Clinician

Patient

Clinician

Presenting Problem Trouble dealing with work stress, managing emotions well, and generally feeling down. The patient is interested in gaining a deeper understanding of their emotions, how to manage them, and exploring better coping mechanisms.

Subjective Client presented with a GAD 7 score of 10. They had a stressful week at work and have been unable to focus on specific tasks.

Assessment Based on the presentation, the clinician used CBT interventions to teach grounding techniques

Personalized AI Documentation For Clinicians

Join the Thousands of Clinicians Who Are Already Here and Thriving

Live Session Transcription
Practice Specific Documentation
Custom Note Templates
Billing and Coding Assistance

We are the only documentation platform trained to understand clinical context. We are optimized for Telehealth, automate documentation based on your instructions, integrate with your EHR, and allow you to upload practice-specific note templates.

Our AI Goes
Way Beyond Notes

Our technology captures and analyzes the nuances of your therapy sessions, transforming them into precisely formatted notes. The level of detail we provide ensures you have access to all necessary documents, including assessments, treatment plans, patient-facing session recaps, post-session dictation, compliant billing, and more.

Clinical Notes AI is optimized for Telehealth.

How It Works

Create multiple documents during a single session!

Generate Intake and Assessment documents simultaneously saving hours of tedious note-taking and eclipsing outdated practices. Reclaim your time and invest it where it counts.

Experience Efficient, Accurate, and Comprehensive Documentation In Ways You Can Only Imagine.

1Press the live session or dictate button

2HIPAA compliant speech to text technology captures key insights

3Choose your note format. Review and approve your note or document

4Choose EHR transfer options. Move on to your next client.

START YOUR FREE TRIAL

Exclusive Features

Data Capture Options

Ambient

Our AI listens to live sessions and extracts clinically relevant data in order to build a progress note or document.

AI SCRIBE

Talk to our AI scribe to describe the session or appointment you were just in and our AI will create your note or document

AUDIO UPLOAD

If you record your sessions today, simply upload the audio file and choose your note or document type to create.

Professions Supported

Our intelligent AI is designed to support a broad spectrum of healthcare professions by adapting its documentation techniques based on the profession selected so no matter your particular field you have immediate access to precise and profession-specific clinical notes

Behavioral Health

Licensed Psychologists, Substance Abuse Counselor, Social Workers, case manager, Psychiatrist, School Counselor, Speech pathologist.

Physical Health

Physician (primary care and specialist), Physical Therapist, Physician Assistant, Nurse Practitioner, respiratory therapist, Nurse, Medical Assistant, Chiropractor, Wellness coach, and more.

Privacy

Audio Discarded

We do not store ANY audio. We leverage speech to text technology to build a temporarily held transcript to submit to our fine tuned AI infrastructure. Once the note or document is created, the transcript is disassociated with the output and de-identified. It cannot be subpoenaed or associated with your practice or clients.

HIPAA Compliant

We use a real-time HIPAA compliant tool that ensures our adherence to the standards. A HIPAA Gap analysis can be provided upon request.

BAA

We are considered a Business Associate under HIPAA guidelines and will provide a signed BAA agreement upon request. It’s also available within our user interface for download and return to our compliance team.

Consent

Ethics in healthcare are paramount. We provide an informed consent document that you can include within your onboarding paperwork. In addition, we require clinicians to confirm consent at the start of every live session.

Multilingual

We support 22 languages and regional dialects within. If your session is captured in one of our supported languages, our platform will translate your documentation and notation into english.

Supported languages include:

Chinese
Czech
Danish
Dutch
English
Flemish
French
German
Greek
Hindi
Indonesian
Japanese
Italian
Korean
Norwegian
Polish
Portuguese
Russian
Spanish
Swedish
Turkish
Ukrainian

Context

The Clinical Notes AI platform ensures compliance by seamlessly integrating progress notes with treatment plans, interventions, and patient or client goals. By using patient and client history as a contextual foundation, we generate documentation that consistently maintains a coherent narrative, or 'golden thread', throughout the entire documentation process.

Progress Notes

We provide you with pre-built standard templates for the most common use cases so you have the documents you need at your fingertips. You also have the ability to convert each note into public or private insurance compliant formats, instantly. Additionally, we give you the ability to provide us with practice-specific note formats for your use case and we add your unique templates into the system for you within a few business days.

1:1 Therapy: SOAP, BIRP, DAP, ACT formats in the system
Therapy: Group, family, and couples notes: Our AI differentiates between multiple speakers and formats your notes according to the standards with more than 1 participants.
Supervision Notes: For individual and group supervision, you can conduct your supervision sessions with our platform and generate into proper and compliant format.
ASAM Progress Note: For SUD treatment facilities, we break out the ASAM dimention updates within a DAP note for progress based on the original ASAM assessment.
1:1 Medical: SOAP, DARP, and multiple custom options

Documentation

Our platform goes beyond progress notes to support your entire documentation journey. We’ve built templates to support many use cases that align with your profession. We support each template with a speaking guide so your clinicians ensure document completion. However, we understand that different practices have different variations of documentation and we support your custom templates as well.

Behavioral Health Documentation

Intake: We support multiple types of intake notes, including medical history, mental health history, ASAM intake, and more. Our AI can fill any type of intake form you have.
Assessments: Biopsychosocial assessment and templates are available with associated speaking guides.
Treatment plans: We have a multitude of treatment plans available for you to choose from. Substance abuse disorder, mental health, and medical.
Updated Treatment Plans: Some insurance requires updated treatment plans every 7 days. We enable you to combine your previous treatment plan with progress notes to create an updated treatment plan in seconds.
Safety Plans: If your clients are at risk, we support these as well.

Data Capture Options

Ambient

Our AI listens to live sessions and extracts clinically relevant data in order to build a progress note or document.

AI SCRIBE

Talk to our AI scribe to describe the session or appointment you were just in and our AI will create your note or document

AUDIO UPLOAD

If you record your sessions today, simply upload the audio file and choose your note or document type to create.

Experience The Number One Documentation Platform In The Behavioral Health Space.

Thousands of clinicians are already here and thriving.

“

Clinical Notes AI's impact on our administrative workload has been phenomenal. It's not just a tool; it's a partner in providing better patient care.

The customizable templates from Clinical Notes AI have been a great help. They fit our specialty needs perfectly, making documentation efficient and accurate.

I highly recommend Clinical Notes AI. It's a powerful tool that has streamlined our clinical documentation

As a psychiatrist, detailed notes are crucial. Clinical Notes AI captures every nuance of patient conversations, allowing me to focus more on therapy and less on paperwork.

I was skeptical at first, but Clinical Notes AI has completely transformed our workflow. More time for patients, less time on admin and the platform is extremely easy to use - it's what every physician hopes for.

”

Generate Complete,
Accurate, & Precise Notes In Seconds

Clinical Notes AI positions your notes and documentation to align with the clinical specifications unique to your treatment protocols. Within seconds, your note is ready for review, editing, and EHR submission. It's truly that easy.

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