AI Medical Scribe for
Aphasia therapy, dysphagia management, voice rehab — adult speech pathology caseloads generate assessment-heavy notes with goals attached to every one. Medical Scribe drafts the note from your session, standardized scores and goal progress included.
A real example of the documentation Medical Scribe generates for speech pathologists — ready before your patient leaves the room.
71M, retired teacher, 10 weeks post left MCA stroke, referred for outpatient speech pathology following inpatient rehab. Wife reports he follows conversation well but struggles to 'find the words,' and has withdrawn from his weekly card group out of frustration. Prior level of functioning: fully independent, socially active. Goal per patient: 'order my own coffee again.'
Moderate expressive aphasia with strong response to phonemic cueing and intact comprehension — favorable indicators for word-retrieval therapy. Frustration and social withdrawal are limiting participation more than comprehension deficits. Good candidacy for twice-weekly therapy with a communication-partner component.
Semantic feature analysis and cued naming hierarchy, 2x weekly 45-minute sessions for 6 weeks; wife to join final 10 minutes of each session for communication-partner training. Re-administer WAB-R at 6 weeks.
Illustrative example. Every note is fully editable, and you control the format — SOAP, DAP, or your own custom template.
A WAB-R score or a bedside swallow result means nothing to a referrer without your interpretation. Every assessment becomes a mini-report: findings, functional impact, prognosis, and a graded goal set.
Rehab funding follows documented progress. Short-term and long-term goals need baselines, percentages, and review dates, updated session after session, or continued therapy gets questioned.
Trial swallows, cueing responses, and fatigue effects unfold in real time. Look away to type and you miss the laryngeal elevation or the self-correction that changes your assessment.
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.
Speech pathology in rehab settings means evaluations that turn into funded episodes of care: assess, set graded goals, treat, measure, report. Medical Scribe records the session — bedside, clinic, or telehealth — and drafts the note while you set up for the next patient, with your narrated observations captured in the moment instead of reconstructed at day’s end.
The generated note follows the template’s Subjective, Objective, Assessment, Plan of Care, and Short Term and Long Term Goals structure: prior level of functioning and patient-reported concerns up top, standardized assessment results and trial data in Objective, and your prognosis and graded goals below. It reads like a rehab note because it’s built like one.
Continued-therapy decisions ride on documented change: baselines, accuracy percentages, goals met or revised. Because Medical Scribe only records what was said and observed — never fabricated data — each signed note is a defensible data point in the treatment arc, reviewed by you before it enters the record.
Yes. State the scores as you review them — a WAB-R AQ, a naming accuracy count, a cueing hierarchy result — and they're captured in the Objective section exactly as given, with your clinical interpretation in the Assessment. It never invents scores you didn't report.
The template Medical Scribe pairs with this page structures the note into Subjective, Objective, Assessment, Plan of Care, and separate Short Term and Long Term Goals sections — the structure rehab reviewers expect when authorizing continued therapy. It's one of 280+ built-in templates, and custom formats take minutes.
Yes. Record any session — bedside swallow trials, aphasia therapy, videostroboscopy follow-up discussion — in person or via telehealth, on iOS, Android, Web, Apple Watch, or Mac. The note reflects whatever the session actually contained.
The note is drafted from the whole session, including your own narration — cueing levels you call out, trial results you state aloud — not just the patient's speech. You review and correct the draft before signing, and everything is HIPAA compliant and encrypted in transit and at rest.
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