level; cueing dependence decreasing. Emerging self-monitoring is a strong prognostic sign. /z/ remains at phrase-readiness threshold and requires continued word-level drill.
Re-probe /s/ and /z/ across word positions in 4 weeks; share progress summary with parent ahead of upcoming IEP review.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
Comprehensive evaluations mean standardized scores, informal observations, parent or family interview, and recommendations — a long-form report that usually gets written nights and weekends.
Back-to-back 30-minute sessions, and each note needs accuracy percentages, cueing levels, and progress on every goal. Tally sheets pile up faster than they get typed.
Parents, teachers, IEP teams, physicians, and payers all rely on your documentation. It has to be precise enough for a reviewer and clear enough for a caregiver — every single time.
A comprehensive evaluation generates a full write-up — history, findings, assessment, and recommendations — while a 30-minute treatment session produces a tight note with the trial data and cueing levels you called out. The note matches the visit.
Articulation drills with a 5-year-old, aphasia therapy after stroke, voice work, fluency, swallowing trials — narrate the session naturally and the terminology, targets, and accuracy data land in the right sections.
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.
Pediatric articulation and language sessions, adult dysphagia and aphasia therapy, voice and fluency work — in clinics, schools, homes, and telepractice. Medical Scribe records the session on iOS, Android, Web, Apple Watch, or Mac and drafts the note while you run the drills, model the targets, and coach the caregiver.
The built-in Speech and Language Therapist’s note is structured the way SLPs chart: Patient Information, Subjective, Objective, Assessment, Plan, Interventions, Evaluation, and Plan for Continuing Care. Session data, cueing hierarchies, response to intervention, and next-step recommendations each land in their own section — ready for your review and signature.
Progress decisions — dismissal, continued services, IEP goals — ride on your data. Medical Scribe only documents what was said and observed in the session; it never fabricates a percentage or a cueing level. If you didn’t probe it, it isn’t in the note, so the record you sign reflects the therapy you actually delivered.
Yes. A recorded evaluation produces a full report with history, observations, assessment, and recommendations; a treatment session produces a concise data-driven note. Both come from the built-in Speech and Language Therapist's note template — one of 280+ — or a custom format you define.
It documents what was said in the session. Call out your data as you go — "17 of 20 with visual cues" — and it lands in the Objective section verbatim-faithful. It never invents trial data you didn't state.
The notes track goal-by-goal progress with objective data, which is exactly what IEP progress reporting draws on. Medical Scribe generates the clinical note; you copy the reviewed content into your district's IEP system, since notes always pass through your review first.
Yes. Medical Scribe is HIPAA compliant and encrypted in transit and at rest, and recording works the same as with any scribe: you inform the family and obtain consent. Parent-reported carryover gets captured in the Subjective section instead of lost.
Join thousands of healthcare professionals who save hours every day with Medical Scribe.