# ClinicFrame > ClinicFrame's AI virtual medical scribe captures the visit and drafts clinical notes for physicians in real time, HIPAA-compliant by design. HIPAA compliant · BAA included · Audio never stored. This file contains the plain-text content of every indexable page on https://clinicframe.com, regenerated on each deploy. --- # AI Medical Scribe for Real-Time Clinical Notes URL: https://clinicframe.com/ ClinicFrame is an ambient AI medical scribe that transcribes visits and writes clinical notes in real time. HIPAA-compliant, with a BAA on every account. AI Medical Scribe for Real-Time Clinical Notes | ClinicFrame ## Ambient AI medical scribe for real-time clinical notes You care, we document. You care, we document. Finish the note while the visit is still fresh. ClinicFrame’s ambient AI medical scribe transcribes the conversation and drafts the clinical note in your chosen format. Try it for free No credit card required HIPAA Compliant BAA included Visit audio not retained What we do ## An ambient AI scribe that writes the note ClinicFrame is an ambient AI medical scribe with medical transcription built in. It listens to the visit and writes a complete clinical note in real time. 96% transcription accuracy across 15+ specialties SOAP, DAP, BIRP, and custom note templates EHR-ready note, copied in under 30 seconds Your notes Enhanced note New format Edit Copy Delete PDF Before ## Before the visit Every patient carries their own history. The app builds it automatically from past sessions. Last visit summary, written automatically Ask the AI about a patient's history Meds, allergies, and conditions in one record Try it for free Works in your browser, no install needed During ## During the visit Start a session to transcribe the conversation while you speak with your patient. Speaker labels help you follow the exchange. Ambient capture, no dictation required Telehealth audio, no bot on the call Live transcript with speaker labels Try it for free Works in your browser, no install needed After ## After the visit Seconds after the session ends, your note is ready to review in the structure your practice uses. Enhanced note provides a prose summary SOAP, DAP, BIRP, or your own template Copy to your EHR or export as PDF Try it for free Works in your browser, no install needed Before the visit 01 During the visit 02 After the visit 03 Why ClinicFrame ## You put them first, we put you first One account covers the whole day, from the visit in the room to the video call and the note you finish at home. It runs in your browser and on your computer. Try it for free ## Work from the screen you already use Start in the browser, then add the desktop app when you want ClinicFrame running in the background. Your templates and history stay with you on both, so you can keep working without rebuilding your setup. ## Keep the call between you and your patient ClinicFrame captures the visit from your computer without adding a bot to the call. Your patient sees the clinician they came to see, while everything ClinicFrame writes stays protected under HIPAA. ## Start before the conversation gets moving The desktop app detects supported calls and prompts you to start ClinicFrame. One click begins the session, so documentation is already underway when the clinical conversation starts. ## Keep your telehealth workflow intact Transcribe telehealth visits in your browser without adding a bot or changing platforms. Download the ClinicFrame app for native audio capture and meeting alerts that keep the workflow close at hand. ## Reach the chart without leaving your work Open notes, patient context, and ClinicFrame from the Quick Bar. It stays above your active window, so the clinical record remains within reach without covering your workspace. See it work ## A whole visit, in a few seconds Watch how to start a session, follow the transcript, and review the clinical note generated from the conversation. The same ambient AI scribe supports family medicine, psychiatry, pediatrics, cardiology, and 15+ medical specialties. ## Extra hours aren’t supposed to follow you home. ClinicFrame keeps them at the clinic. Try it for free Health Clinical Intelligence Platform You care for them, we care for you. ## Not ready to try it yet? Talk to us first. Someone from our team will contact you. Email* Message* Send message FAQs ## Frequently Asked Questions ## What is an AI medical scribe? An AI medical scribe transcribes a clinical conversation and drafts a note from the session. ClinicFrame organizes the information into SOAP, DAP, BIRP, or a custom format for you to review. ## What is an ambient AI scribe, and how is it different from dictation? An ambient AI scribe captures the conversation during a visit. Dictation captures your narration, such as findings you describe after the patient leaves. ClinicFrame drafts a structured note from either type of session. ## Is ClinicFrame HIPAA compliant? ClinicFrame provides HIPAA-compliant infrastructure and includes a Business Associate Agreement with your account. Visit audio is processed and discarded. Your transcripts and notes remain available for your documentation workflow. ## How accurate is ClinicFrame with medical terminology? ClinicFrame reaches 96% transcription accuracy across 15+ medical specialties. It recognizes specialty-specific language, including terms such as tricuspid regurgitation and PHQ-9. Review the transcript and note before adding them to the medical record. ## Does ClinicFrame integrate with my EHR system? ClinicFrame works alongside EHRs including Healthie, Epic, Athenahealth, and Cerner. Copy your reviewed note into the EHR in under 30 seconds or export it as a PDF. Direct API integration is on our roadmap. ## Can therapists use ClinicFrame for session notes? Yes. ClinicFrame drafts DAP, BIRP, SOAP, and custom progress notes from a therapy session or your dictation. Include the intervention, the client’s response, and the follow-up plan in the session information. ## What happens to the audio recording after a patient visit? ClinicFrame processes visit audio and discards it. Your account retains transcripts, notes, and patient information used in your documentation workflow. ## How much time will I actually save with ClinicFrame? Physicians report saving 2 or more hours per day on clinical documentation, more than 45 hours per month. ClinicFrame turns the session into a note within seconds, so your time goes into clinical review instead of writing from scratch. ## How quickly can I get started? Open ClinicFrame in your browser, choose a session type, and grant the required audio permissions. You can use telehealth in the browser. Download the desktop app for native audio capture and desktop notifications. ## How is ClinicFrame different from a virtual medical scribe? A virtual medical scribe is a person who documents visits remotely. ClinicFrame is an ambient AI medical scribe on your computer. It transcribes the visit in real time and writes a structured note within seconds, without adding another person to the encounter. ## How does ClinicFrame relate to CompliantChatGPT? ClinicFrame documents clinical visits. CompliantChatGPT is a related HIPAA-compliant AI assistant for drafting and other work between visits. Review each product’s plan for its included features and subscription. Ask AI about ClinicFrame: --- # About ClinicFrame | Built by Healthcare Software Builders URL: https://clinicframe.com/about-us ClinicFrame is built by the team behind CompliantChatGPT, a HIPAA-compliant AI platform already used across healthcare. Meet the people building what comes next. About ClinicFrame | Built by Healthcare Software Builders About ClinicFrame ## Built by people who already build healthcare software Before ClinicFrame, this team built CompliantChatGPT, a HIPAA-compliant AI platform already used across healthcare. That work showed us exactly where the administrative side of care still runs on outdated tooling, and gave us the compliance discipline and healthcare-specific engineering to build what comes next. Our mission ## The note writes itself. Real-time clinical documentation, generated while the visit happens — not after. ## Sharper with context. Patient history and notes surface exactly when a decision needs them. ## HIPAA from line one. Not adapted for healthcare. Built for it, from the first line of code. ## Nothing stored that shouldn't be. Audio is never stored. Every account is covered by a signed BAA. ## Who's behind ClinicFrame ## Alan Brande CEO Strategic leader focused on healthcare innovation and digital transformation—expert understanding of disruptive healthcare IT solutions that transform clinical outcomes and improve people's lives. ## Martin Oppenheimer COO Versatile startup leader, passionate about strategy, process efficiency, building talented teams, and exploring the benefits of artificial intelligence in medicine. ## Javier Lempert CTO Seasoned Software Engineer and Architect with over 8 years of experience designing digital products, specializing in digital health. CTO and Founder at Light-it and Puppeteer. ## Bruno Ferrari CIO Technology leader specializing in healthcare innovation, AI-driven solutions, and digital product strategy. Passionate about mentoring and bridging academia with industry to shape the future of healthtech. ## Clemente López Head of ClinicFrame Startup builder focused on turning healthcare's hardest operational problems into products people actually adopt — driven by what's next, not what's comfortable. --- # Article moved | ClinicFrame, the ambient AI medical scribe URL: https://clinicframe.com/ai-medical-scribe This article now lives at /. ## This article has moved Continue to ClinicFrame, the ambient AI medical scribe --- # AI Dental Charting and Clinical Notes URL: https://clinicframe.com/ai-scribe-for-dentists AI dental charting from the appointment: odontogram findings, periodontal charting and treatment notes, dictated hands-free. BAA on every account. AI Dental Charting and Clinical Notes | ClinicFrame ## AI dental charting and clinical notes Keep your hands on the patient. We draft your dental charting . Call out tooth numbers, surfaces, and treatment details while you work. ClinicFrame organizes your findings into a dental note for review. Try it for free No credit card. 7 days free. After the last chair ## The last chair empties at six. The charting has been waiting since nine. Charting in dentistry never happens during the appointment, because your hands are in someone's mouth. It waits in the gap between patients, and the gap is never long enough, so it keeps moving: to lunch, to after the last chair, to the operatory with the lights still on. What finally gets written is whatever you still remember, which is why findings turn into shorthand. ## Keep charting moving between chairs Before the appointment The last visit's findings and today's plan, before the patient is seated. In the operatory You call depths and surfaces out loud. Your hands never leave the field. Between chairs Materials, technique and post-op instructions, drafted between chairs. Leave on time The charting is finished with the last patient, not after. ## Protect every dental record 01 ## HIPAA compliant + HIPAA compliant Encryption in transit and at rest, access controls and audit logs, on infrastructure built for protected health information. 02 ## BAA included with your account + BAA included with your account A Business Associate Agreement is included with your account, including the free trial. Complete the agreement before entering patient information. 03 ## Visit audio is discarded + Visit audio is discarded Visit audio is processed and discarded. Your account retains the transcript, notes, and patient information used in your documentation workflow. 04 ## Your patients stay out of training + Your patients stay out of training Your patients’ information is not used to train AI models. The agreement with ClinicFrame describes the commitments for handling patient content. Is an AI medical scribe HIPAA compliant? → ## Match the note to the appointment A hygiene visit, implant procedure, and claim narrative require different clinical detail. ClinicFrame keeps the right findings in each record. General dentistry Dental hygiene Orthodontics Oral surgery and implants Pediatric dentistry Endodontics and periodontics Group practices and DSOs Practices billing insurance heavily ## General dentistry Built for DDS, DMD Why it is for you Charting happens between patients, and the operatory does not pause for it. Findings get written from memory in the ten seconds before the next chair is ready. What changes Findings dictated while you work , hands never leaving the field Tooth numbers and surfaces captured as you call them out The note ready before you leave the operatory, not at the end of the day How we differ A scribe built for a seated conversation does not fit an operatory. Here the clinician is talking while their hands are occupied, and the note has to come from that. Compare dental AI scribes ## Dental hygiene Built for RDH Why it is for you A recall appointment produces a full periodontal chart, oral cancer screening and home-care recommendations, all in under an hour, all while your hands are in the patient's mouth. What changes Periodontal readings captured as you call depths and bleeding points Home-care instructions written from what you actually told the patient Screening findings documented without a second pass How we differ Perio charting is the most repetitive documentation in dentistry and the least suited to typing. Calling numbers out loud is faster than any keyboard. See how the note is built ## Orthodontics Built for Aligners and brackets Why it is for you Progress visits are short and repetitive, and the record has to show movement over time to justify the next phase. What changes Progress compared against the last visit without opening the previous note Adjustments and appliance changes recorded as stated Consistent structure across a long treatment course How we differ Twelve near-identical progress visits are where notes turn into copy-paste. A note generated from each visit stays specific to it. See custom templates ## Oral surgery and implants Built for OMS Why it is for you The operative note carries technique, anesthesia, materials and post-op instructions, and it is the note most likely to be read by someone else later. What changes Operative technique and materials as dictated during the procedure Post-operative instructions captured from what you told the patient Consent discussion documented in the same pass How we differ An operative note written hours later loses the detail that mattered. Dictated during or right after, it keeps the specifics. See how editing and exporting works ## Pediatric dentistry Built for Children and caregivers Why it is for you Two people in the room, one of them a child, and the behavioral component matters as much as the clinical one. What changes Speakers labeled separately , so the caregiver's report stays distinct Behavior and cooperation documented alongside findings Preventive advice recorded as delivered How we differ A pediatric visit is a three-way conversation. Separate labels keep the caregiver's account from being written as the child's. See session types ## Endodontics and periodontics Built for Specialist referral practices Why it is for you You receive referrals and you write back. The note is also a letter, and it has to answer the referring dentist's question. What changes Referral letters drafted from the visit, not from memory Diagnostic findings structured for another clinician to read Treatment sequence documented across multiple appointments How we differ The specialist note has a second reader. It carries the finding and the recommendation up front instead of buried in a narrative. See how notes are exported ## Group practices and DSOs Built for Multi-location teams Why it is for you Charts have to read the same across ten providers and three offices, or the record stops being auditable. What changes One shared template across every provider and location Consistent structure regardless of who saw the patient A signed BAA covering the whole team How we differ A shared template keeps documentation consistent across providers and locations. See how data is handled ## Practices billing insurance heavily Built for Claims and narratives Why it is for you A claim narrative is its own document: it has to justify the procedure in the language the payer accepts, and a thin note means a denial. What changes Claim narratives drafted from the clinical findings Procedure documentation tied to what was observed and done A narrative that carries the detail a dental payer asks for, written from the appointment How we differ Denials often come from documentation, not from the treatment. A note that carries the findings in full gives the narrative something to stand on. See the note formats Build a custom template when your dental workflow requires different sections or instructions. ## The three records a dental appointment produces Dentistry documents differently from the rest of medicine: the findings are spatial, the codes are procedural and the clinician's hands are busy. These three are where the charting time goes. 01 ## Odontogram findings Tooth-by-tooth findings called out during the exam: caries by surface, existing restorations, fractures, missing teeth and wear. Dictated as you examine instead of typed after. What comes back Findings organized by tooth number and surface, ready to review against the chart. 02 ## Periodontal charting Probing depths, recession, bleeding on probing, mobility and furcation, called out quadrant by quadrant while your hands stay in the field. What comes back A structured periodontal record with depths and bleeding points as you called them. 03 ## Treatment note and CDT documentation What was done, with what materials, under what anesthesia, plus the post-operative instructions you gave the patient and the procedures performed. What comes back A treatment note with materials, technique, post-op instructions and the procedures described in the detail a CDT code has to be supported by. You choose the code. What comes back ## From what you called out to what you sign A restorative appointment, dictated in the operatory. The findings and the narrative come from what you called out loud while you worked. This is how it transcribes See what comes back → Illustrative example. No real patient data. The scribe records what was said in the room, it does not decide what was found, and you review and sign every note. Pricing ## Meet our plans and prices Start with a 7-day free trial, no card needed. Then one simple plan at $34.99 a month, with every feature included and nothing held back for a higher price. Monthly Yearly Save 20% ## Free 7-day trial $ 0 /month 7 days free · no card Unlimited visits & transcriptions SOAP / DAP / BIRP note generation Custom note templates Patient records & history AI chat on notes & patients HIPAA-compliant infrastructure Support Try it for free No credit card required. ## Starter Monthly $ 34.99 /month per user, billed monthly Unlimited visits & transcriptions SOAP / DAP / BIRP note generation Custom note templates Patient records & history AI chat on notes & patients HIPAA-compliant infrastructure Support The current beta includes unlimited sessions. We will notify you before a future usage policy affects your account. Get Starter Plan No hidden fees. Cancel anytime. FAQs ## Frequently Asked Questions ## Can I dictate dental charting while my hands are busy? That is the intended use. You call out findings the way you already do to an assistant, and they land in the note structured by tooth and surface. Nothing needs to be typed during the appointment, and nothing needs to be reconstructed from memory afterwards. ## Does it capture tooth numbers and surfaces correctly? Tooth numbers, quadrants and surfaces are captured as you say them, in the notation you use. Review the chart before signing, the same as any note you typed: the scribe records what was said, it does not decide what was found. ## Can it handle periodontal charting? Yes. Probing depths, bleeding on probing, recession, mobility and furcation are recorded as you call them out quadrant by quadrant. Perio charting is the most repetitive documentation in a hygiene appointment and the least suited to a keyboard, which is why calling it out is faster. ## Does it write claim narratives for dental insurance? It drafts them from the clinical findings and the treatment performed. A narrative has to justify the procedure in the language the payer accepts, and it can only be as strong as the documentation behind it. You review and edit before submission, and whether a claim is approved remains between you and the payer. ## Is dental practice covered by HIPAA? Most dental practices that conduct covered electronic transactions are HIPAA covered entities. ClinicFrame runs on HIPAA-compliant infrastructure and includes a BAA with every account. Confirm your practice's obligations with your compliance advisor. ## Does it work for a group practice or DSO? Yes, and consistency is the point. One template can be shared across every provider and location, so a chart reads the same whoever saw the patient. That is what makes a multi-location record auditable rather than a collection of personal styles. ## What happens to the audio from an appointment? ClinicFrame processes appointment audio and discards it. Your account retains the transcript, note, and patient information used in your workflow. Patient content is not used to train AI models. ## Can it write post-operative instructions? Yes, f --- # AI Nursing Notes and Charting URL: https://clinicframe.com/ai-scribe-for-nurses AI nursing notes from the shift: assessments, SBAR handoffs and care plan updates, dictated as you go instead of charted at the end. BAA on every account. AI Nursing Notes and Charting | ClinicFrame ## AI nursing notes and shift charting Deliver the care. We draft your shift note . Dictate assessments, interventions, and patient responses as the shift moves. ClinicFrame drafts the visit note or handoff in your chosen format. Try it for free No credit card. 7 days free. After the handoff ## Twelve hours of care, charted in the last sixty minutes. Documentation loses every time it competes with a patient, so it stacks up behind the work and lands at the end of the shift. By then the first hour is the hardest to remember, and the last sixty minutes stop being the last: they run past the end of your shift, on your own time, until the charting is done. ## Keep the record current across the shift Start of shift What changed since the last shift, per patient, without digging for it. Through the shift You dictate the assessment in the hallway. Recorded when you did it. Before handoff An SBAR handoff drafted from the shift: status, changes, what to watch. Off the clock The charting is done when the shift ends, not an hour after it. ## Keep every patient record separate 01 ## HIPAA compliant + HIPAA compliant Encryption in transit and at rest, access controls and audit logs, on infrastructure built for protected health information. 02 ## BAA included with your account + BAA included with your account A Business Associate Agreement is included with your account, including the free trial. Complete the agreement before entering patient information. 03 ## Visit audio is discarded + Visit audio is discarded Visit audio is processed and discarded. Your account retains the transcript, notes, and patient information used in your documentation workflow. 04 ## Your patients stay out of training + Your patients stay out of training Your patients’ information is not used to train AI models. The agreement with ClinicFrame describes the commitments for handling patient content. Is an AI medical scribe HIPAA compliant? → ## Document the nursing work you perform An NP visit, home health assessment, and shift handoff require different records. ClinicFrame structures the information you provide for each one. Nurse practitioners Home health nursing Private duty and independent nursing Long-term care and SNF Inpatient and med-surg nursing Psychiatric nursing Perioperative and procedural nursing School and occupational health Nurse educators and preceptors ## Nurse practitioners Built for NP, APRN in clinic Why it is for you You carry your own panel and you document to a full clinical standard, often with less support than a physician in the same building. What changes Full visit notes in SOAP or your own template The prescribing decision documented alongside the assessment A signed BAA on your own account, without a group contract How we differ NP documentation carries clinical and prescribing weight at once. A tool that treats it as a shortened physician note misses half of it. Compare AI scribes for nurses and NPs ## Home health nursing Built for Visiting nurses Why it is for you You document in a car between houses, often without reliable signal, and the visit note has to document why the visit was needed. What changes Dictation right after the visit , in the car, before the next address Wound, vitals and medication reconciliation captured as described Notes that survive a spotty connection instead of vanishing How we differ Home health is the least seated work in nursing. The documentation has to happen where the nurse is, which is rarely at a desk. See how notes are exported ## Private duty and independent nursing Built for Concierge, home infusion, 1099 contractor Why it is for you You are the practice. Nobody hands you an EHR, nobody signs a BAA for you, and the documentation is still yours to defend. What changes A signed BAA on your own account , without an employer in the middle Visit notes dictated in the car before the next address Your own record, portable between the families and agencies you contract with How we differ Every other tool in nursing assumes an institution behind you. This is the one segment of nursing that buys software directly, and it is the one nobody writes for. See how editing and exporting works ## Long-term care and SNF Built for Skilled nursing facilities Why it is for you Residents are documented daily for months, and the record has to show change over time or the care level cannot be justified. What changes Daily notes that stay specific instead of drifting into copy-paste Change from the previous entry made visible Care plan updates written from what actually changed How we differ Months of daily entries is where documentation collapses into identical paragraphs. A note generated from each shift keeps the detail that shows progression. See how the note is built ## Inpatient and med-surg nursing Built for RN, floor and unit nursing Why it is for you Charting stacks up behind patient care all shift and lands in the last hour, when your memory of the first hour is thinnest. What changes Notes dictated as the shift goes , not reconstructed at the end of it Assessments recorded when you did them, with the timing intact Less overtime spent finishing documentation after handoff How we differ ClinicFrame fits a running shift with several patients and entries, while keeping each patient's documentation separate. See how dictation works ## Psychiatric nursing Built for Behavioral health units Why it is for you Behavioral observation, de-escalation and risk are the substance of the note, and they are the hardest things to write from memory hours later. What changes Behavioral observations recorded with the timing intact De-escalation and interventions documented as they happened Risk documented as separate items rather than one paragraph How we differ In behavioral health the sequence matters: what happened, what you did, how the patient responded. Written later, the sequence is the first thing lost. See the mental status exam template ## Perioperative and procedural nursing Built for OR, PACU, endoscopy Why it is for you Timed entries, counts and handoffs, with almost no opportunity to sit down and type any of it. What changes Timed entries dictated in the moment Handoff to PACU documented from what was actually communicated Post-procedure instructions recorded as delivered How we differ Procedural nursing runs on timing. A note written afterwards approximates the timeline; a note dictated in the moment records it. See session types ## School and occupational health Built for School nurses, employee health Why it is for you High volume of short encounters, most of which still need a record, and often you are the only clinician in the building. What changes Short encounters documented in seconds , not minutes Consistent records across a high-volume day Parent and employer communication drafted from the encounter How we differ Forty two-minute encounters produce more documentation than four one-hour visits. The friction per note is what decides whether the record gets written at all. See custom templates ## Nurse educators and preceptors Built for Teaching and onboarding Why it is for you You document your own patients and you review a student's charting, which means twice the reading and twice the correcting. What changes One shared template so students learn the same structure Consistent notes to review instead of a different format per learner Time back from correcting structure to teach clinical reasoning How we differ Teaching documentation is mostly correcting structure. If the structure is generated consistently, the teaching moves to the reasoning. See how editing and exporting works Build a custom template when your nursing workflow requires different sections or instructions. ## The three documents a shift produces that a clinic visit does not Nursing documentation is not one note per encounter. It is a running record across a shift, and it ends in a handoff that another nurse depends on. 01 ## Shift notes Entries across a full shift for several patients, including assessments, interventions, medications, responses, and the time of each event. What comes back Timed entries per patient, in your unit's structure, ready to review before handoff. 02 ## SBAR handoff What the next nurse needs in two minutes: current status, what changed this shift, what is pending and what to watch for. Built from the shift's own entries. What comes back A handoff summary with status, changes, pending items and watch points. 03 ## Care plan updates Goals, interventions and evaluation, updated from what actually happened rather than carried forward unchanged from admission. What comes back Updated goals and interventions with the evaluation written from this shift. What comes back ## From what you dictated to what the next nurse reads An SBAR handoff for one patient, drafted from a twelve-hour shift. The entries were dictated as the shift went, not reconstructed at the end of it. This is how it transcribes See what comes back → Illustrative example. No real patient data. The scribe records what you assessed and stated; it does not assess the patient and it does not replace nursing judgement. You review every entry before it goes in the chart. Pricing ## Meet our plans and prices Start with a 7-day free trial, no card needed. Then one simple plan at $34.99 a month, with every feature included and nothing held back for a higher price. Monthly Yearly Save 20% ## Free 7-day trial $ 0 /month 7 days free · no card Unlimited visits & transcriptions SOAP / DAP / BIRP note generation Custom note templates Patient records & history AI chat on notes & patients HIPAA-compliant infrastructure Support Try it for free No credit card required. ## Starter Monthly $ 34.99 /month per user, billed monthly Unlimited visits & transcriptions SOAP / DAP / BIRP note generation Custom note templates Patient records & history AI chat on notes & patients HIPAA-compliant infrastructure Support The current beta includes unlimited sessions. We will notify you before a future usage policy affects your account. Get Starter Plan No hidden fees. Cancel anytime. FAQs ## Frequently Asked Questions ## Can I use this if I work for a hospital that uses Epic? Not on your own decision, and this is the most important thing on this page. When you are employed, the hospital is the covered entity and the record is theirs , so introducing any scribe that hears patient information is their call, made through their own security review and their own BAA. Signing up with a personal card does not make that lawful and it can put your job at risk. Who can sign up directly: nurse practitioners who own their panel, independent and private duty nurses, and small home health agencies . If you work on a unit and you want this, the useful move is to take it to your nurse manager or informatics team rather than to your credit card. ## Do I need consent to record at the bedside? Yes, and the bedside makes it harder than a consulting room. A microphone in a semi-private room can pick up the patient in the next bed, their visitors and other staff, and none of those people agreed to anything. Several states require every party to a conversation to consent , among them California, Washington, Illinois, Pennsylvania, Massachusetts, Maryland and Florida. On top of that your employer's policy governs recording on the unit regardless of state law. The practical route is to dictate after you leave the room, which is how most nurses use it anyway, since that is when you have a free hand. None of this is legal advice. ## Can ClinicFrame document a whole nursing shift? Yes. Dictate entries as the shift moves, and ClinicFrame keeps the timing attached to each assessment, intervention, medication, and response. It supports sever --- # AI Physical Therapy Notes and PT SOAP Notes URL: https://clinicframe.com/ai-scribe-for-physical-therapy AI physical therapy notes from the visit: objective measurements, interventions and progress against the plan of care. Daily note or re-evaluation. AI Physical Therapy Notes and PT SOAP Notes | ClinicFrame ## AI physical therapy notes and PT SOAP notes Treat the patient. We draft your PT SOAP note . Keep both hands in the session. ClinicFrame drafts PT SOAP notes from the measurements, interventions, and patient responses you state. Try it for free No credit card. 7 days free. The hour after the last patient ## Nobody denies the treatment. They deny the note you wrote at nine at night. Medical necessity is reviewed more closely in physical therapy than in most specialties, and the whole argument lives in the documentation: the measurements, the skilled intervention, the response, the progress toward a specific goal. That is a lot to reconstruct from memory after nine patients, and reconstructed notes start to read the same every time, which is exactly what a reviewer denies. ## Document while your hands stay in the session Before the visit Where this patient was last time and what the plan of care says is next. Hands on the patient Degrees, muscle test grades, sets and reps, called out while you treat. Before the next patient Initial evaluation, daily note or re-evaluation, drafted in the turnover. Before you leave the clinic The documentation is finished with the last patient, not at nine at night. ## Protect every treatment record 01 ## HIPAA compliant + HIPAA compliant Encryption in transit and at rest, access controls and audit logs, on infrastructure built for protected health information. 02 ## BAA included with your account + BAA included with your account A Business Associate Agreement is included with your account, including the free trial. Complete the agreement before entering patient information. 03 ## Visit audio is discarded + Visit audio is discarded Visit audio is processed and discarded. Your account retains the transcript, notes, and patient information used in your documentation workflow. 04 ## Your patients stay out of training + Your patients stay out of training Your patients’ information is not used to train AI models. The agreement with ClinicFrame describes the commitments for handling patient content. Is an AI medical scribe HIPAA compliant? → ## Document each PT setting on its terms Outpatient, home health, and rehabilitation notes support different plans of care. ClinicFrame keeps the measurements and skilled intervention visible. Outpatient orthopedic PT Home health PT SNF and inpatient rehab Sports and performance Pelvic health and neuro rehab OT and speech therapy Cash-based and hybrid practice Multi-clinic and franchise groups ## Outpatient orthopedic PT Built for DPT, private and clinic practice Why it is for you You treat with your hands for forty-five minutes and then document range of motion, strength and functional change from memory, for every patient, all day. What changes Measurements captured as you call them during the session Range of motion and strength grades recorded as stated The note finished before the next patient is on the table How we differ Manual therapy leaves no hands for a keyboard. The measurements you already say out loud become the objective section. Compare PT and OT AI scribes ## Home health PT Built for In-home therapy Why it is for you You document in the car between houses, and the visit note has to justify skilled care in the home, which is the documentation payers question most. What changes Dictation in the car right after the visit Home environment and safety findings captured as described Skilled need documented from what you actually did How we differ Home health PT is audited on whether the care needed a skilled therapist. That argument lives in the note, and the note is written in a car. See how notes are exported ## SNF and inpatient rehab Built for Skilled nursing and acute rehab Why it is for you Daily treatment notes over weeks, plus the minutes and modalities the MDS and Part B billing depend on, plus progress that has to be visible in the record itself. What changes Daily notes that stay specific instead of drifting into copy-paste Treatment minutes and modalities recorded as you state them , never counted for you Change from the last session made visible How we differ Weeks of daily notes is where documentation becomes identical paragraphs, and identical paragraphs are what a reviewer denies. See how the note is built ## Sports and performance Built for Athletes, return to play Why it is for you Objective testing, load progression and return-to-play decisions that someone else may question later, including the athlete's team. What changes Test results and load progression recorded exactly as measured Return-to-play reasoning documented at the time of the decision Session-by-session progression visible across a rehab block How we differ A return-to-play decision gets reviewed after the fact. The reasoning has to be in the note from the day it was made. See custom templates ## Pelvic health and neuro rehab Built for Specialized practice Why it is for you Long sessions, sensitive histories and findings that no general orthopedic template has fields for. What changes Your own template rather than an orthopedic structure Sensitive histories documented without a recording kept Functional outcomes tracked in the measures your specialty uses How we differ A general PT template forces specialized practice into the wrong fields. Build the structure once and every session after fits it. See the note formats ## OT and speech therapy Built for Occupational and speech-language Why it is for you The same documentation load as PT, with even fewer tools built for the discipline: ADL performance, swallowing, communication goals. What changes ADL and functional performance captured as observed Goals and progress in your discipline's language One template shared across a multidisciplinary team How we differ OT and speech get treated as an afterthought by tools built for orthopedics. The goals and measures are different, and the note has to reflect that. See how editing and exporting works ## Cash-based and hybrid practice Built for Direct pay, no insurance Why it is for you Nobody is auditing you, so documentation competes with everything else and quietly loses. Until you need a record and it is not there. What changes Documentation that costs almost nothing to produce A defensible record even without a payer requiring it Progress a patient can actually see between visits How we differ Cash-based practice makes documentation optional, which is exactly why it disappears. Reducing the cost to near zero is what keeps it. See how data is handled ## Multi-clinic and franchise groups Built for Teams across locations Why it is for you Notes have to read the same across twenty therapists and five sites, or the group cannot defend its documentation as a whole. What changes One shared template across every therapist and site Consistent objective sections regardless of who treated A signed BAA covering the whole team How we differ In a group, documentation quality is set by the least consistent therapist. A shared structure applied at generation raises the floor. See how custom templates work Build a custom template when your clinic requires different sections or instructions. ## The documents that support skilled PT care Physical therapy is documented against goals and reviewed for medical necessity more closely than most specialties. These three carry that argument. 01 ## Initial evaluation History, objective measurements, functional limitations, clinical reasoning, goals with timeframes and the plan of care. The longest document in a PT episode and the one everything after refers back to. What comes back An evaluation with objective measures, functional limitations, goals and plan of care. 02 ## Daily treatment note What you did, with what parameters, how the patient responded and progress toward each goal. Plus the minutes and modalities that billing depends on. What comes back A treatment note with interventions, parameters, response and progress per goal. 03 ## Re-evaluation and discharge Measurements compared against the initial evaluation, goals met and unmet, and the reasoning for continuing, changing or discharging. The document a payer reads when deciding on more visits. What comes back A comparison against baseline, goal status and the reasoning for the next phase. What comes back ## From the measurements to the note you sign Visit eight of an authorized episode, post-operative knee. The measurements come from what you called out while your hands were busy. This is how it transcribes See what comes back → Illustrative example. No real patient data. Degrees, grades, sets and reps are transcribed exactly as you state them and are never estimated for you. You review and sign every note. Pricing ## Meet our plans and prices Start with a 7-day free trial, no card needed. Then one simple plan at $34.99 a month, with every feature included and nothing held back for a higher price. Monthly Yearly Save 20% ## Free 7-day trial $ 0 /month 7 days free · no card Unlimited visits & transcriptions SOAP / DAP / BIRP note generation Custom note templates Patient records & history AI chat on notes & patients HIPAA-compliant infrastructure Support Try it for free No credit card required. ## Starter Monthly $ 34.99 /month per user, billed monthly Unlimited visits & transcriptions SOAP / DAP / BIRP note generation Custom note templates Patient records & history AI chat on notes & patients HIPAA-compliant infrastructure Support The current beta includes unlimited sessions. We will notify you before a future usage policy affects your account. Get Starter Plan No hidden fees. Cancel anytime. FAQs ## Frequently Asked Questions ## Can it write PT SOAP notes? Yes. Subjective from the patient's report, objective from the measurements you call out during the session, assessment with your clinical reasoning, and plan. You can also build your own structure if your clinic documents differently, and set it as your default. ## Does it capture range of motion and strength measurements? Measurements are captured as you say them, including degrees of range of motion and manual muscle test grades. Saying them out loud during the session is faster than typing them after, and it is what you already do when working with an aide or a student. ## Does the documentation support medical necessity? ClinicFrame structures objective measurements, functional limitations, skilled interventions, patient response, and progress toward goals. These details support your medical necessity documentation. The payer and plan of care determine coverage. ## Can I document while my hands are on the patient? That is the intended use. Manual therapy leaves no hands for a keyboard, so you narrate what you are finding and doing the way you already would, and it becomes the note. Nothing needs to be typed during the session. ## Does it work for home health PT without reliable signal? ClinicFrame saves the session while it runs. If the connection drops during a home visit, return to the saved transcript and continue. You can also dictate in the car after the visit. ## Is it useful for OT and speech-language pathology? Yes, and both are treated as their own disciplines rather than a variation on PT. ADL performance, swallowing and communication goals are documented in the measures those fields use, and a multidisciplinary team can share one structure. ## What happens to the audio from a session? ClinicFrame processes session audio and discards it. Your account retains the transcript, note, and patient information used in your workflow. Patient content is not used to train AI models, and a BAA is included with every account. ## Will daily notes end up looking identical? That is the failure mode this is meant to avoid. Each note is g --- # AI Psychiatry Notes and Mental Status Exams URL: https://clinicframe.com/ai-scribe-for-psychiatry AI psychiatry notes from the visit: mental status exam, medication reconciliation, risk and prior authorization. Built for twenty-minute med checks. AI Psychiatry Notes and Mental Status Exams | ClinicFrame ## AI psychiatry notes and mental status exams Make the clinical call. We draft your mental status note . Assess the patient and make the treatment decision. ClinicFrame drafts the interval history, mental status findings, medication plan, and follow-up note. Try it for free No credit card. 7 days free. The math of a full panel ## Twenty-four visits. Twenty-four notes waiting. A med check runs twenty minutes and the note that follows it takes five to ten. Multiply that by a full panel and the arithmetic stops working: the documentation from a single clinic day outlasts the clinic day. So it moves to the evening, where it competes with everything else. ## Keep pace with a full psychiatry schedule Before the visit The interval history and the current medication list, before they sit down. During the visit In the office or on telepsychiatry, with no bot joining the call. Before the next patient Mental status exam, medication reconciliation, risk and plan, drafted. At the end of the panel Twenty-four visits stop becoming twenty-four notes waiting. ## Protect the psychiatric record 01 ## HIPAA compliant + HIPAA compliant Encryption in transit and at rest, access controls and audit logs, on infrastructure built for protected health information. 02 ## BAA included with your account + BAA included with your account A Business Associate Agreement is included with your account, including the free trial. Complete the agreement before entering patient information. 03 ## Visit audio is discarded + Visit audio is discarded Visit audio is processed and discarded. Your account retains the transcript, notes, and patient information used in your documentation workflow. 04 ## Your patients stay out of training + Your patients stay out of training Your patients’ information is not used to train AI models. The agreement with ClinicFrame describes the commitments for handling patient content. Is an AI medical scribe HIPAA compliant? → ## Match the note to the psychiatric visit A medication follow-up, intake, and addiction visit require different evidence. ClinicFrame gives each encounter the structure it needs. Adult outpatient psychiatry PMHNPs and prescribing nurses Child and adolescent psychiatry Addiction psychiatry and MAT Geriatric psychiatry Consult and inpatient psychiatry Telepsychiatry First-episode and early psychosis ## Adult outpatient psychiatry Built for MD, DO Why it is for you A twenty-minute med check still needs a mental status exam, a medication reconciliation and a plan. The visit is short; the note is not. What changes Mental status exam written from what you observed and said out loud Medication names, doses and frequencies captured without you spelling them The interval history from the last visit already in front of you How we differ Most scribes were built for a thirty-minute primary care visit. A panel of twenty-four med checks a day breaks them, because the note has to be finished before the next patient, not at night. Compare the best psychiatry AI scribes ## PMHNPs and prescribing nurses Built for PMHNP-BC, APRN Why it is for you You prescribe, you document to a nursing standard and you often carry the panel of a full practice. Almost no tool is built with your scope in mind. What changes Notes that hold both the prescribing decision and the nursing framing Supervision and collaboration notes when your state requires them A signed BAA on your own account, without a group contract How we differ PMHNP is treated as an afterthought by tools built for physicians. Your documentation carries prescribing authority and nursing standards at the same time, and the note has to show both. See how the note is built ## Child and adolescent psychiatry Built for Pediatric mental health Why it is for you Two histories in one visit: what the child says and what the parent reports, and they rarely match. The note has to keep them apart. What changes Speakers labeled separately , so the child's account and the parent's stay distinct School and developmental history where it belongs, not mixed into the exam Rating scales such as Vanderbilt or SNAP-IV recorded with the score you state How we differ A single-voice transcript flattens a family visit into one story. Separate labels are the difference between a usable note and a paragraph you have to rewrite. See session types ## Addiction psychiatry and MAT Built for Office-based treatment with buprenorphine and naltrexone Why it is for you Induction, dose changes, urine screens and attendance all live in the note, and the record carries stricter privacy expectations than the rest of medicine. What changes Dose changes and induction captured as stated in the visit Craving, use and abstinence recorded without you paraphrasing Session audio is processed and discarded after ClinicFrame creates the transcript How we differ In this work the privacy questions are asked earlier and answered more carefully. The recording is destroyed once the note is written, and what stays in the chart is the note you reviewed, which is what a record request is about in the first place. See how data is handled ## Geriatric psychiatry Built for Late-life and dementia care Why it is for you Cognitive screening, polypharmacy and a caregiver in the room. Three sources of information and one note at the end. What changes Cognitive screening results recorded with the score you say out loud Long medication lists captured without transcription errors Caregiver report kept separate from the patient's own account How we differ Polypharmacy is where transcription errors become clinical errors. Drug names and doses are captured as stated, not approximated. See the mental status exam template ## Consult and inpatient psychiatry Built for C-L psychiatry, hospital units Why it is for you You write for another team to read. The consult note has to answer the question that was asked, in the format the primary service expects. What changes Consult question and recommendation as their own sections Capacity and risk documented in the language a chart review looks for Dictation when you are walking between units and cannot type How we differ A consult note is written for a reader who is not you. The structure carries the recommendation up front instead of burying it in a narrative. See custom templates ## Telepsychiatry Built for Video-first practice Why it is for you The exam happens through a screen, and a third participant in the call changes what the patient is willing to say. What changes No bot joins the call. The desktop app captures it from your computer, so your patient sees only you Mental status observations recorded from what you state during the visit Works the same on the in-person days How we differ Nothing enters the meeting, so there is no attendee to explain and no third party for the patient to weigh. You still ask for consent. That matters more in psychiatry than almost anywhere else. Which note format fits psychiatry ## First-episode and early psychosis Built for Coordinated specialty care Why it is for you Long intakes, many informants and a treatment plan reviewed by a whole team. The documentation load is front-loaded and heavy. What changes Long intakes without you writing during the interview Symptom onset and duration recorded as described Team-shared templates that keep the chart consistent across the program How we differ A ninety-minute intake is where typing costs the most. The note is drafted from the interview instead of reconstructed after it. See how the SOAP sections get written Build a custom template when your psychiatric workflow requires different sections or instructions. ## The three documents psychiatry writes that therapy does not Medication management produces paperwork a talk-therapy note never has to carry. These three are where the time goes, and all three come out of the visit itself. 01 ## Mental status exam Appearance, behavior, speech, mood and affect, thought process and content, cognition, insight and judgement. The exam you narrate during the visit becomes the section, in the order your practice uses. What comes back A complete MSE section, editable, with the observations you stated out loud. 02 ## Risk assessment Suicidal and homicidal ideation, intent, plan, means and protective factors, plus what you did about it. The part of the note that gets read most closely if anything goes wrong. What comes back Ideation, intent, plan, means, protective factors and the safety plan as separate items. 03 ## Prior authorization letters The letter a payer wants before covering a medication: diagnosis, what was tried, what failed and why this drug now. Written from the visit and the chart history instead of from memory. What comes back A draft letter with diagnosis, treatment history, failed trials and clinical rationale. What comes back ## From a twenty-minute visit to a signed note A twenty-minute follow-up for major depressive disorder, in SOAP with a mental status section. Nothing here was typed during the visit. This is how it transcribes See what comes back → Illustrative example. No real patient data. The medication name and dose are transcribed as you state them and are never calculated for you, and you review and sign every note. Risk is documented as you assessed it: the scribe does not assess risk. Pricing ## Meet our plans and prices Start with a 7-day free trial, no card needed. Then one simple plan at $34.99 a month, with every feature included and nothing held back for a higher price. Monthly Yearly Save 20% ## Free 7-day trial $ 0 /month 7 days free · no card Unlimited visits & transcriptions SOAP / DAP / BIRP note generation Custom note templates Patient records & history AI chat on notes & patients HIPAA-compliant infrastructure Support Try it for free No credit card required. ## Starter Monthly $ 34.99 /month per user, billed monthly Unlimited visits & transcriptions SOAP / DAP / BIRP note generation Custom note templates Patient records & history AI chat on notes & patients HIPAA-compliant infrastructure Support The current beta includes unlimited sessions. We will notify you before a future usage policy affects your account. Get Starter Plan No hidden fees. Cancel anytime. FAQs ## Frequently Asked Questions ## Does ClinicFrame write a mental status exam? ClinicFrame drafts the mental status exam section from the findings you observe and state. It places appearance, behavior, speech, affect, thought content, cognition, insight, and judgment into your chosen structure. You review the clinical record before signing it. ## Can it keep up with twenty or more med checks in a day? Yes. ClinicFrame drafts each med check note from the visit, including the interval history, medication discussion, mental status findings, assessment, and plan. Review it before the next patient instead of rebuilding the encounter at the end of the day. ## Does it capture medication names and doses correctly? ClinicFrame transcribes medication names, doses, and frequencies as stated during the visit. Confirm every medication detail against the clinical record before signing the note. ## Is ClinicFrame built for PMHNPs? Yes, and PMHNP work is treated as its own scope rather than a variation on a physician's. The note can hold the prescribing decision and the nursing framing at once, supervision and collaboration notes are supported where your state requires them, and the BAA comes with your own account without needing a group contract. ## How does it handle risk assessment documentation? ClinicFrame documents the risk assessment you perform. Your template can separate ideation, intent, plan, means, protective factors, and the safety plan. ClinicFrame records your assessment and does not make the clinical judgm --- # AI Therapy Notes: DAP, BIRP and SOAP URL: https://clinicframe.com/ai-scribe-for-therapists AI therapy notes in DAP, BIRP or SOAP, written from the session. For therapy and psychiatry, in person or on telehealth. A BAA comes with every account. AI Therapy Notes: DAP, BIRP and SOAP | ClinicFrame ## AI therapy notes for mental health practice Stay present. We draft your therapy note . Give the session your full attention. ClinicFrame drafts DAP, BIRP, SOAP, or custom progress notes from the conversation or your dictation. Try it for free No credit card. 7 days free. Sound familiar? ## Your day ends at five. The documentation does not. A fifty-minute session can cost another hour: the structured note, the summary, the documentation a payer will accept without asking twice. None of that is the work you trained for, and all of it waits for you after the last client leaves. ## Keep the note moving with the session Before the session Last session's note and the client's history, ready before they sit down. During the session No bot joins the call. In person, on telehealth, or dictated afterwards. After the session Drafted before your next client, in DAP, BIRP, SOAP or your own template. Go home early The charting is finished before the last client is out the door. ## Keep every therapy session protected 01 ## HIPAA compliant + HIPAA compliant Encryption in transit and at rest, access controls and audit logs, on infrastructure built for protected health information. 02 ## BAA included with your account + BAA included with your account A Business Associate Agreement is included with your account, including the free trial. Complete the agreement before entering patient information. 03 ## Visit audio is discarded + Visit audio is discarded Visit audio is processed and discarded. Your account retains the transcript, notes, and patient information used in your documentation workflow. 04 ## Your clients stay out of training + Your clients stay out of training Your clients’ information is not used to train AI models. The agreement with ClinicFrame describes the commitments for handling patient content. Is an AI medical scribe HIPAA compliant? → ## Fit the note to your therapy practice A private practice, group program, and couples session place different demands on the record. ClinicFrame documents each one in the right structure. Private practice therapists Psychiatry and PMHNP Group practices and clinics Addiction medicine and SUD Couples and family therapy Child and adolescent therapy Group therapy Trauma-focused and EMDR ## Private practice therapists Built for Therapists, psychologists, LPCs, LCSWs Why it is for you You are the practice. The therapy notes , the insurance claim and the reschedule all land on you, and they land after the last client leaves. What changes DAP , BIRP , SOAP or a template you build once The draft is waiting before your next client sits down Unlimited sessions for one flat price How we differ DAP and BIRP are native formats here, not a SOAP note with the labels swapped. Read the honest scribe comparison ## Psychiatry and PMHNP Built for Psychiatrists, PMHNPs, medication management Why it is for you Medication management is not a summary. Whoever reads the chart next is looking for the mental status exam , the dose and the plan, in that order. What changes Mental status exam captured from the session Medication, dose and frequency in their own section Follow-up letters drafted from the same recording How we differ The note is structured like a psychiatric chart , not like a generic visit summary. See how the note is built ## Group practices and clinics Built for Teams of three to thirty Why it is for you Twelve clinicians write twelve different ways. When someone covers a session, the chart has to read the same as always. What changes One shared template across the whole team Consistent charts for supervision and audit New hires write in your format from day one How we differ Templates are built once and shared, so consistency does not depend on retraining people. See custom templates ## Addiction medicine and SUD Built for Substance use treatment Why it is for you Your records carry stricter privacy expectations than the rest of medicine. Documentation has to hold up to that standard, and a privacy policy is not where it holds. What changes Session audio is processed and discarded after ClinicFrame creates the transcript Assessment language that fits substance use treatment A signed BAA on every account How we differ In this work the privacy questions get asked earlier and answered more carefully. The recording is destroyed once the note is written, and what stays in the chart is the note you reviewed. See how data is handled ## Couples and family therapy Built for LMFTs and systemic work Why it is for you There are two or more people in the room. Couples and family therapy notes have to reflect the system, not flatten everyone into one voice. What changes Speakers labeled separately in the transcript Relational language kept instead of summarized away One session note, or one per client, as your chart requires How we differ Speaker labels survive into the note, so who said what does not collapse into a single paragraph. Compare DAP, BIRP and SOAP ## Child and adolescent therapy Built for Play therapy, school-age work Why it is for you The session is play therapy and the note is clinical. On top of that, a parent was in the room for part of it and not for the rest. What changes Parent-present and child-only segments kept apart Developmental language instead of adult phrasing Summaries you can share with a school or a caregiver How we differ The note keeps the difference between what the child said and what the caregiver reported. See BIRP notes with examples ## Group therapy Built for IOP, PHP and open groups Why it is for you One group therapy session, eight participants, and each one needs their own progress note before the day ends. What changes A group note plus an individual note for each participant Attendance and participation captured as you go The shared theme written once, the individual response written for each How we differ One session becomes the group note and each participant's individual note. See the note formats ## Trauma-focused and EMDR Built for Phase-based protocols Why it is for you EMDR and other phase-based protocols need the phase, the target memory and the scores in the note, or the next session starts from nowhere. What changes Phase and target memory recorded in the note Subjective units of distress kept where they belong No audio of a trauma session left on a server How we differ The structure follows the protocol you are running, not a generic progress note. See progress notes Build a custom template when your practice requires different sections or instructions. What comes back ## From the room to the note you sign A weekly individual session for generalized anxiety, in DAP. The headings are the ones you set. The content comes from what was said in the room. This is how it transcribes See what comes back → Illustrative example. No real client data. You review and sign every note, and you can rewrite the same session as BIRP or SOAP without recording again. Pricing ## Meet our plans and prices Start with a 7-day free trial, no card needed. Then one simple plan at $34.99 a month, with every feature included and nothing held back for a higher price. Monthly Yearly Save 20% ## Free 7-day trial $ 0 /month 7 days free · no card Unlimited visits & transcriptions SOAP / DAP / BIRP note generation Custom note templates Patient records & history AI chat on notes & patients HIPAA-compliant infrastructure Support Try it for free No credit card required. ## Starter Monthly $ 34.99 /month per user, billed monthly Unlimited visits & transcriptions SOAP / DAP / BIRP note generation Custom note templates Patient records & history AI chat on notes & patients HIPAA-compliant infrastructure Support CompliantChatGPT user? Your plan there earns a discount here Starter 25% Pro 35% Full 50% $34.99/month $ 26.24 /month per user, billed monthly Discount applies for your first 3 months, then $34.99/month. The current beta includes unlimited sessions. We will notify you before a future usage policy affects your account. Get Starter Plan No hidden fees. Cancel anytime. FAQs ## Frequently Asked Questions ## Which therapy note formats does it write, and can I use my own template? ClinicFrame writes DAP notes , BIRP notes , SOAP notes , intake assessments , treatment plan updates, and progress notes. Build a custom template section by section, reuse it, or share it across your practice. Choose the right format for each session. ## Can I use it for telehealth sessions? Yes. ClinicFrame transcribes telehealth sessions in your browser without adding a bot to the call. Download the desktop app for native audio capture and meeting notifications. You can also capture in-person sessions or dictate after the appointment. ## Is it HIPAA compliant, and what happens to my clients' data? ClinicFrame runs on HIPAA-compliant infrastructure . A Business Associate Agreement is included with every account , including the free trial. ClinicFrame processes session audio and discards it. Client content is not used to train AI models. ## Do I need my client's consent to use it? Yes, and it is worth getting right rather than fast. Consent is yours to obtain, to the standard your license and your state set. Several states require every party to consent , among them California, Washington, Illinois, Pennsylvania, Massachusetts, Maryland and Florida, so your own agreement to record is not enough there. In couples, family and group work each person in the room consents , not only the person who booked the appointment. Two things make that conversation short: nothing joins the call, so there is no participant to explain, and the session audio is destroyed once the note is written, so what you are asking permission for is a clinical note rather than a recording that outlives the session. None of this is legal advice. ## Does it handle couples, family and group sessions? Yes. ClinicFrame labels speakers separately in couples, family, and group sessions. It can produce a group note plus an individual note for each participant. Review each note before signing it. ## What happens if something interrupts the session? ClinicFrame saves the session while it runs. If the app closes, the computer sleeps, or the connection drops, return to the session and continue from the saved transcript. Review the transcript before generating the note. ## Will the note hold up if a payer asks for it, and do I still review it? ClinicFrame can structure the date, duration, session type, presenting concerns, interventions, client response, and plan. Those details support your medical necessity documentation. You review and sign the note, and the payer makes the coverage decision. ## How much does it cost? Start with a 7-day free trial with no card required . Continue for $34.99 per user per month , or $27.99 per month billed annually . The current beta plan includes unlimited sessions and a BAA. ## Finish your next therapy note Try it for free Other specialties Mental Health & Therapy Psychiatry & PMHNP Dentists & Hygienists Family Medicine soon Veterinarians Physical & Occupational Therapy Nursing Health Clinical Intelligence Platform You care for them, we care for you. ## Not ready to try it yet? Talk to us first. Someone from our team will contact you. Email* Message* Send message --- # AI Veterinary SOAP Notes and Records URL: https://clinicframe.com/ai-scribe-for-veterinarians Draft AI veterinary SOAP notes from the appointment, including species, breed, weight, surgery records, and discharge instructions. ClinicFrame processes and discards appointment audio. AI Veterinary SOAP Notes and Records | ClinicFrame ## AI veterinary SOAP notes and records Examine the patient. We draft your SOAP record . Talk the owner through your findings. ClinicFrame drafts a veterinary SOAP note with the species, weight, and treatment details you provide. Try it for free No credit card. 7 days free. Twenty-five rooms ## You described the exam out loud at three. You type it again at ten. In veterinary practice the exam is already narrated out loud, to the owner, while it happens. Then the room turns over and the same findings wait to be typed a second time, from memory. Twenty-five appointments later they are still waiting, which is how the records end up on a laptop at home. The description already happened; only the record is missing. ## Document each stage of the veterinary visit Before the room The animal's history and the last visit's findings, before you walk in. In the exam room You narrate the exam out loud. Species, breed and weight as you say them. In the treatment area Surgery and anesthesia records, estimate and discharge instructions. Close the record The record is closed before the next room is ready. ## Protect every veterinary record 01 ## Built for protected health information + Built for protected health information Encryption in transit and at rest, access controls and audit logs. It is the infrastructure we built for human healthcare, and your records sit on it whether or not a federal rule requires it. 02 ## The same agreement, in writing + The same agreement, in writing Your agreement states that ClinicFrame does not use your data for model training and discards appointment audio after processing. 03 ## Appointment audio is discarded + Appointment audio is discarded The recording is used to write the record and then destroyed, so there is no audio library on a server. What remains is the record you reviewed and signed. 04 ## Patient data stays out of training + Patient data stays out of training Nothing from your appointments is used to train models, ours or anyone else's. That covers the animal's record and your client's contact and payment details. How editing and exporting works → ## Document the medicine you practice Small animal, equine, emergency, and surgical work produce different records. ClinicFrame keeps the species, findings, and treatment details in context. Small animal general practice Surgery and dentistry Emergency and critical care Equine and large animal Exotics and avian Specialty and referral practice Shelter and high-volume clinics Mobile and house-call practice ## Small animal general practice Built for Dogs, cats, companion animals Why it is for you Twenty-five appointments in a day, each one a physical exam described out loud to a client who is standing right there, and a record that has to be finished before the next room. What changes Exam findings captured as you narrate them to the owner Species, breed, weight and vitals recorded as stated The record closed before the next room, not after closing How we differ In small animal practice the exam is already spoken out loud, to the client. The record can come from that conversation instead of from a second pass at the keyboard. Compare veterinary AI scribes ## Surgery and dentistry Built for Spays, neuters, dentals, soft tissue Why it is for you The surgical record carries anesthesia, technique, findings and recovery, and it is the note most likely to be reviewed later by someone who was not there. What changes Anesthesia and technique dictated during or right after the procedure Intraoperative findings recorded while they are fresh Discharge instructions captured from what you told the owner How we differ A surgical record written at the end of the day loses the detail that mattered. Dictated in the moment, it keeps it. See how the note is built ## Emergency and critical care Built for ER and overnight Why it is for you Triage, stabilization and constant reassessment, with timing that matters clinically and legally, and no window to sit down and type. What changes Timed entries dictated as you work Reassessments recorded when they happened Communication with the owner documented alongside treatment How we differ Emergency records live or die on the timeline. A note written afterwards approximates it; a note dictated during it records it. See session types ## Equine and large animal Built for Ambulatory practice Why it is for you You work out of a truck, on farms, often with no signal and never at a desk. The record competes with driving to the next call. What changes Dictation in the truck between calls Lameness and soundness exams recorded as described Notes that survive a spotty connection instead of vanishing How we differ Ambulatory practice has no desk at all. The documentation has to happen where the vet is, which is a truck cab. See how notes are exported ## Exotics and avian Built for Birds, reptiles, small mammals Why it is for you Species-specific findings, doses by weight to the gram, and a knowledge base that does not fit any general template. What changes Species and weight-based dosing captured exactly as stated Findings recorded in the terms the species requires Your own template rather than a dog-and-cat structure How we differ A general-practice template forces exotic medicine into the wrong fields. Building your own once solves it for every appointment after. See custom templates ## Specialty and referral practice Built for Internal medicine, oncology, surgery Why it is for you You receive referrals and you write back. The record doubles as a letter to the referring veterinarian. What changes Referral letters drafted from the consultation Diagnostics and recommendations structured for another clinician Case progression documented across visits How we differ A referral record has a second reader. The recommendation goes up front instead of at the end of a narrative. See how editing and exporting works ## Shelter and high-volume clinics Built for Spay-neuter, intake, wellness Why it is for you Very high volume of short encounters, minimal staffing and records that still have to hold up to inspection. What changes Short records in seconds at high volume Consistent structure across many animals in one day Intake exams documented without slowing the line How we differ At sixty animals a day the friction per record decides whether the record gets written properly at all. See the note formats ## Mobile and house-call practice Built for In-home visits, hospice Why it is for you You are in someone's living room, often for an end-of-life conversation, and typing during it is not an option you would take even if you could. What changes Nothing to type during the visit Difficult conversations documented without notes in hand The record drafted before the next address How we differ There are visits where a keyboard is the wrong object to be holding. This is most of them. See how data is handled Build a custom template when your veterinary workflow requires different sections or instructions. ## What a veterinary record carries that a human chart does not Two things make veterinary documentation its own problem: the patient cannot give a history, and the person who can is standing in the room listening to you dictate. 01 ## SOAP with species, breed and weight Subjective from the owner's account, objective from your exam, assessment and plan. Plus the fields a veterinary record needs and a human one does not: species, breed, age, weight and the doses that depend on it. What comes back A SOAP record with species, breed, weight, vitals and weight-based dosing as stated. 02 ## Surgery and anesthesia records Premedication, induction, maintenance, monitoring, technique, intraoperative findings and recovery, dictated during the procedure or immediately after. What comes back A surgical record with anesthesia protocol, technique, findings and recovery notes. 03 ## Estimates and discharge instructions The treatment plan you discussed with the owner, what it includes, and the home-care instructions you gave them when they picked the animal up. What comes back A treatment plan and discharge instructions written from the conversation you had. What comes back ## From the exam you narrated to the record you sign A lameness exam on a canine patient, dictated in the room. Species, breed and weight come from what you said out loud, and the dose is transcribed, never calculated. This is how it transcribes See what comes back → Illustrative example, not a real patient. The dose is transcribed exactly as you state it: the scribe does not calculate weight-based dosing and does not check it. You review and sign every record, and controlled substances still go in your separate DEA log. Pricing ## Meet our plans and prices Start with a 7-day free trial, no card needed. Then one simple plan at $34.99 a month, with every feature included and nothing held back for a higher price. Monthly Yearly Save 20% ## Free 7-day trial $ 0 /month 7 days free · no card Unlimited visits & transcriptions SOAP / DAP / BIRP note generation Custom note templates Patient records & history AI chat on notes & patients HIPAA-compliant infrastructure Support Try it for free No credit card required. ## Starter Monthly $ 34.99 /month per user, billed monthly Unlimited visits & transcriptions SOAP / DAP / BIRP note generation Custom note templates Patient records & history AI chat on notes & patients HIPAA-compliant infrastructure Support The current beta includes unlimited sessions. We will notify you before a future usage policy affects your account. Get Starter Plan No hidden fees. Cancel anytime. FAQs ## Frequently Asked Questions ## Does an AI scribe work for veterinary appointments? It fits veterinary practice better than most of medicine, because the exam is already narrated out loud to the owner standing in the room. That narration is what the record is built from, so the note comes out of a conversation that was happening anyway. ## Is veterinary practice covered by HIPAA? No. HIPAA applies to human patient information, so a veterinary record is not protected health information and no BAA is required. What does apply is your state veterinary board's medical record requirements, and the fact that your client's contact and payment details are still personal data. We would rather say that plainly than stretch a human healthcare framework over a field where it does not apply. ## What happens to the audio from an appointment? ClinicFrame processes appointment audio and discards it. Your account retains the transcript, record, and client information used in your workflow. Client content is not used to train AI models. ## Does it capture species-specific findings and weight-based dosing? Species, breed, weight and the doses that depend on it are captured as you state them. For exotics and avian medicine, where a general template forces the wrong fields, you can build your own structure once and apply it to every appointment after. ## Can it write a surgical and anesthesia record? Yes. Premedication, induction, maintenance, monitoring, technique, intraoperative findings and recovery can be dictated during the procedure or immediately after, which is when the detail is still there. You review and sign before it enters the record. ## Does it work for ambulatory and equine practice without signal? ClinicFrame saves the session while it runs. If the connection drops in a barn or on the road, return to the saved transcript and continue. You can also dictate between calls. ## Can it draft discharge instructions and estimates? Both are drafted from the conversation you actually had with the owner rather than from a generic template. That matters for the record: the instructions in the file should be the instructions --- # Article moved | 7 Best AI Medical Scribes in 2026 URL: https://clinicframe.com/best/ai-medical-scribes This article now lives at /blog/best-ai-medical-scribes. ## This article has moved Continue to 7 Best AI Medical Scribes in 2026 --- # Article moved | Best AI Scribes for Therapists in 2026 URL: https://clinicframe.com/best/ai-scribes-for-therapists This article now lives at /blog/best-ai-scribes-for-therapists. ## This article has moved Continue to Best AI Scribes for Therapists in 2026 --- # Clinical Documentation & AI Scribe Blog URL: https://clinicframe.com/blog Practical guides for clinicians on clinical documentation, AI medical scribes, note formats, privacy, and choosing the right workflow. Featured guide ## How to Choose an AI Medical Scribe A buyer's checklist covering capture modes, note formats, privacy, pricing, and what to test. Read the guide → ## Clinical Documentation Note formats, templates, and practical examples for everyday clinical work. Clinical Documentation ## Nursing Notes: Examples, Template and Writing Guide CF September 7, 2026 · 17 min read Read article → Clinical Documentation ## What Is a Medical Scribe? Role, Duties and Career Path CF September 4, 2026 · 15 min read Read article → Clinical Documentation ## Clinical Documentation: Standards, Workflow and Review CF September 2, 2026 · 22 min read Read article → Clinical Documentation ## AI Clinical Notes: From Source Material to a Signed Record CF August 28, 2026 · 20 min read Read article → Clinical Documentation ## SOAP Note Format: How to Write It Step by Step CF August 26, 2026 · 17 min read Read article → Clinical Documentation ## DAP Notes: Format, Template and Examples CF August 24, 2026 · 15 min read Read article → Clinical Documentation ## SOAP Note Examples: 6 Complete Samples CF August 23, 2026 · 14 min read Read article → Clinical Documentation ## SOAP Note Template for Clinical Documentation CF August 23, 2026 · 14 min read Read article → Clinical Documentation ## AI Scribe for Psychologists CF August 12, 2026 · 12 min read Read article → Clinical Documentation ## AI Scribe for Private Practice Therapists CF August 12, 2026 · 14 min read Read article → Clinical Documentation ## SOAP, DAP, and BIRP: Which Format to Use CF July 8, 2026 · 3 min read Read article → Clinical Documentation ## AI SOAP Notes: How an AI Scribe Writes Them CF July 8, 2026 · 4 min read Read article → Clinical Documentation ## AI Therapy Notes: DAP, BIRP and Progress Notes CF July 8, 2026 · 4 min read Read article → Clinical Documentation ## BIRP Notes: Format, Examples and Template CF July 29, 2026 · 8 min read Read article → Clinical Documentation ## DAP vs BIRP vs SOAP CF July 29, 2026 · 6 min read Read article → Clinical Documentation ## Mental Status Exam Template and Examples CF July 29, 2026 · 8 min read Read article → ## Privacy & Practice Practical guidance on HIPAA, BAAs, patient consent, and responsible AI-scribe workflows. Privacy & Practice ## How Accurate Is an AI Medical Scribe? CF August 12, 2026 · 14 min read Read article → Privacy & Practice ## HIPAA Compliant AI: Requirements and Vendor Checklist CF July 8, 2026 · 4 min read Read article → Privacy & Practice ## BAAs for AI Medical Scribes CF July 29, 2026 · 5 min read Read article → Privacy & Practice ## Patient Consent for AI Scribes CF July 8, 2026 · 3 min read Read article → ## Compare & Choose Straightforward comparisons for practices evaluating documentation support. Compare & Choose ## AI Medical Scribe: How It Works and How to Choose CF September 1, 2026 · 17 min read Read article → Compare & Choose ## Ambient AI Scribe: Workflow, Risks and Evaluation CF August 27, 2026 · 22 min read Read article → Compare & Choose ## Medical Dictation Software: How to Choose CF August 25, 2026 · 15 min read Read article → Compare & Choose ## 6 Best Microsoft Dragon Copilot Alternatives in 2026 CF August 23, 2026 · 16 min read Read article → Compare & Choose ## 6 Best DeepScribe Alternatives in 2026 CF August 23, 2026 · 16 min read Read article → Compare & Choose ## 6 Best Suki Alternatives in 2026 CF August 23, 2026 · 16 min read Read article → Compare & Choose ## 6 Best Abridge Alternatives in 2026 CF August 23, 2026 · 16 min read Read article → Compare & Choose ## 6 Best Nabla Alternatives in 2026 CF August 23, 2026 · 16 min read Read article → Compare & Choose ## 6 Best SimplePractice Note Taker Alternatives in 2026 CF August 23, 2026 · 16 min read Read article → Compare & Choose ## 6 Best Doximity Scribe Alternatives in 2026 CF August 23, 2026 · 15 min read Read article → Compare & Choose ## 6 Best DeepCura Alternatives in 2026 CF August 23, 2026 · 15 min read Read article → Compare & Choose ## 6 Best Twofold Alternatives in 2026 CF August 23, 2026 · 16 min read Read article → Compare & Choose ## 7 Cheapest AI Scribes for Veterinarians in 2026 CF August 23, 2026 · 17 min read Read article → Compare & Choose ## 6 Best Upheal Alternatives in 2026 CF August 23, 2026 · 17 min read Read article → Compare & Choose ## 6 Best Mentalyc Alternatives in 2026 CF August 23, 2026 · 17 min read Read article → Compare & Choose ## 6 Cheapest AI Scribes for Therapists in 2026 CF August 23, 2026 · 18 min read Read article → Compare & Choose ## 6 Best Heidi Health Alternatives in 2026 CF August 23, 2026 · 18 min read Read article → Compare & Choose ## 7 Cheapest AI Medical Scribes in 2026 CF August 23, 2026 · 19 min read Read article → Compare & Choose ## 6 Best Freed AI Alternatives in 2026 CF August 23, 2026 · 18 min read Read article → Compare & Choose ## 7 Best AI Medical Scribes in 2026 CF August 23, 2026 · 17 min read Read article → Compare & Choose ## Best AI Scribes for Nurses and Nurse Practitioners CF August 23, 2026 · 12 min read Read article → Compare & Choose ## Best AI Scribes for Physical and Occupational Therapists CF August 23, 2026 · 12 min read Read article → Compare & Choose ## Best AI Scribes for Veterinarians CF August 23, 2026 · 11 min read Read article → Compare & Choose ## Best AI Scribes for Dentists and Hygienists CF August 23, 2026 · 11 min read Read article → Compare & Choose ## Best AI Scribes for Psychiatrists and PMHNPs CF August 23, 2026 · 12 min read Read article → Compare & Choose ## How to Choose an AI Medical Scribe CF July 8, 2026 · 3 min read Read article → Compare & Choose ## Medical Scribe Cost in 2026 CF July 29, 2026 · 7 min read Read article → Compare & Choose ## AI Scribe vs. Virtual Medical Scribe CF July 8, 2026 · 4 min read Read article → Compare & Choose ## AI Medical Transcription vs. an AI Scribe CF July 8, 2026 · 3 min read Read article → Compare & Choose ## Best AI Scribes for Therapists in 2026 CF July 29, 2026 · 16 min read Read article → ## Already using ClinicFrame? Setup, session types, custom templates and patient records are covered in the Resource Center . --- # 6 Best Abridge Alternatives in 2026 URL: https://clinicframe.com/blog/abridge-alternatives Compare six Abridge alternatives by self-serve access, enterprise EHR integration, clinical intelligence, dictation, APIs, price, and deployment. Publisher disclosure: ClinicFrame publishes this comparison and is included as an alternative. We apply the same first-party-source standard to Abridge, ClinicFrame, and every competitor; give Abridge a genuine stay case; and separate verified facts from editorial fit judgments. Short answer: Stay with Abridge when the organization already supports Abridge or its integration, evidence, governance, and rollout fit best. Choose ClinicFrame for lower-cost independent alternative, Choose Freed for independent-practice EHR-handoff alternative, Choose Nabla for API-oriented enterprise alternative, Choose Suki for embedded EHR and partner-platform alternative, Choose Microsoft Dragon Copilot for unified ambient and dictation alternative, Choose Doximity Scribe for free option for eligible U.S. clinicians. The best alternative is the one that resolves a measured switching reason in the real charting workflow. Abridge alternatives span different purchasing categories. Abridge is an enterprise clinical-intelligence platform deployed through health-system relationships, security review, data governance, and EHR integration. A focused self-serve scribe, an eligibility-limited free tool, a specialty platform, an EHR-native add-on, and an enterprise deployment may all produce a note, but they do not solve the same operational problem. This guide preserves those distinctions instead of forcing every product into one numerical score. Abridge remains the comparison baseline because enterprise-wide deployment across care settings, clinical-intelligence positioning, EHR integration, and an existing enterprise security and data-governance relationship. Its organization-level integration and rollout evidence are genuine advantages for large systems. A switch is justified only when another product produces a measurable improvement in the practice's priority—not because its landing page contains more features or a lower introductory number. The comparison starts with recurring price and product scope, then moves to capture, templates, specialty fit, correction time, EHR transfer, patient context, team administration, BAA, retention, deletion, model use, subprocessors, incident terms, export, and termination. Generated documentation remains a draft requiring clinician review before chart entry. For a market-wide shortlist, read the best AI medical scribes . For price-first research, use the cheapest AI medical scribes . This canonical page owns “Abridge alternatives” and “ClinicFrame vs Abridge”. ## Best Abridge alternatives by switching reason best lower-cost independent alternative: ClinicFrame: solo and small practices wanting immediate focused documentation access. best independent-practice EHR-handoff alternative: Freed: independent clinicians wanting tier choice, specialty templates, patient context, and browser EHR Push. best API-oriented enterprise alternative: Nabla: health systems and healthtech platforms needing transcription, notes, normalized data, APIs, and multiple integration paths. best embedded EHR and partner-platform alternative: Suki: systems needing ambient documentation, coding, reasoning, dictation, orders, major-EHR integration, APIs, and SDKs. best unified ambient and dictation alternative: Microsoft Dragon Copilot: organizations needing ambient documentation, mature dictation, role-based experiences, EHR embedding, and extensibility. best free option for eligible U.S. clinicians: Doximity Scribe: eligible individuals who need free mobile/web notes and Doximity Dialer workflow. ## How we compared Abridge alternatives Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We show Abridge first and define when keeping it is the rational decision. Mutable product and pricing facts come from official pages checked on August 23, 2026; third-party rankings identify questions but do not establish current facts. We compare recurring production terms, not trial access, first-month promotions, or unlabeled annual equivalents. Every alternative receives one real winning persona and one material limitation. Individual, specialty, EHR-native, and enterprise products remain separate purchasing categories. Every finalist must pass the same note-quality and correction-time rubric plus privacy, security, and contract review. ## Abridge vs 6 leading alternatives Public prices, eligibility, limits, promotions, integrations, and enterprise terms can change. Verify the linked first-party page and the written agreement offered to the practice. Option Published starting point Best fit What we verified Main limitation to test Abridge Custom enterprise pricing health systems prioritizing scaled ambient documentation, clinical intelligence, EHR integration, and enterprise governance enterprise-wide deployment across care settings, clinical-intelligence positioning, EHR integration, and an existing enterprise security and data-governance relationship no transparent individual self-serve price and limited fit for clinicians whose organization has not procured it ClinicFrame $34.99 monthly or $27.99 annual equivalent solo and small practices wanting immediate focused documentation access SOAP, DAP, BIRP, custom templates, in-person, telehealth and dictation capture, patient records, note chat, and beta unlimited use no enterprise EHR integration or health-system deployment equivalence Freed $39–$119/month across public tiers independent clinicians wanting tier choice, specialty templates, patient context, and browser EHR Push public low-volume and unlimited tiers, specialty templates, browser EHR Push, patient-context workflow, and higher-tier coding browser handoff and individual tiers are not enterprise-native Abridge deployment Nabla Custom organization pricing health systems and healthtech platforms needing transcription, notes, normalized data, APIs, and multiple integration paths medical transcription, structured notes, dictation, FHIR-normalized data, patient instructions, APIs, and front-end or server-side EHR integration custom pricing and implementation require enterprise resources Suki Custom organization or partner pricing systems needing ambient documentation, coding, reasoning, dictation, orders, major-EHR integration, APIs, and SDKs ambient notes, patient instructions, orders, coding and reasoning positioning, integrations with Epic, Oracle Health, athenahealth and MEDITECH, plus partner APIs and SDKs no comparable public self-serve price and a substantial integration procurement Microsoft Dragon Copilot Organization licensing and usage terms organizations needing ambient documentation, mature dictation, role-based experiences, EHR embedding, and extensibility ambient capture, natural-language dictation, specialty templates, coding and task support, role-based physician/nurse/radiology workflows, EHR access, APIs, SDKs, and administration licensing, consumption, region, implementation, and Microsoft ecosystem fit require detailed analysis Doximity Scribe $0 for eligible verified U.S. clinicians eligible individuals who need free mobile/web notes and Doximity Dialer workflow free eligible access, custom templates, web/mobile capture, up to 140 minutes, Dialer support, and copy-to-EHR workflow role and geography eligibility and individual scope prevent enterprise equivalence ## Which Abridge alternative fits the actual reason to switch? ## 1. Abridge: the enterprise clinical-intelligence baseline Abridge is the baseline, not a straw man. Its official Abridge enterprise announcement verifies enterprise-wide deployment across care settings, clinical-intelligence positioning, EHR integration, and an existing enterprise security and data-governance relationship. Its organization-level integration and rollout evidence are genuine advantages for large systems. A practice should stay when those functions are reliable in representative visits and remove more work than the subscription and implementation add. The main constraint is no transparent individual self-serve price and limited fit for clinicians whose organization has not procured it. That limitation matters only in context: a lower-priced product can still cost more after correction, transfer, missing functionality, training, and parallel systems. Record the actual reason for evaluating Abridge alternatives before opening another trial. Keep Abridge when the organization already supports Abridge or its integration, evidence, governance, and rollout fit best. Recheck the current order form, BAA, security exhibits, retention, model-use language, subprocessors, support, export, and termination terms. Product pages describe a workflow; they do not replace the agreement offered to the practice or the clinician's responsibility for the final note. Check the current details on the official Abridge enterprise announcement before making a purchasing decision. ## 2. ClinicFrame: best lower-cost independent alternative ClinicFrame is the best lower-cost independent alternative. Its official ClinicFrame pricing page verifies SOAP, DAP, BIRP, custom templates, in-person, telehealth and dictation capture, patient records, note chat, and beta unlimited use. It offers transparent self-serve economics outside a health-system procurement. That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against Abridge is copy/export handoff and individual scope cannot replace Abridge's enterprise integration. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose ClinicFrame when the clinician controls purchasing and focused notes are sufficient. Keep Abridge when its current enterprise clinical-intelligence baseline workflow already performs better or switching would only exchange one problem for another. Test note quality, correction time, capture reliability, EHR handoff, governance, and total cost side by side before migrating. Check the current details on the official ClinicFrame pricing page before making a purchasing decision. ## 3. Freed: best independent-practice EHR-handoff alternative Freed is the best independent-practice EHR-handoff alternative. Its official Freed pricing page verifies public low-volume and unlimited tiers, specialty templates, browser EHR Push, patient-context workflow, and higher-tier coding. It makes a clinician-first workflow purchasable without organizational procurement. That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against Abridge is Freed's EHR Push must be tested in the target chart and lacks Abridge's system-wide relationship. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose Freed when the buyer is independent and browser handoff solves the practical integration need. Keep Abridge when its current enterprise clinical-intelligence baseline workflow already performs better or switching would only exchange one problem for another. Test note quality, correction time, capture reliability, EHR handoff, governance, and total cost side by side before migrating. Check the current details on the official Freed pricing page before making a purchasing decision. ## 4. Nabla: best API-oriented enterprise alternative Nabla is the best API-oriented enterprise alternative. Its official Nabla Core API documentation verifies medical transcription, structured notes, dictation, FHIR-normali --- # AI Clinical Notes: Drafting and Review Guide URL: https://clinicframe.com/blog/ai-clinical-notes A practical guide to creating, reviewing, and governing AI clinical notes, with a source-to-signature workflow, error checks, and pilot scorecard. AI clinical notes are draft records produced with artificial intelligence from authorized source material such as an encounter conversation, clinician dictation, selected chart context, structured fields, or a combination of those inputs. The useful question is not whether the draft sounds professional. It is whether the final note accurately represents the patient, encounter, evidence, clinician reasoning, work performed, and next steps after a responsible clinician has reviewed it. That distinction matters because note generation transforms information rather than merely copying it. The system may select, summarize, reorganize, infer, or omit content. A 2026 prospective pilot of 356 AI-generated notes found accidental omissions, hallucinations, and accidental inclusions, including a small number of errors rated as potentially serious if uncorrected. The authors of the peer-reviewed clinical-note quality study concluded that careful clinician review remains necessary. Its two-month, 31-physician, single-system pilot should guide testing, not serve as a universal performance benchmark. A safe workflow therefore treats the first output as an editable proposal and the signed note as a separate clinical artifact. This guide explains that source-to-signature process, the review order that catches high-consequence mistakes, the controls practices should verify before using protected health information, and the measures that reveal whether AI is improving documentation or simply moving work downstream. ## AI clinical note methods compared Method Primary input Main transformation Review focus Structured template Clinician-entered fields and prompts Organizes entered content into predefined sections Defaults, copied text, required fields, current encounter facts Speech recognition Deliberate clinician dictation Converts spoken words to text with limited restructuring Names, terms, numbers, punctuation, negation, formatting Ambient note drafting Authorized encounter conversation Selects and summarizes conversation into a note Speaker attribution, omissions, unsupported additions, actions outside audio Chart summarization Selected prior notes, results, and structured data Condenses longitudinal information for a defined purpose Dates, provenance, current versus historical status, missing context Hybrid clinical note Conversation, dictation, chart context, and template Combines multiple sources into a structured draft Source conflicts, duplication, chronology, authorization, final reconciliation Product labels overlap. Evaluate each enabled input, transformation, transfer, and review path in the exact configuration your team will use. ## What counts as an AI clinical note? The term covers more than one workflow. An AI note may begin with an in-person or telehealth conversation, a clinician's post-visit dictation, a typed summary, selected chart data, or a combination of inputs. It may produce a complete progress note, a single section, an after-visit summary, a referral letter, or a specialty-specific format. These outputs have different source boundaries and failure modes, even when one product generates all of them. Separate note production from the capture method. The ambient AI scribe guide explains recording, transcription, speaker attribution, and encounter-level implementation. The medical dictation software guide covers deliberate speech-to-text workflows. This page begins once one or more authorized sources are available and asks how they become a trustworthy final note. An AI draft is not the encounter, the clinician's reasoning, or the final record. It is a generated representation of selected inputs. Information that was never captured cannot reliably appear; information that was captured may still be misattributed, compressed, moved to the wrong section, or expressed with too much certainty. Findings from an examination, values measured elsewhere, orders entered in the EHR, and decisions made after capture may require direct clinician entry or reconciliation. ## Start with the purpose of the final note Define the document before choosing a model or template. A primary-care follow-up note, psychotherapy progress note, physical-therapy daily note, procedure note, nursing narrative, and discharge summary do different jobs. The intended audience may include the treating team, a covering clinician, the patient, an auditor, or another organization. Required content and sign-off rules can vary by profession, service, setting, organization, payer, and jurisdiction. For Medicare evaluation and management services, the May 2026 CMS E/M documentation booklet explains general principles including the encounter reason, relevant history and findings, assessment or diagnosis, plan, date, and clinician identity, while also stating that volume alone does not determine the service level. That is a relevant example, not a universal specification for every clinical note. Translate the applicable requirements into a note specification: document type, authorized sources, required sections, elements that must be entered manually, acceptable uncertainty language, prohibited defaults, responsible signer, completion deadline, EHR destination, and retention rules. A generic prompt such as write a complete note invites hidden assumptions. A bounded specification makes omissions and unsupported additions easier to identify. ## The six-stage source-to-signature workflow A reliable process separates six stages: authorize the source, generate the draft, perform a clinical review, reconcile it with the EHR, approve and sign, then monitor finalized records. Each stage needs an owner and a failure response. Collapsing them into a single generate note button hides where an error entered and who was expected to catch it. Authorize: confirm the correct patient, encounter, participants, data sources, use case, and privacy workflow before content enters the system. Generate: apply the approved note type and template while preserving uncertainty, source attribution, and draft status. Review: compare the draft with the encounter and other authorized evidence, focusing first on content that could change care. Reconcile: align medications, allergies, measurements, diagnoses, orders, referrals, results, and follow-up with the EHR actions actually taken. Approve: resolve discrepancies, complete required attestations, and have the responsible clinician sign according to policy. Monitor: sample finalized notes, review incidents and user corrections, watch for drift, and retest after material changes. ## 1. Authorize and bound the source material Begin by confirming patient and encounter identity. Wrong-patient or wrong-visit context can produce a coherent note that belongs in the wrong chart. Display identity, encounter date, note type, source state, and intended destination at generation and transfer. If the workflow uses audio, confirm the recording state and follow applicable notice, permission, and objection requirements for patients and other participants. Document exactly what the model can use. A conversation-only draft should not imply access to the medication list, laboratory results, imaging, prior assessments, or orders unless those items were spoken and accurately captured. A chart-aware draft needs an equally clear boundary: which notes, fields, time range, authors, and document statuses were retrieved? More context is not automatically better; stale, conflicting, duplicated, or irrelevant records can create a persuasive but incorrect synthesis. Create explicit exclusions. High-risk or unsupported workflows may include emergencies, sensitive visit types, unapproved languages, patients who decline capture, poor audio, encounters with extensive unrelated third-party information, or document types that require structured modules the generator cannot populate. Keep a normal manual or dictation path available rather than forcing every encounter through AI. ## 2. Generate a constrained draft Use an approved template that reflects the clinical job. Section instructions should distinguish patient report, observations, measurements, clinician assessment, and plan. Tell the system to preserve uncertainty and source attribution and to leave information blank or mark it unknown when the evidence is absent. Do not reward completeness by encouraging invented normal findings, diagnostic certainty, counseling, procedures, time, orders, or follow-up. The existing SOAP note format guide shows how evidence should move from Subjective and Objective into Assessment and Plan. Teams that use behavioral-health formats can compare the DAP note structure . The format organizes the record; it does not prove that the content is correct, clinically sufficient, or appropriate for a particular service. Keep draft status visible throughout transfer. If the system inserts text directly into an EHR, it should land in the correct patient, encounter, note type, section, and author context without silently signing, submitting, or triggering orders. Preserve a workable path to view the source, compare versions, discard the draft, and start over. Do not make editing so difficult that clinicians accept text merely to move on. ## 3. Review clinical meaning before style Review in consequence order, not from the first sentence to the last. Start with patient and encounter identity, urgent or risk-related information, allergies, medications, diagnoses, major findings, measurements, procedures, orders, referrals, precautions, and follow-up. Then check speaker attribution, chronology, negation, certainty, laterality, units, and current-versus-historical status. Only after meaning is correct should the reviewer edit grammar, tone, or concision. Use the authorized source as evidence. Compare the note with the encounter, dictation, selected chart data, and EHR actions as appropriate. Listening to a recording may help resolve wording but cannot confirm a physical finding that was never spoken. A transcript can also contain recognition errors. The clinician's direct knowledge and independently verified structured information remain necessary where the source does not support the statement. The 2025 medical-text summarization study in npj Digital Medicine manually evaluated 450 generated note pairs and found both unsupported statements and clinically relevant omissions, with error patterns varying by note section and experimental workflow. Its simulated transcript dataset and specific model configurations do not predict a commercial product's current rate, but they support testing omission and fabrication separately instead of relying on one accuracy score. ## 4. Reconcile the note with clinical actions The conversation and the EHR are not the same source. Medication orders may be changed after discussion. A result may return after the visit. A referral may be considered aloud but not placed. A clinician may perform an examination silently, correct a measurement, or revise an assessment after reviewing prior data. The final note must represent the actions and reasoning the clinician adopts, not every possibility mentioned during the encounter. Reconcile high-risk entities one by one: drug name, dose, route, frequency, start or stop status, allergies, diagnoses, measurements with units, laterality, procedures, orders, tests, referrals, safety planning, return precautions, and follow-up interval. If structured EHR fields and narrative conflict, resolve the underlying fact rather than editing the sentence in isolation. Do not assume the narrative overrides an order or that an order proves it was discussed. Remove duplication and stale material. Chart context can make a note longer while obscuring what changed today. Label historical facts and sources when relevant; exclude copied content that was not reviewed or is no longer current. If the note must support a service, document the work that actually --- # AI Medical Scribe: How It Works and How to Choose URL: https://clinicframe.com/blog/ai-medical-scribe Learn how AI medical scribes work, how they differ from dictation and human scribes, and how to evaluate privacy, accuracy, workflow, and value. An AI medical scribe is software that helps turn an authorized clinical interaction or clinician narration into a draft medical note. Depending on the product, it may capture an encounter, transcribe speech, identify speakers, select relevant information, apply a template, and transfer the result into an electronic health record. The clinician still has to verify the draft, reconcile it with what actually happened, and approve the final record. That definition is deliberately narrower than many product descriptions. An AI scribe does not examine the patient, make the clinician's decisions, confirm that an order was placed, or guarantee that documentation supports a diagnosis, code, service, payer requirement, or legal standard. It can reduce blank-page work, but it also transforms information and may omit details, add unsupported statements, confuse speakers, or make uncertain language sound final. Choose a scribe as a complete clinical workflow rather than a polished demo. The useful output is not a transcript or a fluent first draft; it is a timely, accurate, appropriately concise note that a responsible clinician can review without hidden work. This guide explains the category, compares the main approaches, and provides a controlled selection and pilot process. Readers looking for product rankings can use the separate best AI medical scribes guide . ## AI medical scribe options compared Workflow Primary input Typical output Main tradeoff to test Ambient AI scribe Authorized patient-clinician conversation Structured draft note or selected documents Less deliberate narration, but more selection, attribution, and omission risk AI-assisted dictation Clinician intentionally narrates the note Transcribed or lightly structured draft Greater content control, but requires speaking a complete summary Chart-aware scribe Conversation or dictation plus selected EHR context Draft informed by current and prior record data More context, but greater risk from stale, conflicting, or excessive inputs Human or virtual scribe Encounter observation and clinician direction Human-authored draft and possible workflow support Human judgment and training, with staffing, consistency, access, and cost considerations Basic speech recognition Clinician speech Near-verbatim text Fast text entry, but limited summarization and structure Manual documentation Clinician memory, notes, and EHR data Clinician-authored record Maximum direct control, but potentially more typing and after-hours work Product names overlap, and one platform may offer several modes. Test each enabled input, note type, integration, and review path separately. ## What is an AI medical scribe? An AI medical scribe is a documentation assistant. Its core job is to create an editable draft from authorized clinical source material. Some products work ambiently during in-person or telehealth visits. Others begin with direct dictation, uploaded audio, or typed points. More advanced systems may use selected chart context or create additional outputs such as referral letters, patient instructions, or visit summaries. The category boundary matters. A scribe may use artificial intelligence to recognize speech, separate speakers, extract concepts, summarize, or format text, but those functions do not make it an autonomous clinician. A system can record that a diagnosis was discussed; it cannot independently establish that the diagnosis is correct. It can draft that a medication was changed; it cannot prove the prescription was entered or that the patient received the final instruction. The phrase also describes more than ambient listening. The ambient AI scribe guide focuses on conversation capture, speaker handling, patient communication, and encounter-level implementation. The broader AI-medical-scribe category includes ambient, dictated, chart-aware, integrated, and hybrid workflows. Define the workflow before comparing products or evidence. ## AI scribe vs dictation, transcription, and a human scribe Direct dictation asks the clinician to say what should appear in the record. Speech recognition or a transcription service converts that narration into text, sometimes with formatting. An ambient scribe begins with the clinical conversation and decides which parts belong in the draft. The medical dictation software guide explains when deliberate narration may be simpler or more controllable than ambient generation. A transcript and a note are different artifacts. A transcript can preserve conversational sequence, repetition, and unrelated details but still misrecognize words. A generated note compresses and reorganizes information, which can make it more useful while creating new risks: missing a relevant fact, changing certainty, assigning a statement to the wrong person, or adding connective language that no one stated. Word-level transcription accuracy does not establish note-level clinical fidelity. A human scribe observes the encounter, learns local conventions, and can receive real-time direction, but human workflows also require training, supervision, access controls, quality review, coverage, and staffing. AI tools are available through software and can be consistent in form, yet they may fail consistently and silently. The AI scribe versus virtual scribe comparison provides a deeper decision framework. The choice is not human good versus AI good; it is which bounded workflow produces the best reviewed record for a defined use case. ## How an AI medical scribe works: seven stages A reliable evaluation separates the pipeline into stages because a product can perform well at one and fail at another. A clear transcript does not guarantee a correct summary. A correct draft can still be transferred to the wrong encounter. A good integration can make an unsafe acceptance workflow feel frictionless. Review the complete path from source authorization to signed note. Select: the user chooses the correct patient, encounter, note type, device, input mode, and approved template. Authorize: the workflow applies the required patient and participant communication, permission, privacy, and recording controls. Capture: the system receives conversation audio, deliberate dictation, typed points, approved chart context, or a defined combination. Recognize: speech is converted to text, speakers may be separated, and clinical entities such as medications, measurements, and anatomy may be identified. Transform: the system selects, summarizes, and places content into the requested note structure while preserving or changing wording and certainty. Transfer: the draft moves to an editor or EHR under the intended patient, encounter, author, note type, and status. Review and approve: the responsible clinician verifies meaning, reconciles clinical actions, corrects the draft, and signs through the authorized process. ## What current evidence says—and does not say A 2026 prospective ambulatory AI-scribe study followed 79 providers in one medical group during a three-month pilot. More than 25,000 notes were generated across 23 specialties. Among clinicians defined as high users, EHR metrics showed a 21% decrease in daily note time, equal to 13.6 minutes, and a 13% decrease in after-hours note time, equal to 3.6 minutes. The study found no significant difference in burnout symptoms. Those findings are encouraging for the tested implementation, but they are not a universal product claim. The study evaluated one integrated platform, one organization, a short period, volunteers, and a high-use subgroup defined as using the tool for at least 60% of encounters. It did not prove that every clinician, specialty, product, template, practice size, or nonintegrated workflow will save time. It also did not establish improved patient outcomes or permission to reduce review. Treat evidence as a reason to run a better local pilot, not as a substitute for one. Measure objective EHR time when available, but also measure draft failures, correction effort, time to final signature, after-hours work, note quality, patient experience, privacy events, support burden, and differences among user groups. Averages can hide a subset of encounters in which the draft takes longer than manual documentation or creates clinically important corrections. ## The clinician still owns review and approval Current CMS Medicare Program Integrity Manual guidance says the treating physician or nonphysician practitioner's signature on a scribed note indicates that the practitioner affirms the note adequately documents the care provided. The manual also states that practitioner concurrence is required when AI technology captures transcription of medical-record entries. That Medicare review guidance is not a complete rule for every note, payer, profession, or jurisdiction, but it reinforces a practical principle: generation does not replace accountable approval. Review the meaning before improving style. Confirm patient and encounter identity; reason for visit; participants and information sources; symptoms and chronology; relevant negatives; allergies; medications, doses, routes, and frequencies; measurements and units; anatomy and laterality; findings; diagnoses and uncertainty; risk content; procedures; orders; referrals; instructions; and follow-up. The AI clinical notes guide provides a source-to-signature review sequence for teams designing this control. Do not limit review to typos. Generated text can change no into yes, may into will, historical into current, discussed into ordered, or patient report into clinician observation. It may assign a caregiver's statement to the patient, add a normal examination that was not performed, omit a precaution, or make a differential diagnosis appear confirmed. The reviewer must compare the draft with the encounter, direct knowledge, and authoritative EHR actions rather than trusting fluent prose. ## Ten criteria for choosing an AI medical scribe Begin with a written use case and score every product against the same representative cases. A general demo can show the interface, but it cannot reveal whether the configured system handles your speakers, specialty terminology, templates, data sources, integration, and review habits. Require the vendor to demonstrate an error, rejected draft, outage, correction, and support escalation as well as the ideal path. Clinical fidelity: does the final draft preserve diagnoses, medications, findings, numbers, units, laterality, negation, uncertainty, chronology, and speaker attribution? Omission and unsupported-content handling: does the system leave absent evidence blank instead of inventing completeness, and can reviewers trace important statements to a source? Template fit: can the product support the actual note types without encouraging cloned, inflated, or irrelevant documentation? Review effort: how long does meaningful review take, what percentage of drafts are abandoned, and which corrections could affect care? Workflow fit: does it work in the intended in-person, telehealth, dictation, mobile, desktop, and team scenarios without disrupting the encounter? EHR transfer: are patient, encounter, author, note type, sections, draft status, version, and structured-field relationships reliable? Privacy and security: are the exact data path, entities, plan, BAA where applicable, permitted uses, retention, deletion, access, subprocessors, locations, logs, incidents, and termination terms acceptable? Patient experience and control: can people understand the workflow, decline or stop capture where applicable, and receive an equivalent documentation path? Administration and support: can leaders manage roles, templates, policies, audit information, changes, training, incidents, and rapid disablement? Total value: do measurable time, quality, access, or experience improvements justify licensing, integration, training, support, review, governance, and switching costs? ## T --- # How Accurate Is an AI Medical Scribe? URL: https://clinicframe.com/blog/ai-medical-scribe-accuracy How to evaluate AI medical scribe accuracy across transcription, clinical entities, speaker attribution, note completeness and unsupported content. Evidence note: ClinicFrame publishes this guide, but we are not using a ClinicFrame accuracy percentage here because we did not find a public methodology detailed enough to reproduce and compare fairly. Product teams should publish the metric definition, reference set, specialties, audio conditions, sample size, and error analysis behind any headline score. A good transcription score is not the same thing as a safe clinical note. The number that matters in practice is whether high-risk facts are right and the draft is faster to review. One wrong medication, dose, negation, speaker, or risk statement can matter more than dozens of correctly transcribed words. ## Six dimensions of AI scribe accuracy Dimension Question to test High-risk examples Word transcription Does the transcript match what was said? Names, numbers, abbreviations, accents, and overlapping speech Clinical entities Are medications, doses, diagnoses, measurements, and dates correct? Sound-alike drugs, decimal points, units, and laterality Negation Does the draft preserve what the patient denied? “No chest pain” becoming “chest pain” Speaker attribution Is patient report separate from clinician observation? A patient belief appearing as an assessed finding Note completeness Are required sections and clinically relevant facts present? Risk, follow-up, orders, interventions, and response Groundedness Did the note add anything that was not said or supported? Invented findings, diagnoses, counseling, or plans ## The one test that settles it: use your own visits Use representative visits rather than a clean demo script. Include your normal specialty vocabulary, session length, room, microphone, telehealth platform, accents, interruptions, and note template. Compare the transcript and finished draft against the source encounter, then record corrections by type. A controlled pilot across representative clinicians and visit types is more informative than a headline percentage with no comparable method. Test at least one routine visit and one difficult visit. Count clinical-meaning errors separately from punctuation and style edits. Measure time from visit end to a reviewed, record-ready note. Check medications, doses, allergies, diagnoses, negations, risk, and follow-up every time. Repeat the test across clinicians and specialties before a wider rollout. ## What changes accuracy during a visit? Audio quality still matters. Close the door, reduce fan or hallway noise, run the microphone check, and avoid placing the computer too far from either speaker. Natural turn-taking helps attribution; when people talk over one another, the system has less evidence for who said what. State important exam findings aloud when they need to appear in the note. The ClinicFrame session-types guide explains how in-person, telehealth, and dictated capture differ. ClinicFrame distinguishes the clinician and patient in the transcript. If the roles are reversed, use Swap speakers and verify that the correction is reflected before relying on section placement. For telehealth, test the actual computer, headphones, and video platform because that capture path differs from an in-room microphone. Nothing joins the meeting: ClinicFrame captures system audio on the clinician's computer, which removes the visible bot but not the need to test both sides of the call. ## Use the product controls before rewriting the note A recurring correction does not always mean the model failed. It may mean the wrong format was selected, a required observation was never said aloud, or the template did not ask for the field. Start with the smallest useful fix. During the visit, a short entry in the ClinicFrame Quick Bar can steer the generated note without interrupting the conversation. After the visit, inspect the transcript, correct speaker labels, and edit the draft directly. ClinicFrame's Enhanced note is the recommended starting point when the encounter should determine its own structure. When the practice requires a fixed format, choose SOAP, DAP, BIRP, or a custom template. The same session can be regenerated with New format without recording again or overwriting the other version. That makes format fit testable: compare structures using the same source encounter instead of blaming transcription for a template mismatch. The note is normally generated in about 10 to 20 seconds, but speed to first draft is not the finish line. Review it, edit it, and then copy the formatted note into the EHR or export a PDF. ClinicFrame does not have a direct EHR integration today, an honest limitation that should be included in workflow testing. The useful measure remains time from visit end to a reviewed, record-ready note. ## Accuracy does not remove clinician responsibility The note remains a draft until the clinician reviews it. CMS medical record documentation guidance emphasizes complete and accurate records that support the services reported. NHS England's current professional guidance likewise requires users to check generated content and correct inaccuracies before it enters the record. An AI scribe can reduce clerical work, but the clinician still decides what is clinically correct, relevant, and sufficiently supported before signing. The ClinicFrame review and export guide shows where that human check belongs in the workflow. ## Transcription accuracy and clinical-note accuracy are different A transcript produced by AI medical transcription can be nearly word-for-word and still produce a weak clinical note. The transcript measures whether the system heard the conversation. The note measures whether it selected the relevant facts, preserved their meaning, assigned them to the correct speaker, organized them under the right headings, and avoided adding conclusions that the encounter did not support. These are related tasks, but they fail in different ways. Imagine that a patient says, “I stopped taking metoprolol two weeks ago because I felt dizzy.” A transcript error might miss the drug name or the time period. A note-generation error might record metoprolol as an active medication, omit the adverse effect, or move the statement into the assessment as if the clinician had confirmed causality. A top-line word score does not reveal those differences. That is why a practice should evaluate the final structured note as well as the raw transcript. ## Build a representative accuracy test set The best test set looks like the work the practice actually performs. Select de-identified or appropriately authorized encounters that represent common visit types, clinicians, accents, room conditions, devices, specialties, and note formats. Include routine follow-ups, new-patient visits, telehealth sessions, rapid medication reviews, visits with several active problems, and at least a few recordings with interruptions or overlapping speech. A dozen polished demonstrations recorded by one speaker will not predict performance across a real clinic. Define the expected output before comparing tools. List the note sections that must be present, the facts that must be captured, the items that must never be inferred, and the fields that require exact transcription. For a medication-management visit, those exact fields may include drug, dose, route, frequency, adherence, adverse effects, and plan. For therapy, they may include intervention, response, progress toward goals, risk language, and follow-up. For physical therapy, they may include measurements, skilled intervention, response, and functional goals. Keep the evaluation consistent. Use the same encounters, template, and scoring rules for every product. If one tool receives clean dictation while another receives a noisy live visit, the comparison says more about the test than the software. Document the product version and test date because models and workflows change. Repeat a smaller version of the test after material updates or changes to microphones, telehealth platforms, templates, or clinical teams. ## Classify errors by clinical impact Counting every edit equally can hide the errors that matter. Changing a comma, shortening a sentence, or replacing a preferred phrase is not equivalent to reversing a negation or changing a medication dose. A practical review separates stylistic edits from factual corrections and then grades factual corrections by potential clinical impact. This makes results easier to interpret and prevents a highly polished note from appearing safer than a plainer but more faithful draft. Error class Example Suggested response Style Preferred wording, order, or sentence length Adjust the template or personalization settings Minor factual A non-critical date or contextual detail is incomplete Correct and track whether the pattern repeats Clinically meaningful Wrong symptom, laterality, medication status, or speaker Correct before signing and include in safety metrics High risk Wrong dose, allergy, severe-risk statement, diagnosis, or plan Escalate, investigate, and reassess the workflow before expansion Unsupported addition The note states an exam, counseling action, or conclusion that did not occur Remove it and treat it as a groundedness failure ## Audio quality is part of the clinical system Accuracy is not produced by the model alone. The room, microphone, operating system, device placement, network or telehealth setup, and speaking pattern form part of the capture system. A laptop at the far end of a large exam room will behave differently from the same laptop on a desk between clinician and patient. Headphones can improve privacy during telehealth but require correct system-audio capture. A fan, open door, paper exam-table cover, or nearby conversation can obscure short words and medication names. Create a short setup standard that clinicians can follow without technical support. Specify where to place the computer, how to run the microphone check, which input to select, what to do when headphones are connected, and how to confirm that both telehealth speakers are present. Include a clear recovery path: pause if capture fails, switch to medical dictation when ambient audio is inappropriate, or finish the note manually rather than assuming missing content will appear later. Speaker overlap deserves special attention. Human listeners use context, faces, and familiarity to separate two voices; an audio system receives a mixed signal. Natural turn-taking improves speaker attribution, but clinicians should not make the visit unnatural merely to serve the software. The evaluation should reveal whether the tool remains useful under the normal conversational style of the specialty. ## Specialty vocabulary needs specialty testing “Medical language” is not one vocabulary. Dentistry, psychiatry, cardiology, oncology, physical therapy, nursing, veterinary medicine, and primary care use different terms, abbreviations, measurements, and note structures. Even within a specialty, a new-patient intake and a short follow-up place different demands on the scribe. An overall average across many specialties cannot guarantee that a particular clinic's rare drug names, procedures, assessment instruments, or local abbreviations will be handled correctly. Build a small challenge list from the practice's own documentation. Include frequently used medications and doses, common diagnoses, eponyms, procedure names, anatomical locations, abbreviations, and phrases with important negations. Do not train clinicians to speak an artificial script solely to improve the score. Instead, test whether custom templates, clearer verbalization of key findings, or a vocabulary correction workflow can reduce recurring edits while preserving a natural patient conversation. For specialties where measurements drive decisions, exact values and units should be reviewed separately. A note that correctly summarizes the plan but changes 0.5 mg to 5 mg, left to right, or “millimeters” t --- # AI Scribe for Private Practice Therapists URL: https://clinicframe.com/blog/ai-scribe-for-private-practice-therapists An AI scribe for solo and small-group therapists: DAP and BIRP notes, telehealth, privacy review, pricing and a practical trial checklist. The real cost of a therapy note is often the time it takes after the client leaves. A useful AI scribe gives that time back without turning a sensitive session into a transcript for the chart or an enterprise implementation project for a small practice. ClinicFrame fits the sessions already on the calendar: in-person, telehealth, or dictated; DAP, BIRP, SOAP, or a custom template. It uses one individual plan with unlimited visits, a dedicated Mac and Windows app, telehealth capture without a meeting bot, and a seven-day trial without a credit card. The therapist reviews every draft before it enters the record. ## What a private practice therapist should test Test Why it matters Pass condition Representative session A clean demo hides the real editing workload The draft handles your normal pace, terminology, and session length Exact note format Generic summaries create after-hours rewriting DAP, BIRP, SOAP, or the custom template matches your record Telehealth setup Headphones and system audio change capture Both sides are captured without a bot joining the call Risk and attribution Fluent errors can change clinical meaning Client report, therapist observation, and assessment stay distinct Privacy workflow A HIPAA badge is not a complete review BAA, consent, access, retention, deletion, and training terms are clear Time to reviewed note Subscription price is only one part of cost Total editing time falls without reducing documentation quality ## Keep the economics simple A solo therapist or small group should compare the total time and cost per completed note, not only the monthly price. ClinicFrame is $34.99 per user monthly or $27.99 per user per month billed annually, with unlimited visits and note generation included. The current pricing page describes a seven-day trial without a card. During the trial, time three representative notes from session end to reviewed completion. Count corrections that change clinical meaning separately from stylistic edits. That reveals whether the tool is actually returning time to the practice instead of relying on an unverified setup or time-saving promise. Include the last step in that timing. ClinicFrame generates the note in about 10 to 20 seconds and lets the therapist copy formatted text into any EHR or export a PDF. It does not have a direct EHR integration today. The review and export workflow shows the handoff plainly, so the practice can decide whether it still saves time in the system it already uses. ## Use a therapy-native structure DAP keeps the note compact around data, assessment, and plan. BIRP makes the therapist's intervention and the client's response easier to see. The therapy note-format comparison helps a practice choose between them. SOAP may fit an integrated-care practice, and a custom template can preserve the sections required by a payer or group policy. ClinicFrame's Enhanced note can choose a structure from the encounter, while a practice that requires consistency can set SOAP, DAP, BIRP, or a custom template as the default. New format regenerates the same session in another structure without recording again or overwriting the first note. A useful draft records interventions, response, progress toward goals, functional change, risk statements, and next steps without turning the session into an unnecessary transcript in the chart. ## Telehealth should not add another participant ClinicFrame captures telehealth system audio from the therapist's computer, so a bot does not join the meeting. In-person sessions use the computer microphone, and medical dictation is available when ambient capture is not appropriate. During a session, the Quick Bar stays above the EHR or telehealth window so the therapist can pause, stop, add a note that influences generation, or check patient context without switching away. Test the actual device, headphones, room, and video platform used by the practice. ## Privacy is a workflow, not a product label Before using any scribe with PHI, confirm the BAA using a concrete AI-scribe BAA checklist and complete the practice's security review. Decide how consent is documented, who can access drafts, how long transcripts and notes are retained, how deletion works, and whether data is used for model training. Mental-health records can contain unusually sensitive information. HHS explains that HIPAA gives separately maintained psychotherapy notes special protections , so therapists should be deliberate about what the scribe drafts for the clinical record and what remains outside it. ClinicFrame's public audio-privacy page states that visit audio is processed live and is not stored, while transcript text and retained notes remain in the account. A signed BAA is included with every account, and patient content is never used to train AI models, ours or any third party's. Confirm the retention, deletion, support-access, subprocessor, and data-use terms in the agreement before processing PHI rather than compressing the review into a generic claim that the product simply 'does not store data.' ## Start with the documentation problem you want to solve Private practices adopt scribes for different reasons. One therapist may finish notes late at night, another may lose attention while typing during sessions, and a small group may struggle with inconsistent templates and delayed billing. Define the problem before choosing the product. If the goal is fewer after-hours notes, measure time returned. If the goal is better presence, evaluate whether the capture workflow lets the therapist stop dividing attention. If consistency is the problem, agree on what a complete note looks like before automating it. Avoid treating generated volume as success. A tool can produce long notes quickly and still increase editing, expose unnecessary detail, or encourage the practice to document beyond what is clinically appropriate. The target is a timely, accurate, concise record that supports care, continuity, medical necessity, and the requirements that apply to the practice. The therapist remains responsible for the decision about relevance and level of detail. Write down a baseline before the trial: average time per note, number of notes completed the same day, common omissions, and how often the therapist reconstructs a session from memory. Use the same measures during the trial. That comparison turns a product demonstration into an operational decision. ## Design a note template around the therapy workflow A template should reflect the work performed, not every field a system can generate. For many practices, the core elements are the service and setting, clinically relevant themes or symptoms, intervention, client response, progress or barriers related to goals, functional change, risk content when applicable, and the plan. Payer and jurisdictional requirements may add specific elements. The practice should define those requirements before asking an AI system to draft them. DAP, BIRP, and SOAP organize the same encounter differently. DAP is compact and gives the therapist room to connect data to assessment. BIRP makes the intervention and response relationship explicit. SOAP aligns with many medical records and integrated-care environments. A custom template can support couples work, substance-use treatment, trauma-focused care, or a particular payer, but it should not encourage the scribe to invent content merely to fill every heading. Test the template on several real patterns: a routine session with steady progress, a session with little change, a complex visit with several themes, a shortened visit, and a session with clinically meaningful risk content. If the therapist repeatedly moves the same sentences, removes the same detail, or rewrites the same section, adjust the template before concluding that the underlying model is the problem. ## Keep client report, therapist action, and clinical assessment separate Therapy conversations contain stories, beliefs, emotions, hypotheses, metaphors, and tentative interpretations. A fluent draft can accidentally present a client's statement as a verified event or a therapist's reflection as a diagnosis. The note should preserve the source and level of certainty. “Client reported,” “therapist observed,” and “therapist assessed” are not interchangeable phrases. Review intervention and response as a pair. Confirm that every documented intervention actually occurred and that the described response is supported by the session. Avoid generic claims that a client “responded well” when the encounter showed ambivalence, distress, disagreement, or no clear change. Progress should connect to the treatment plan and functional goals rather than appearing as a confident conclusion generated from tone alone. Negations, quotations, diagnoses, medication statements, and risk language deserve exact review. A draft that changes “denied” to an affirmative statement or assigns speech to the wrong participant can materially alter the record. These corrections should be tracked separately from stylistic edits during the trial. ## Create a consent conversation clients can understand Consent is more useful when it is specific and understandable. The ClinicFrame patient-consent guide offers a practical starting checklist. Explain that the tool assists with documentation, what audio or text it processes, whether a bot joins the session, whether audio is stored, where the draft appears, and that the therapist reviews the note. Explain available alternatives, including continuing without the scribe. Do not make the client responsible for evaluating technical security claims. The practice performs the vendor review; the client receives a clear explanation of what will happen in the session. Give space for questions and avoid implying that care depends on agreeing to ambient capture. A client may be comfortable in one session and not another, especially when discussing trauma, sexuality, family conflict, immigration, legal matters, or other sensitive topics. Plan for withdrawal. The therapist should be able to stop capture immediately without disrupting care, then complete the note through dictation or manual documentation. Record the client's preference according to practice policy and revisit it when the session type or technology changes. ## Couples, family, group, and minor sessions need extra caution Multi-person sessions increase the chance of speaker-attribution errors and create more complicated confidentiality boundaries. A two-speaker label system may not reliably distinguish partners, parents, children, interpreters, or collateral participants. Conflicting accounts must remain attributed to their sources. The practice should determine whether the product supports the session type and whether ambient capture is appropriate before the conversation begins. Consent or authorization may involve more than one person. With minors, custody, parental authority, assent, confidentiality expectations, and access to records can vary. Couples and family practices may use one record, separate records, or specific policies about secrets and disclosures. The scribe cannot resolve those professional and legal choices; the workflow must follow the practice's established policy. When attribution is uncertain, do not spend the entire session managing the software. Stop capture or use it only as a private dictation tool afterward. The therapeutic process and participant safety take priority over automated documentation. ## Use telehealth without making technology the center of the session A telehealth scribe should fit behind the clinical interaction. ClinicFrame captures system audio from the therapist's computer, so it does not add a visible meeting participant. The therapist still needs correct operating-system permissions, the right microphone and output devices, and a tested video-platform configuration. Headphones, Bluetooth devices, virtual audio --- # AI Scribe for Psychologists and Clinical Notes URL: https://clinicframe.com/blog/ai-scribe-for-psychologists An AI scribe for psychologists: progress notes, intakes, mental status exams, privacy boundaries and a practical evaluation checklist. A good psychology note is not a transcript of the session. It is a deliberate clinical record, and an AI scribe should shorten the path to that record without deciding what belongs in it. The psychologist still chooses the necessary level of detail, separates observed findings from client report, reviews risk language, and signs the final note. ClinicFrame supports in-person, telehealth, and dictated sessions ; DAP, BIRP, SOAP, and custom templates; and a patient-history workflow. It does not score psychological tests, make diagnoses, assess risk, or replace professional judgment. ## Psychology workflows an AI scribe can support Workflow Useful draft content Psychologist review Initial intake Presenting concerns, history, functioning, goals, and plan Relevance, source attribution, sensitive detail, and diagnostic reasoning Psychotherapy progress note Intervention, response, progress, risk statements, and next steps Minimum necessary detail and separation from private process notes Mental status examination Findings the psychologist observed or explicitly stated Do not let the draft infer an unobserved finding Consultation or care coordination Question, relevant context, recommendations, and follow-up Authorization, audience, and what information should be disclosed Psychological assessment History and interview narrative Test administration, scoring, interpretation, and conclusions remain human work ## Progress notes are not the same as psychotherapy notes Under the HIPAA Privacy Rule guidance from HHS , psychotherapy notes have a narrow definition: they document or analyze the contents of counseling conversations, are kept separate from the medical record, and receive special protections. Progress notes and other information maintained in the medical record are not automatically psychotherapy notes. That distinction affects template design. A scribe draft intended for the clinical record should capture what supports care, continuity, risk documentation, and billing without automatically reproducing the full conversation. The psychologist should follow the rules that apply to the practice and jurisdiction. ## Choose the note structure before testing the tool DAP works well when the practice wants data, assessment, and plan. BIRP separates behavior, intervention, response, and plan. The DAP vs BIRP vs SOAP guide explains those tradeoffs in detail. SOAP can fit integrated medical settings, while a custom template may be better for evaluations, consultation, or a payer-specific workflow. ClinicFrame's Enhanced note is the recommended starting point when the encounter should determine its own structure. If the practice requires a fixed record, set SOAP, DAP, BIRP, or a custom note template as the default. New format can then regenerate the same session in another structure without recording again or overwriting the first version. That lets the practice compare formats against the same source material. The useful test is not whether the AI can produce a polished paragraph. It is whether the draft preserves attribution, avoids unsupported conclusions, and reduces editing while matching the record the psychologist is responsible for maintaining. The note is usually generated in about 10 to 20 seconds, but the meaningful measure is still time to a reviewed, record-ready note. ClinicFrame can copy a formatted note into any EHR or export a PDF; it does not have a direct EHR integration today, so include that final handoff in the timing. ## Review the highest-risk fields every time Names, dates, diagnoses, scores, medications, quotations, safety content, mandated-reporting facts, and the assessment and plan deserve explicit review. A fluent sentence can still be wrong or more definitive than the session supports. Confirm who said each clinically important statement. Remove unnecessary sensitive detail from the clinical record. Verify that observations are not presented as reported facts, or vice versa. Keep test scoring and interpretation outside an automated scribe workflow unless a separately validated process is approved. ## Test privacy and workflow together Before processing PHI, review the BAA, access controls, encryption, retention, deletion, model-training terms, and subprocessors. Use the patient-consent checklist to define the client-facing process and review how ClinicFrame handles audio and PHI . ClinicFrame captures in-person audio through the computer microphone and telehealth system audio without a bot joining the call; visit audio is processed in real time and is not stored. Be precise when explaining that boundary. ClinicFrame's current public audio-privacy page states that visit audio is processed in real time and not stored, while transcript text and notes retained by the clinician remain in the account. A signed BAA is included with every account, and patient content is never used to train AI models, ours or any third party's; confirm those terms in the governing agreement before processing PHI. Product controls support a practice's privacy workflow; they do not replace its risk analysis, consent process, or retention policy. ## Why psychology documentation needs its own evaluation The APA record keeping guidelines provide a useful framework for thinking about accurate, current, pertinent records. Psychology records often combine client report, behavioral observation, clinical formulation, intervention, response, risk assessment, functional change, and a plan. Those elements have different evidentiary status. A safe draft should not flatten them into equivalent facts. The appropriate level of detail also varies. An intake, a weekly psychotherapy progress note, a consultation, a testing session, and a feedback appointment do not require the same record. Payer, institutional, legal, and jurisdictional requirements can change what must be included. A general-purpose summary may sound professional while omitting the information that supports continuity, medical necessity, or a high-risk decision. The psychologist should begin with an approved template and explicit documentation standard for each service type. An AI scribe is most useful when it reduces the clerical step between the encounter and that approved record. It should not create a new clinical standard or encourage a more detailed record merely because it can generate one. The goal is a concise, accurate, relevant draft that the psychologist can verify efficiently. ## Using an AI scribe for psychological intakes An intake may cover presenting concerns, symptom history, developmental and family history, medical and medication context, prior treatment, substance use, social supports, functioning, strengths, goals, and risk. The conversation can move nonlinearly as the client adds context. A scribe can help organize that material into sections, but the psychologist must confirm the source and relevance of each statement. A family member's report should not silently become the client's own report, and an unverified historical diagnosis should not become a current conclusion. Before the intake, choose which fields the template should request and which topics should remain under the psychologist's control. During the visit, state key observed findings aloud when appropriate and clarify important timelines, medication changes, and safety information. A short entry in the Quick Bar can preserve an observation or preference that should shape the draft without pulling attention away from the client. After the visit, review identity, chronology, prior diagnoses, current symptoms, risk, protective factors, and the initial plan. Remove sensitive details that are not necessary for the clinical record, even if the transcript captured them accurately. The output should remain a draft of the record, not a substitute for formulation. The psychologist integrates the interview, observations, collateral information, records, measures, cultural context, and professional reasoning. The scribe can organize what was said; it cannot determine the diagnostic weight of a statement or whether additional assessment is needed. When the client already has a ClinicFrame record, the psychologist can review the latest-visit summary or ask the patient-history chat a question grounded in that chart before the appointment. This can surface medication changes or prior themes faster, but it remains a recall tool rather than a source of new clinical conclusions. ## Drafting psychotherapy progress notes A progress note usually needs to show what service occurred, the clinically relevant themes or symptoms, the intervention, the client's response, progress or barriers related to treatment goals, risk content when applicable, and the plan. It does not need to reproduce the full dialogue. A useful template creates enough structure to support care and accountability while leaving the psychologist in control of what is pertinent. DAP places encounter data, the psychologist's assessment, and the plan in distinct sections. BIRP separates behavior, intervention, response, and plan, which can make the connection between treatment and client response easier to audit. SOAP may be preferred in integrated-care settings where other clinicians use the same record. Custom templates can support a specific modality, payer, or group policy, but adding more fields is helpful only when those fields are consistently relevant. During review, check that interventions actually performed are not embellished, that client response is not overstated, and that progress toward goals is supported by the encounter. The note should distinguish a client's language from a psychologist's interpretation. If the draft contains a polished formulation that was not established in the session, rewrite or remove it rather than accepting it because it sounds plausible. ## Mental status examinations require observation, not inference A mental status examination may describe appearance, behavior, speech, mood, affect, thought process, thought content, perception, cognition, insight, judgment, and safety-related findings when those domains were assessed. An ambient system can capture what the client and psychologist said, but it does not automatically observe every domain. Camera angle, audio-only telehealth, cultural differences, disability, and the limits of the encounter affect what can responsibly be documented. Use the draft as a structured reminder, not as an automatic examination. Confirm that each finding was observed, elicited, or otherwise supported. Avoid default normal findings for domains that were not assessed. Preserve distinctions such as reported mood versus observed affect, and do not convert a client's denial into a comprehensive risk conclusion. If a structured template includes a domain that was not covered, leave it blank, mark it appropriately, or document the limitation according to the practice's standard. Risk language deserves an especially deliberate review. The scribe should document the assessment the psychologist performed; it does not assess suicidality, violence risk, abuse, neglect, capacity, or need for emergency action. Verify statements, intent, plan, means, protective factors, actions taken, consultation, disposition, and follow-up when relevant. ## Psychological assessment stays outside the scribe's authority Psychological assessment can include record review, interviews, behavioral observations, standardized instruments, performance validity considerations, scoring, integration, differential diagnosis, and recommendations. A documentation tool may help draft the history or summarize an interview, but that is only one input. It should not select tests, administer protected materials, calculate scores without an approved process, decide validity, interpret results, or generate conclusions as though they came from the psychologist. Assessment content also raises intellectual-property, security, and --- # AI Medical Transcription vs. an AI Scribe URL: https://clinicframe.com/blog/ai-scribe-vs-transcription AI medical transcription returns text you still structure; an AI scribe returns the finished clinical note. Input, output, turnaround and price compared, and where dictation still fits. AI medical transcription turns clinical speech into text. An AI scribe turns the visit into the note. The first replaces the typist; the second replaces the writing. Both start from the same speech recognition, and the difference is everything that happens after the transcript exists. Medical transcription and dictation services take audio you record, often dictated after the visit, and return the text, sometimes typed by a person and sometimes by software, sometimes in minutes and sometimes the next day. What comes back is prose. You still structure it into a clinical note and move it into the record. An AI scribe changes the input and the output: the visit itself is the input, and a structured note is what you get. ## How is an AI scribe different from medical transcription? AI scribe (ClinicFrame) Transcription service Input The live visit, captured ambiently Audio you dictate and submit Output A structured note (SOAP, DAP, BIRP, or your template) Verbatim text you still structure Turnaround Seconds after the visit Minutes to a day Dictation step Optional; ambient by default Required Pricing Flat monthly, unlimited Per line, minute, or report ## What does an AI scribe change? No dictation step. The scribe listens ambiently while you talk with your patient; you do not narrate after the fact. Structure included. The output is a clinical note, not a wall of text to reorganize. Turnaround in seconds. The note is ready when the visit ends, not the next morning. Dictation still available. When narrating suits the moment, ClinicFrame has a medical dictation mode that produces the same structured note. See session types . ## Does ClinicFrame do AI medical transcription? Yes, as the first step of every note. ClinicFrame's AI medical transcription runs on the visit in real time with speaker labels, then writes the structured note from that transcript the moment the session ends. The transcript stays available next to the note, so you can check any line against what was said, and the audio itself is discarded once the note exists. When you would rather narrate, dictation mode takes your speech and returns the same structured note instead of raw text. Transcription accuracy is what the note is built on; how to evaluate it explains what to test before you trust it. ## How do cost and privacy compare? Transcription services typically bill per line, per minute, or per report, so the cost grows with your volume. ClinicFrame is flat-priced with unlimited visits, and the audio is never stored anywhere in the process; see how audio is handled . The other common alternative to software is a remote human who writes your notes; see AI scribe vs. virtual medical scribe . --- # Virtual Medical Scribe vs. AI Scribe: Cost and Privacy URL: https://clinicframe.com/blog/ai-scribe-vs-virtual-scribe Virtual medical scribes are remote people who document your visits; an AI scribe is software. Cost, availability, privacy, and consistency, compared honestly. A virtual medical scribe is a trained person who joins your visits remotely, listens, and writes your notes. An AI scribe is software that uses AI medical transcription to capture the visit and structures the note automatically. Both take documentation off your plate; how they do it changes cost, privacy, availability, and consistency in ways worth understanding before you choose. ## How do an AI scribe and a virtual scribe compare? AI scribe (ClinicFrame) Virtual medical scribe Who documents Software on your computer A remote person on the visit Third party in the encounter None Yes, a person listening Typical cost Flat $34.99/month, unlimited visits (about $420/year) Service: ~$1,200–$4,000 per provider/month. In-house hire: ~$37,000–$41,000/year Availability Any hour, any day, no scheduling Bound to a person's schedule and time zone Turnaround Note in seconds after the visit Minutes to hours, varies by the scribe Consistency Same structure every time Varies by the individual; resets when staff turn over Privacy of the encounter No third person; audio never stored; BAA on every account A person hears every visit ## Where does an AI scribe win? Cost, in real numbers. ClinicFrame is a flat $34.99/month with unlimited visits, about $420 a year. A virtual scribe service typically runs $1,200 to $4,000 per provider per month, and an in-house scribe is a $37,000-plus annual salary before training and turnover: one to two orders of magnitude more for the same job. Privacy of the encounter. With an AI scribe no third person hears the visit, which for therapy and sensitive encounters is often the deciding factor; ClinicFrame also never stores the audio (see how audio and PHI are handled ). Availability. Software records at 7 a.m. or on a Sunday and does not call in sick or quit. Consistency. The same visit produces the same structure in your format every time, with no ramp-up when staff turn over. ## Where does a human scribe still win? An experienced human scribe can enter data directly into your EHR and adapt to unusual workflows in the moment. With ClinicFrame you review and copy the note yourself, which takes seconds and keeps you in control, but it is you doing that step; when you would rather speak than type, you can also dictate into any field of your EHR . If your workflow depends on someone operating your EHR for you, a human service may still fit. ## How much does a virtual medical scribe cost? The figures below are published market ranges, not quotes; rates vary by region, hours covered and whether video visits are included. ClinicFrame's price is exact. The medical scribe cost guide works through the hidden costs behind each line. Model How it is billed Typical cost Virtual scribe service Hourly or per shift, through an agency About $1,200 to $4,000 per provider per month In-house scribe Employee salary plus payroll costs About $37,000 to $41,000 a year, before training and turnover AI scribe (ClinicFrame) Flat subscription per user $34.99 a month, unlimited visits, about $420 a year ## Which one should you choose? For documentation itself, speed, privacy, and price now favor software. For hands-on EHR operation, a human service can still make sense. The fastest way to decide is your own visits: ClinicFrame has a 7-day free trial . No third person on the call, the note in seconds, one flat price. Compare it against what a virtual scribe would cost you this month. Run your own visits through it, free for 7 days 7 days free. No credit card. BAA included. --- # AI SOAP Notes: How an AI Scribe Writes Them URL: https://clinicframe.com/blog/ai-soap-notes AI SOAP notes explained: how an AI scribe writes Subjective, Objective, Assessment and Plan from the visit, a worked example, and how to keep the note in your own voice. A SOAP notes AI writes the four SOAP sections from the session itself, without you typing them. Subjective takes what the person reports, Objective what you observe and state out loud, Assessment your reasoning, Plan what comes next. The draft is ready seconds after the session ends, and you edit and sign it. An AI SOAP note generator turns a patient encounter into a structured SOAP note without you writing it. ClinicFrame does this from the visit itself: it listens, transcribes the visit in real time , and the moment the session ends it writes the note, typically within ten to twenty seconds, organized into the four SOAP sections. ## What goes in each SOAP section? Section What it captures Subjective Symptoms, history, and concerns in the patient's own account Objective Exam findings, vitals, and observations you verbalize during the visit Assessment Your working diagnosis and clinical impressions Plan Medications, referrals, follow-ups, and patient instructions ## What does an AI SOAP note look like? This is the shape of a note ClinicFrame returns for a short follow-up visit. The visit is synthetic and the note is an illustration of structure, not clinical guidance; every real draft is reviewed and signed by the clinician. S Returns for a three-month follow-up of hypertension. Reports taking lisinopril 10 mg daily without missed doses, no dizziness or headaches. Home readings average 132/84. O BP 130/82 seated, HR 72, weight unchanged from last visit. Lungs clear. No peripheral edema. A Hypertension, improved control on current therapy. P Continue lisinopril 10 mg daily. Reinforce sodium reduction and 30 minutes of walking five days a week. Basic metabolic panel today. Follow up in six months, sooner if home readings exceed 140/90. Everything in Subjective came from what the patient said; everything in Objective came from findings stated out loud during the exam. For a longer walkthrough see the SOAP note example , and for a blank structure to adapt, the SOAP note template . ## How does the AI decide what goes where? The note is built from the transcript and its speaker labels: what the patient reports flows toward Subjective, what you state as findings flows toward Objective, and so on. This is why clean speaker labels and a clear visit matter, and why verbalizing key exam findings out loud gives the Objective section more to work with. See how to evaluate AI medical scribe accuracy . ## How do you keep the note in your own voice? Set SOAP as your default so every session starts in that structure; SOAP ships as one of the built-in clinical note templates . Build a custom SOAP if yours carries extra sections, with instructions per section; see custom templates . Edit freely. The note is a draft until you sign off. Change any line, then copy it into your EHR or export a PDF. Regenerate in another format anytime with New format. For exam-heavy visits: stating findings out loud as you examine, naturally, gives the Objective section richer material to draw from. ## SOAP in therapy and psychiatry SOAP travels well into mental health, though it is not always the closest fit. In therapy the same session often reads better as BIRP , which tracks behavior, intervention, response and plan, or as DAP, which folds observation and data into one section. Psychiatry tends to stay with SOAP because medication management fits the Objective and Plan sections cleanly. If you are choosing between them, compare them side by side in DAP vs BIRP vs SOAP . For how this works across a mental health practice, including what happens to session audio, see the AI scribe for therapy and psychiatry . Subjective, Objective, Assessment and Plan, written from the session and ready to edit seconds after it ends. Generate your first SOAP note free 7 days free. No credit card. BAA included. --- # Ambient AI Scribe: Workflow, Risks and Evaluation URL: https://clinicframe.com/blog/ambient-ai-scribe Learn how an ambient AI scribe turns an encounter into a draft note, what clinicians must review, and how to run a safe, measurable practice pilot. An ambient AI scribe listens to an authorized clinical conversation and creates a draft note with limited real-time direction from the clinician. The workflow can include audio capture, speaker separation, speech recognition, summarization, template formatting, and transfer into an electronic health record. Its useful output is not the recording or transcript. It is a reviewed note that accurately reflects the encounter and the clinician's judgment. The word ambient describes how information is captured, not a guarantee of accuracy, privacy, safety, or time savings. A fluent draft may still confuse speakers, omit a negative finding, change a medication, import irrelevant history, overstate certainty, or place a discussed option into the plan. Practices should evaluate each stage of the workflow, define where the tool may be used, and keep the responsible clinician in control of the final record. ## Ambient scribing workflow at a glance Stage What the system does What the practice must verify 1. Capture Receives conversation audio through an approved device or application Correct encounter, participant handling, permission workflow, recording state, audio coverage 2. Transcribe Converts speech to text and attempts to identify speakers Names, speakers, accents, terminology, numbers, units, negation, interruptions 3. Transform Selects and summarizes information into a chosen note structure Completeness, unsupported content, changed meaning, uncertainty, template fit 4. Transfer Moves the draft into the intended patient record and note type Patient identity, encounter, field mapping, formatting, duplication, order mismatch 5. Review Presents the output for correction and approval Clinical fidelity, final actions, required fields, signature, audit trail, accountability A product can perform well at one stage and poorly at another. Test capture, generation, EHR handoff, and final review as separate parts of one clinical workflow. ## What is an ambient AI scribe? Current NHS England ambient-scribing guidance describes products that use advanced speech technologies to convert spoken interactions into text and other documentation outputs with minimal user intervention. Depending on the product, those outputs may include structured notes, summaries, referral letters, patient letters, or information placed into a health record. That guidance applies in England, but its separation of capture, output, integration, oversight, and monitoring is useful for evaluating a U.S. workflow too. An ambient scribe is not simply a microphone that types every word. Modern systems commonly transform conversation into a shorter clinical narrative. They may exclude small talk, group statements under headings, translate patient language into clinical terminology, or combine information mentioned at different moments. That transformation can make a draft easier to read, but it also creates opportunities for omission, altered certainty, wrong attribution, and unsupported connective language. The clinician remains the author or responsible approver under the organization's documentation process. The system does not examine the patient, observe a finding outside the captured information, decide which diagnosis is correct, or confirm that an order was placed. It cannot know that a physical examination occurred silently, that a side conversation should be excluded, or that a statement was hypothetical unless the workflow gives it reliable context. Treat the output as assistance with documentation, not independent clinical judgment. ## Ambient scribe vs dictation and transcription In direct dictation, the clinician deliberately states the content they want documented, usually during or after the visit. In transcription, a person or system converts that speech into text with varying degrees of editing. In ambient scribing, the primary input is the authorized clinical conversation, and the system selects and organizes material into a note. The medical dictation software guide compares those workflow choices in more detail. The distinction matters because each mode creates different review work. Dictation gives the clinician more control over which facts enter the draft but requires a deliberate summary. Verbatim transcription preserves wording but can include noise, repetition, and irrelevant conversation. Ambient generation reduces the need to speak a finished note but asks the system to decide what is relevant and how ideas connect. Products that support all three modes should still be tested separately in each one. Do not use the terms interchangeably when setting policy or measuring results. The comparison of an AI scribe versus transcription explains why a transcript can be accurate at the word level while the generated note is incomplete, and why a readable summary can still contain clinically meaningful errors. Define the expected output before selecting the tool. ## How an ambient AI scribe works during an encounter A reliable workflow starts before recording. The clinician confirms that the product, device, user, location, patient, encounter, and note template are correct. The patient and any other participant receive the notice or permission process required by law and organization policy. The clinician should be able to tell when capture is active, pause or stop it, and continue the encounter without the tool if anyone objects or the situation changes. During the conversation, the system receives speech and may attempt to separate speakers. Background noise, masks, distance from the microphone, overlapping speech, interpreters, caregivers, accents, quiet voices, remote participants, and specialty terminology can all affect the input. The clinician should not distort a natural conversation merely to serve the software, but may need an approved closing summary or verbal cue when the product requires it. After or during the encounter, the system creates a transcript or internal representation and transforms selected details into a template. The generated Assessment and Plan deserve particular scrutiny because they can make relationships that no speaker stated directly. A draft must not introduce an examination finding, diagnosis, risk conclusion, service, order, referral, medication change, patient agreement, or follow-up that did not occur. The note then moves into an editor or the EHR. An integrated workflow may reduce copy-and-paste steps, but integration itself can fail. Verify the patient, encounter, author, note type, date, field mapping, and version. Confirm that narrative text agrees with medications, orders, diagnoses, results, referrals, instructions, procedure records, time, and other structured fields. Only the responsible clinician should approve the note through the required signature process. ## What ambient capture can and cannot know Conversation contains only part of an encounter. A system may hear the history and discussion but not a palpated finding, visual observation, silent mental calculation, reviewed image, measured range of motion, medication reconciliation performed on screen, or action completed in another EHR module. The final note needs information from the clinician and authoritative record sources, not audio alone. The opposite problem is excess. A clinical conversation can contain family details, financial concerns, trauma history, jokes, repeated explanations, speculative possibilities, and information about another person. Not everything said belongs in the medical record. Templates should select clinically relevant content, preserve source attribution, and avoid transcript-like detail that increases privacy exposure or obscures the decision. A draft also cannot reliably decide whether silence means normal, not asked, not observed, or not relevant. It should never fill a normal examination, review of systems, risk assessment, counseling statement, procedure, or time field merely because the template usually contains one. The clinician must distinguish absent evidence from negative evidence and remove any default or generated text that the encounter does not support. ## What current research does and does not show A 2025 randomized clinical trial of two ambient AI scribes assigned 238 outpatient physicians at one academic health system to one of two systems or usual care for two months. One assigned tool produced a 9.5% relative decrease in time-in-note versus control; the other did not show a significant difference. Analyses combining scribe users found modest improvements in work-experience measures, while respondents reported clinically significant inaccuracies occasionally. That study is useful precisely because the result was not uniform. The tools were used in roughly one-third of eligible visits, about 15% of intervention physicians never used their assigned tool, the study was short, and it occurred at one institution with EHR integration and structured training. It does not establish the effect of every current product, specialty, setting, implementation, or clinician. It also does not show that a draft can be signed without review or that reduced note time improves patient outcomes. Evaluate claims in the unit that matters locally: the final note and the complete workday. A fast draft may require extensive editing. A longer note may be easier or harder to review. A clinician may value better eye contact even when measured note time changes little. Conversely, an enthusiastic survey response does not prove accuracy or safety. Separate objective usage and time measures, structured note-quality review, clinician experience, patient experience, and incident data. ## Clinical review: the draft is not the record Review clinical meaning before style. Start with patient identity, encounter context, reason for visit, participants, and information sources. Then verify symptoms, chronology, relevant negatives, history, allergies, medications, doses, routes, frequencies, measurements, units, laterality, anatomy, diagnoses, uncertainty, risk content, procedures, services, and response. Finish by reconciling the plan with the actions that actually occurred. Speaker attribution is a clinical control, not a cosmetic correction. A caregiver's observation, interpreter's wording, clinician's hypothetical explanation, and patient's own statement are not interchangeable. In pediatrics, geriatrics, behavioral health, and complex family encounters, multiple speakers may have different knowledge and goals. Preserve the source of important information and remove statements that the system assigned to the wrong person. Examine transformation errors. A system can turn may consider into will order, no current intent into no history, patient unsure into patient denies, or a differential into a confirmed diagnosis. It can merge separate time periods, attach a medication effect to the wrong drug, or move patient language into Objective. Review negation, certainty, chronology, causality, and section placement rather than checking spelling alone. Use the AI medical scribe accuracy framework to design representative test cases and score clinically meaningful corrections. A practice should define which errors require immediate escalation, which patterns trigger retraining or template changes, and when a product update requires renewed validation. The clinician's approval should remain explicit and attributable. ## Privacy, patient communication, and data terms For U.S. HIPAA-regulated organizations, the HHS guidance on HIPAA and cloud computing says a cloud provider that creates, receives, maintains, or transmits ePHI on behalf of a covered entity or business associate is a business associate, even when it cannot view encrypted data. An appropriate BAA is required where that relationship applies, and the regulated organization still must conduct risk analysis and risk management. A contract is one control, not a federal product endorsement. --- # Clemente Lopez, Head of ClinicFrame | ClinicFrame Blog URL: https://clinicframe.com/blog/author/clemente-lopez Clemente Lopez is the Head of ClinicFrame and reviews every clinical guide on this blog. His background, and the articles he's reviewed. ## Guides reviewed by Clemente Clinical Documentation ## Nursing Notes: Examples, Template and Writing Guide September 7, 2026 · 17 min read Read article → Clinical Documentation ## What Is a Medical Scribe? Role, Duties and Career Path September 4, 2026 · 15 min read Read article → Clinical Documentation ## Clinical Documentation: Standards, Workflow and Review September 2, 2026 · 22 min read Read article → Compare & Choose ## AI Medical Scribe: How It Works and How to Choose September 1, 2026 · 17 min read Read article → Clinical Documentation ## AI Clinical Notes: From Source Material to a Signed Record August 28, 2026 · 20 min read Read article → Compare & Choose ## Ambient AI Scribe: Workflow, Risks and Evaluation August 27, 2026 · 22 min read Read article → Clinical Documentation ## SOAP Note Format: How to Write It Step by Step August 26, 2026 · 17 min read Read article → Compare & Choose ## Medical Dictation Software: How to Choose August 25, 2026 · 15 min read Read article → Clinical Documentation ## DAP Notes: Format, Template and Examples August 24, 2026 · 15 min read Read article → Compare & Choose ## Best AI Scribes for Psychiatrists and PMHNPs August 23, 2026 · 12 min read Read article → Compare & Choose ## Best AI Scribes for Dentists and Hygienists August 23, 2026 · 11 min read Read article → Compare & Choose ## Best AI Scribes for Veterinarians August 23, 2026 · 11 min read Read article → Compare & Choose ## Best AI Scribes for Physical and Occupational Therapists August 23, 2026 · 12 min read Read article → Compare & Choose ## Best AI Scribes for Nurses and Nurse Practitioners August 23, 2026 · 12 min read Read article → Compare & Choose ## 7 Best AI Medical Scribes in 2026 August 23, 2026 · 17 min read Read article → Compare & Choose ## 6 Best Freed AI Alternatives in 2026 August 23, 2026 · 18 min read Read article → Compare & Choose ## 7 Cheapest AI Medical Scribes in 2026 August 23, 2026 · 19 min read Read article → Compare & Choose ## 6 Best Heidi Health Alternatives in 2026 August 23, 2026 · 18 min read Read article → Compare & Choose ## 6 Cheapest AI Scribes for Therapists in 2026 August 23, 2026 · 18 min read Read article → Compare & Choose ## 6 Best Mentalyc Alternatives in 2026 August 23, 2026 · 17 min read Read article → Compare & Choose ## 6 Best Upheal Alternatives in 2026 August 23, 2026 · 17 min read Read article → Compare & Choose ## 7 Cheapest AI Scribes for Veterinarians in 2026 August 23, 2026 · 17 min read Read article → Compare & Choose ## 6 Best Twofold Alternatives in 2026 August 23, 2026 · 16 min read Read article → Compare & Choose ## 6 Best DeepCura Alternatives in 2026 August 23, 2026 · 15 min read Read article → Compare & Choose ## 6 Best Doximity Scribe Alternatives in 2026 August 23, 2026 · 15 min read Read article → Compare & Choose ## 6 Best SimplePractice Note Taker Alternatives in 2026 August 23, 2026 · 16 min read Read article → Compare & Choose ## 6 Best Nabla Alternatives in 2026 August 23, 2026 · 16 min read Read article → Compare & Choose ## 6 Best Abridge Alternatives in 2026 August 23, 2026 · 16 min read Read article → Compare & Choose ## 6 Best Suki Alternatives in 2026 August 23, 2026 · 16 min read Read article → Compare & Choose ## 6 Best DeepScribe Alternatives in 2026 August 23, 2026 · 16 min read Read article → Compare & Choose ## 6 Best Microsoft Dragon Copilot Alternatives in 2026 August 23, 2026 · 16 min read Read article → Clinical Documentation ## SOAP Note Template for Clinical Documentation August 23, 2026 · 14 min read Read article → Clinical Documentation ## SOAP Note Examples: 6 Complete Samples August 23, 2026 · 14 min read Read article → Privacy & Practice ## How Accurate Is an AI Medical Scribe? August 12, 2026 · 14 min read Read article → Clinical Documentation ## AI Scribe for Private Practice Therapists August 12, 2026 · 14 min read Read article → Clinical Documentation ## AI Scribe for Psychologists August 12, 2026 · 12 min read Read article → Compare & Choose ## Best AI Scribes for Therapists in 2026 July 29, 2026 · 16 min read Read article → Compare & Choose ## Medical Scribe Cost in 2026 July 29, 2026 · 7 min read Read article → Privacy & Practice ## BAAs for AI Medical Scribes July 29, 2026 · 5 min read Read article → Clinical Documentation ## Mental Status Exam Template and Examples July 29, 2026 · 8 min read Read article → Clinical Documentation ## DAP vs BIRP vs SOAP July 29, 2026 · 6 min read Read article → Clinical Documentation ## BIRP Notes: Format, Examples and Template July 29, 2026 · 8 min read Read article → Compare & Choose ## AI Medical Transcription vs. an AI Scribe July 8, 2026 · 3 min read Read article → Compare & Choose ## AI Scribe vs. Virtual Medical Scribe July 8, 2026 · 4 min read Read article → Compare & Choose ## How to Choose an AI Medical Scribe July 8, 2026 · 3 min read Read article → Privacy & Practice ## Patient Consent for AI Scribes July 8, 2026 · 3 min read Read article → Privacy & Practice ## HIPAA Compliant AI: Requirements and Vendor Checklist July 8, 2026 · 4 min read Read article → Clinical Documentation ## AI Therapy Notes: DAP, BIRP and Progress Notes July 8, 2026 · 4 min read Read article → Clinical Documentation ## AI SOAP Notes: How an AI Scribe Writes Them July 8, 2026 · 4 min read Read article → Clinical Documentation ## SOAP, DAP, and BIRP: Which Format to Use July 8, 2026 · 3 min read Read article → --- # Do You Need a BAA for an AI Medical Scribe? URL: https://clinicframe.com/blog/baa-for-ai-scribe What a Business Associate Agreement is, why an AI medical scribe needs one, what the BAA must cover, and why gating it to enterprise plans is a red flag. A Business Associate Agreement (BAA) is the contract HIPAA requires between your practice and any vendor that handles Protected Health Information for you. An AI medical scribe processes the visit conversation, which is PHI, so the vendor is a business associate and a signed BAA is required before you use it with patients. If a scribe will not sign one, it is not a compliant option, no matter how good the notes are. ## What is a Business Associate Agreement? Under HIPAA, a covered entity (your practice) may only share PHI with a vendor once that vendor has agreed, in writing, to protect it. That written agreement is the BAA. It makes the vendor legally accountable for the data, restricts what they may do with it, and obliges them to report a breach. The agreement is not a formality: using a vendor that touches patient data without a BAA in place is itself a HIPAA violation, separate from anything that happens to the data. ## Do you need a BAA for an AI medical scribe? Yes. The moment a scribe listens to or transcribes a patient visit, it is handling PHI on your behalf, which makes its vendor a business associate. That is true whether the tool is ambient, dictation-based, or a note taker for telehealth calls. So the first question for any AI scribe is not how accurate the note is; it is whether the vendor will sign a BAA, and on which plan. ## What should the BAA cover? The BAA should address Why it matters for an AI scribe Permitted use of PHI Limits the vendor to providing the service, not repurposing your data Safeguards in transit and at rest Encryption and access controls around the audio and transcript Audio retention and deletion Whether visit audio is stored at all, and for how long; the strongest answer is that it never is Training on patient data An explicit prohibition on using your PHI to train AI models Breach notification What the vendor must tell you, and when, if something goes wrong Retention and model training are where AI scribes differ most, so ask about them directly. See how ClinicFrame handles audio, transcripts, and PHI . ## Why "BAA available on enterprise" is a red flag Some vendors advertise a low entry price, then make the signed BAA available only on a higher or enterprise tier. If that is the case, the entry price is not the real price of compliant use, because you cannot lawfully use the tool with patients until the BAA is in place. When you compare AI scribes, treat the plan the BAA lives on as part of the price. See how to choose an AI medical scribe . ## Getting a BAA with ClinicFrame ClinicFrame includes a signed BAA with every account, on every plan, not gated to an enterprise tier. Alongside it, the visit audio is never stored, and patient content is never used to train AI models, which are the two BAA terms that matter most for a scribe. For the full picture of what makes a scribe compliant, see is an AI medical scribe HIPAA compliant? This article is practical guidance, not legal advice. For a specific compliance question, consult your compliance officer or reach us through the in-app chat. --- # 7 Best AI Medical Scribes in 2026 URL: https://clinicframe.com/blog/best-ai-medical-scribes Compare seven AI medical scribes for solo clinicians, specialty groups, and health systems using current primary sources, limitations, and a practical pilot rubric. Publisher disclosure: ClinicFrame publishes this comparison and is one of the products included. We used the same public-source standard for every vendor, name situations where another product is the stronger fit, and do not describe vendor demonstrations or marketing claims as independent hands-on testing. Short answer: There is no universal best AI medical scribe. Abridge is a strong enterprise shortlist when health-system deployment and evidence-linked output matter; Suki stands out when deep EHR integration and voice workflows are central; Nabla fits organizations that want a flexible clinical AI layer; DeepScribe emphasizes complex specialty workflows; Freed is a practical self-serve option for independent clinicians; Heidi offers the clearest free starting point; and ClinicFrame is worth testing for a focused desktop workflow across in-person care, telehealth, and dictation. Choose only after a controlled pilot in your real documentation path. The phrase “best AI medical scribe” hides several different buying decisions. A solo family physician who copies a reviewed SOAP note into a browser-based EHR is not solving the same problem as a health system that needs bidirectional integration, identity management, audit logs, implementation support, and governance across thousands of users. A specialty group may care more about longitudinal context, terminology, coding support, or note customization than either of them. This guide therefore does not force every product into one numerical score. Public information cannot tell us which tool will make the fewest clinically meaningful errors in your patients, specialty, devices, templates, accents, and EHR build. It can tell us which products deserve a closer look for a particular setting, what the vendor currently documents, and which questions remain unanswered. The winner should be the product that produces the safest approved note with the least total correction and transfer work—not the fastest demo draft. AI-generated documentation remains a draft. A fluent note can still omit a medication change, attribute a statement to the wrong person, import an unsupported normal finding, or turn a tentative discussion into a final plan. Clinical review is not a cosmetic final step; it is the control that keeps the professional accountable for the signed record. For a deeper testing framework, use the ClinicFrame guide to AI-scribe accuracy alongside this shortlist. ## Best options at a glance Best enterprise shortlist: Abridge, when deployment evidence, health-system scale, EHR-connected workflows, and traceability are primary requirements. Best for EHR-integrated voice workflows: Suki, when ambient documentation, dictation, voice editing, and major-EHR integration need to work together. Best flexible clinical AI layer: Nabla, for organizations comparing embedded, web, mobile, and API-led deployment paths. Best for complex specialty configuration: DeepScribe, particularly when specialty context, personalization, pre-charting, and coding workflows justify a sales-led implementation. Best self-serve independent-practice option: Freed, for clinicians who want transparent individual pricing and a browser/EHR-extension workflow. Best free starting point: Heidi, because its current free tier includes unlimited standard AI documentation and provides a useful trial baseline. Best focused ClinicFrame workflow: ClinicFrame, when desktop telehealth capture without a meeting bot, in-person sessions, dictation, and custom formats fit a small practice. ## How we compared these AI scribes We checked the products and source pages on August 23, 2026. Vendor terms, prices, and features change, so follow the linked source and verify the current contract before processing real records. We selected seven products with a current official source describing ambient or AI-assisted clinical documentation and a sufficiently distinct use case. Inclusion is not a security certification or endorsement. We separated self-serve tools from enterprise platforms because pricing, deployment, EHR integration, support, governance, and procurement are not comparable across those categories. We reviewed first-party product, pricing, security, help-center, and implementation pages. Vendor metrics and customer stories are labeled as vendor-published evidence, not independent results. We compared the complete workflow: capture, draft quality, template control, contextual information, clinician review, EHR transfer, account governance, retention, BAA availability, and exit requirements. We do not publish a universal accuracy score. No current public benchmark lets us make an equivalent head-to-head claim across all seven products and clinical settings. ## Side-by-side comparison Tool Best fit What we verified Main limitation to test Abridge enterprise health systems prioritizing scale and traceability Enterprise clinical documentation, EHR-connected workflows, Linked Evidence, broad specialty and language positioning, and published evaluation methods Sales-led enterprise scope makes it difficult to evaluate price and implementation fit from public pages alone Suki EHR-integrated ambient, dictation, and voice-assistant workflows Ambient notes, dictation, voice-enabled editing, problem-based charting, coding and major-EHR integration described by the vendor Integration depth and available functions vary by EHR, setting, contract, and implementation Nabla organizations wanting flexible deployment and configurable retention Ambient clinical documentation, web and mobile access, EHR embedding and API paths, multilingual positioning, and configurable retention language Public pricing is not sufficient for an organization-level total-cost comparison DeepScribe complex specialty practices needing deep configuration Specialty-specific documentation, personalization, pre-charting, coding support, and EHR-integrated oncology workflows Current public positioning is sales-led and increasingly centered on oncology and complex specialty care Freed independent clinicians wanting a self-serve paid product Public individual pricing, ambient visit capture, templates, browser-based EHR extension, BAA terms, and group options Advanced integrations and organizational controls depend on higher tiers or group arrangements Heidi a free baseline and broad multi-specialty experimentation Unlimited standard AI documentation on the free tier, advanced templates on paid tiers, team plans, integrations, and published security positioning Current plan names, regional availability, and pricing have changed, so the exact checkout and BAA path need confirmation ClinicFrame a focused desktop workflow for independent and small practices Desktop capture for in-person and telehealth visits, dictation, SOAP/DAP/BIRP and custom formats, copy/PDF handoff, public pricing, and a signed BAA included with every account No direct EHR integration today, so the reviewed note reaches the record by copy or export ## The best AI scribes for this workflow ## 1. Abridge: best for enterprise health systems prioritizing scale and traceability Abridge belongs near the top of an enterprise shortlist because its public product is built around health-system deployment rather than an individual subscription. The company describes ambient documentation across outpatient, inpatient, emergency, and nursing workflows, with output flowing into the EHR for professional review. Its Linked Evidence capability is designed to connect generated documentation to source conversation content, which is relevant when a clinician needs to verify where a draft statement came from instead of trusting fluent prose. Abridge also publishes more detail than many vendors about how it evaluates clinical documentation. Its evaluation material describes automated testing, clinician spot checks, blinded head-to-head review, staged releases, and ongoing monitoring. That is useful evidence of a quality process; it is not proof that every note in every environment is accurate. Procurement teams should still demand local performance by specialty, language, setting, hardware, note type, and EHR configuration, then define escalation thresholds for omissions and unsupported content. Choose Abridge when your decision involves clinical informatics, security, integration, implementation, and change management at organizational scale. It is less naturally comparable to a self-serve $0–$100 monthly product because the work being purchased includes enterprise rollout and workflow integration. Ask for a scoped demonstration using your hardest authorized encounters, the exact EHR fields you need populated, administrative controls, downtime behavior, data-export terms, and a price model that includes implementation and support. Verify it: Abridge official platform and evaluation pages . ## 2. Suki: best for ehr-integrated ambient, dictation, and voice-assistant workflows Suki is the most relevant candidate when the organization does not want ambient documentation to remain a separate note-generation island. Its official site combines ambient notes with dictation, voice-enabled editing, problem-based charting, coding, patient instructions, and clinical-assistant functions. Suki publishes deep integration positioning for Epic, Oracle Health, athenahealth, and MEDITECH, while its Epic page distinguishes between a more contained in-EHR experience and the broader Suki application. That breadth is also the reason a buyer should test the exact contracted workflow instead of the brand in general. “Integrates with Epic” can mean different note sections, devices, sign-off paths, patient-context access, or functionality depending on the product variant and local build. Confirm whether content lands in the correct discrete fields, how templates are governed, which actions are suggestions versus executed changes, and what works during a network or EHR interruption. Shortlist Suki when voice is expected to support more than the initial ambient draft and when major-EHR alignment is a release criterion. During a pilot, score ambient capture and dictation separately, verify voice edits before signing, and test problem-oriented documentation on encounters with multiple active conditions. Coding suggestions and clinical reasoning features need their own validation and governance; strong note generation does not automatically validate every adjacent AI capability. Verify it: Suki official product page . ## 3. Nabla: best for organizations wanting flexible deployment and configurable retention Nabla is a strong fit for organizations that want choices in how an ambient assistant reaches clinicians. The company currently presents a clinical AI layer with EHR integrations, browser and mobile workflows, an embeddable module, and API-led options. Its public materials also describe configurable data-retention policies and enterprise security controls. That flexibility can matter to a health system, EHR vendor, or digital-health company that does not want every user to operate a detached consumer application. The implementation question is which path you are actually buying. An embedded module, an API integration, and an independent clinician application create different responsibilities for identity, patient matching, data movement, user support, upgrades, and incident response. Ask Nabla to diagram audio, transcript, generated note, EHR context, logs, and backup behavior for the selected configuration. Confirm which entity signs the BAA and how customer-controlled retention interacts with legal holds and system backups. Choose Nabla when a lightweight but enterprise-capable layer and deployment flexibility are more important than transparent individual pricing. Test specialty templates and language behavior using the same local rubric, not a general multilingual count. For API or embedded deployments, include engineering effort, monit --- # Best AI Scribes for Dentists and Hygienists in 2026 URL: https://clinicframe.com/blog/best-ai-scribes-for-dentists Compare dental AI scribes for narrative notes, perio and restorative charting, referrals, operatory capture, PMS workflow, privacy, and review. Publisher disclosure: ClinicFrame publishes this guide and is one of the tools discussed. We use official product sources, state when pricing is not public, and do not imply that products in different dental software categories are interchangeable. Short answer: Choose by the job. Bola AI is the clearest shortlist for hands-free perio and restorative charting. Denti.AI Scribe combines dental narrative notes with voice charting and document workflows. Heidi is a flexible general medical scribe to benchmark for narrative notes. ClinicFrame fits practices that want a focused desktop workflow for conversations, dictation, and custom note formats. If your primary need is tooth- and surface-level chart entry, a general narrative scribe should not be your first purchase. “Dental AI scribe” now describes at least two different products. One listens to the clinician-patient conversation and drafts a narrative clinical note. The other converts spoken tooth numbers, surfaces, pocket depths, bleeding, conditions, or procedures into structured chart entries. Some platforms do both. A comparison that ignores that distinction can rank a capable medical note generator above the product that actually solves the hygienist's hands-free perio workflow. Dental practices should define the exact documentation bottleneck before requesting demos. Is the priority perio charting without a second person, restorative chart entry, comprehensive-exam notes, treatment-plan conversations, referral letters, post-op instructions, or after-visit dictation? Each workflow has a different accuracy target and different integration requirement. The meaningful endpoint is a reviewed entry in the correct patient chart, not a transcript or polished paragraph sitting in another application. This guide compares current product categories using first-party sources. Vendor claims about speed, accuracy, revenue, or outcomes are not treated as independent evidence. Pricing for dental enterprise tools is often quote-based; where no current official public price was verified, the table says so rather than estimating. ## Best options at a glance Best for voice perio and restorative charting: Bola AI, because structured dental charting is the center of its clinical suite. Best combined dental scribe and charting shortlist: Denti.AI Scribe, for narrative notes, voice charting, referral letters, and dental workflow features. Best general narrative benchmark: Heidi, when customizable medical notes and a free starting tier matter more than dental chart automation. Best focused ClinicFrame workflow: ClinicFrame, for desktop in-person capture, dictation, custom notes, and a simple copy/export handoff. ## How we compared these AI scribes We checked the products and source pages on August 23, 2026. Vendor terms, prices, and features change, so follow the linked source and verify the current contract before processing real records. We first classified each product as structured dental charting, narrative scribing, or a combination, because those outputs solve different jobs. We considered perio/restorative commands, tooth and surface fidelity, dental terminology, speaker attribution, custom templates, referral or patient-document support, and hygienist access. We reviewed operatory constraints: masks, suction, handpieces, background conversations, room movement, mobile or desktop devices, and a fallback when capture fails. We checked how the reviewed result reaches the dental practice-management or clinical record and whether manual copy introduces field-placement or wrong-chart risk. We required explicit clinician review and treated HIPAA, security, BAA, retention, and vendor claims as items for contractual verification—not automatic guarantees. ## Side-by-side comparison Tool Best fit What we verified Main limitation to test Bola AI hands-free perio and restorative charting Voice Perio, Voice Restorative, AI Scribe, dental commands, and a dental-specific clinical suite Public pricing is not standardized; narrative-note depth and integration must be evaluated in the actual practice setup Denti.AI Scribe a combined dental narrative and charting workflow Dental-specific narrative notes, voice-based charting, referral letters, and coaching features in official support documentation Availability, integrations, price, and the maturity of each module need direct confirmation Heidi general narrative notes and a low-cost benchmark Unlimited standard documentation on a free tier, configurable templates on paid plans, multiple languages, and broad clinical capture It is not a dental charting system and should not be expected to populate perio or restorative fields like a specialist tool ClinicFrame focused narrative notes, consultation capture, and dictation Mac/Windows desktop use, in-person capture, post-visit dictation, custom templates, and copy/PDF output No direct dental PMS integration or specialist perio/restorative charting ## The best AI scribes for this workflow ## 1. Bola AI: best for hands-free perio and restorative charting Bola AI should lead the shortlist when the clinical bottleneck is structured dental charting. Its official site presents a Voice Clinical Suite with AI Scribe, Voice Perio, and Voice Restorative. That category fit is important: the hygienist can call out measurements and findings while working, and the system is designed to place dental commands into the chart rather than merely summarize the visit afterward. A demo should go beyond a clean training script. Use the office's actual operatory, microphone, masks, suction, and normal staff movement. Test tooth numbers, surfaces, pocket depths, bleeding, suppuration, mobility, missing teeth, implants, restorative conditions, corrections, and rapid transitions. Deliberately introduce ambiguous phrases and have the user correct them. The product should make uncertainty visible rather than confidently placing a value on the wrong tooth. Bola does not publish one simple self-serve price for every configuration, so request a quote that includes the modules, integrations, hardware, implementation, training, support, contract term, and all clinical users you need. Also ask what happens if the PMS or internet connection is unavailable. Choose Bola for structured voice charting only after validating exact field placement and a safe correction workflow. Verify it: Bola AI official Voice Clinical Suite . ## 2. Denti.AI Scribe: best for a combined dental narrative and charting workflow Denti.AI Scribe is the most relevant combined-category candidate in this comparison. Its official introduction describes a product designed specifically for dental professionals that can draft notes, support voice-based charting, generate referral letters, and provide coaching insights. That combination may suit a practice that wants one vendor to cover both the spoken clinical narrative and selected structured workflows. The important question is how those capabilities connect. Ask the vendor to demonstrate a complete exam: conversation, chart commands, clinician-only dictation, review, corrections, referral output, and transfer into the exact PMS used by the practice. Verify whether chart data remains discrete, whether the narrative note cites or mirrors it, and what happens when the two disagree. A combined product should reduce reconciliation, not create two competing versions of the encounter. Public product information does not establish one universal price or every supported integration. Request written confirmation of the modules, deployment path, user roles, BAA, retention, subprocessors, support access, and model-change process. Trial Denti.AI when the combined workflow is valuable, but score each module separately so strong referral-letter generation does not hide weak tooth-level capture—or the reverse. Verify it: Denti.AI official Scribe introduction . ## 3. Heidi: best for general narrative notes and a low-cost benchmark Heidi is worth testing when the main need is narrative documentation rather than structured dental charting. Its official pricing page currently includes unlimited standard AI documentation on the free plan, with advanced templates on paid tiers. Its transcription page describes multi-speaker, background-noise, offline, language, and specialty features. Those capabilities make it a reasonable generalist benchmark for exams, consults, referrals, or post-visit dictation. Do not use a successful narrative note as evidence that the product can replace voice perio. A paragraph saying “generalized four-millimeter pockets” is not the same as measurements in the correct tooth and surface fields. If the practice needs both outputs, pair the general scribe with an approved charting workflow or choose a combined dental platform. Measure the added handoff and make sure duplicate entry does not erase the time saved. Test names, tooth references, materials, procedures, medications, allergies, anesthesia details, and patient instructions. Confirm the BAA and US account terms, exact data flow, retention, and features available on the selected plan. Heidi can be the best economical narrative option without being the best dental charting option; the distinction should remain explicit in procurement. Verify it: Heidi official pricing and transcription page . ## 4. ClinicFrame: best for focused narrative notes, consultation capture, and dictation ClinicFrame is our product. For dental practices, its defensible role is narrative documentation: capturing the clinical conversation, drafting an exam or procedure note in a custom note template , and supporting dictation when recording during treatment is impractical. It can fit a dentist who wants a focused desktop application without changing the PMS, provided copy or export is an acceptable final step. It is not a replacement for specialist voice perio or restorative charting. ClinicFrame does not currently offer a direct dental PMS integration, and tooth-level measurements should remain in the structured dental workflow. A practice that needs hands-free chart entry should shortlist Bola or a combined dental platform first. A practice that needs narrative notes may still prefer ClinicFrame's simpler surface area. ClinicFrame includes a signed BAA with every account and states that patient content is never used to train AI models, ours or any third party's. Read the agreement rather than relying on any marketing sentence, ours included. During a pilot, time review and PMS transfer, verify every dental entity, and reject any note that adds procedures, findings, materials, or recommendations not established by the clinician. Verify it: ClinicFrame dental workflow . ## Dental charting and dental notes are different outputs Structured charting stores discrete findings tied to teeth, surfaces, sites, and procedures. Narrative scribing creates human-readable text describing the encounter, assessment, work performed, discussion, and plan. A transcript is neither. Practices should document which system is authoritative for each element and how inconsistencies are resolved before they sign a vendor contract. For example, a narrative note may summarize periodontal findings, but the periodontal chart remains the precise clinical dataset. A treatment discussion may belong in the note while the planned procedure and tooth surface belong in structured treatment planning. Asking one generative paragraph to serve every purpose increases ambiguity and can make future review harder. ## A seven-step dental pilot Build the pilot around the office, not the vendor's quiet demo. Use de-identified simulations or properly authorized encounters in the actual operatories and include the people who will use the system: dentists, hygienists, assistants, and chart reviewers. Define pass/fail fields before the first session and keep the same cases across products. Test a hygiene visit with real --- # Best AI Scribes for Nurses and Nurse Practitioners URL: https://clinicframe.com/blog/best-ai-scribes-for-nurses Compare AI scribes for bedside nurses, ambulatory nursing, NPs, and PMHNPs across flowsheets, narrative notes, EHR integration, privacy, and review. Publisher disclosure: ClinicFrame publishes this comparison and is included for advanced-practice and narrative workflows. We do not imply that a self-serve medical scribe can replace an organization-approved nursing flowsheet product or EHR implementation. Short answer: For hospital nursing flowsheets, start with an enterprise evaluation of Abridge Nursing and Notula , both of which publicly describe turning nurse-patient conversations into structured draft documentation. For nurse practitioners who write encounter notes, Heidi is a flexible general benchmark and ClinicFrame is a focused desktop alternative. PMHNPs should also compare psychiatry-specific products. A bedside RN should not install a self-serve scribe for PHI outside the organization's approved governance, EHR, device, and documentation workflow. Search results for “AI scribe for nurses” often answer the wrong question. They list physician-style note generators and assume every nurse creates a SOAP note from a consultation. Bedside and inpatient nurses commonly document assessments, interventions, education, intake/output, device status, medication administration, safety checks, and care-plan changes across structured flowsheets and time-stamped events. Nurse practitioners and other advanced-practice clinicians often create narrative encounter notes. Ambulatory, home-health, school, public-health, and care-management nursing add still more workflows. That role distinction changes the product category. A nursing ambient system may need to convert natural conversation into discrete flowsheet rows with source traceability and EHR integration. A nurse practitioner may instead need HPI, exam, assessment, and plan in a note template. A general scribe can be useful for the second job and unsafe or operationally useless for the first if it creates text that must be manually re-entered into structured fields. This guide therefore does not crown one universal winner. It segments the market by documentation job and uses current official sources plus government implementation guidance. Nurses remain accountable for documentation within their role and policy. Generated content must be reviewed before it enters the record, and clinical decisions remain human. ## Best options at a glance Best enterprise nursing shortlist: Abridge Nursing, for draft flowsheet rows, review, verification, and source traceability inside a governed deployment. Best nursing-specific emerging workflow: Notula, for converting natural nurse-patient conversation into discrete flowsheet documentation. Best general NP benchmark: Heidi, for broad clinical templates, a free standard-documentation tier, languages, and flexible capture. Best focused ClinicFrame option for NPs: ClinicFrame, for in-person, telehealth, or dictated narrative notes when a desktop copy/export workflow is acceptable. ## How we compared these AI scribes We checked the products and source pages on August 23, 2026. Vendor terms, prices, and features change, so follow the linked source and verify the current contract before processing real records. We separated bedside/inpatient flowsheet documentation from advanced-practice narrative encounter notes before comparing products. For nursing platforms, we prioritized discrete field mapping, provenance, review, EHR integration, organization approval, device workflow, timing, interruptions, and role-based access. For NP scribes, we considered note templates, clinical-entity accuracy, attribution, telehealth/in-person capture, EHR handoff, BAA, retention, and review. We used NHS England's current ambient-scribing implementation guidance as a practical governance reference while recognizing that US requirements and local policy differ. We did not treat vendor efficiency claims as independent evidence and did not assign a universal score across products built for different users and systems. ## Side-by-side comparison Tool Best fit What we verified Main limitation to test Abridge Nursing enterprise bedside nursing flowsheet documentation Natural nurse-patient conversation to draft flowsheet rows, nurse review/verification, and traceability to source conversation This is an organizational platform decision; public self-serve price and universal EHR availability are not established Notula nursing-specific discrete documentation pilots Ambient nursing focus and conversion of natural conversation into discrete flowsheet documentation Emerging vendor; deployment footprint, integrations, pricing, validation, and enterprise controls require direct due diligence Heidi nurse practitioners needing flexible narrative encounter notes Unlimited standard notes on a free plan, advanced templates on paid tiers, broad languages, multiple capture modes, and published security claims General narrative scribe; it is not a bedside nursing flowsheet platform and must be approved for the exact organization and role ClinicFrame independent and small-practice NP narrative notes Mac/Windows desktop use, in-person and telehealth capture, post-visit dictation, custom templates, and copy/PDF output No direct EHR or bedside flowsheet integration ## The best AI scribes for this workflow ## 1. Abridge Nursing: best for enterprise bedside nursing flowsheet documentation Abridge Nursing is the clearest current example of a product designed around the bedside documentation problem rather than a physician-note analogy. Its official page states that natural nurse-patient conversations can generate draft flowsheet rows and emphasizes that nurses review and verify the documentation before it reaches the chart. It also describes traceability from the draft back to the source conversation, a valuable control when structured values need confirmation. This is not a personal productivity app decision. A hospital evaluating Abridge needs nursing, informatics, clinical safety, IT, privacy, security, legal, labor, EHR, education, and quality stakeholders. The pilot should define which flowsheet elements are in scope, which remain manual, how time stamps are assigned, what source evidence is retained, who can review it, and how the system handles interruptions, conflicting statements, background speech, and patients who decline. Ask the vendor to demonstrate the actual EHR build and representative units, not only a generic bedside scenario. Test admissions, assessments, education, mobility, safety, devices, pain, discharge, and handoff. Verify whether the tool supports discrete documentation without encouraging nurses to speak unnatural checklists in front of patients. Require clear fallbacks and never let an automatically drafted row become charted as performed or observed without nurse verification. Verify it: Abridge official Nursing platform . ## 2. Notula: best for nursing-specific discrete documentation pilots Notula is another nursing-specific product to watch because its public site describes ambient intelligence that structures natural nurse-patient conversation into the discrete documentation nursing flowsheets require. It explicitly frames the problem as avoiding a forced clinical-language recital during the patient interaction. That is a useful product hypothesis: documentation should emerge from care without making the conversation feel like data entry. The public site alone is not enough to establish production readiness for a particular organization. Request evidence for supported EHRs, discrete fields, provenance, timing, accuracy by patient population and unit, accessibility, device and network requirements, role controls, retention, security, BAA, subprocessors, downtime, support, implementation, and monitoring. Ask which claims are validated independently and which are early customer or company metrics. Pilot Notula only inside an approved organizational process. Start with a narrow unit and limited documentation scope, maintain parallel review, and define stop criteria for missing observations, wrong time, wrong patient, unsupported entries, or workflow disruption. Include nurses with different shifts, accents, experience levels, device habits, and patient populations. An emerging product can be the best fit while still requiring the most careful evidence plan. Verify it: Notula Health official site . ## 3. Heidi: best for nurse practitioners needing flexible narrative encounter notes Heidi is relevant primarily to NPs and other nurses who create narrative visit documentation. Its official pages describe unlimited standard note generation on a free tier, advanced templates on paid tiers, multi-speaker and background-noise handling, offline transcription, broad language support, and EHR-related workflows. That makes it a practical benchmark for primary care, specialty, urgent care, telehealth, and some care-management notes. A nurse practitioner should test the same high-risk entities as any prescribing clinician: names, allergies, medications, dose, route, frequency, adherence, symptoms, duration, negatives, exam findings actually observed, diagnoses considered by the clinician, orders, counseling, and follow-up. The scribe must not add a normal exam, diagnosis, code, or treatment merely because it makes the note complete. Confirm BAA availability and the governing terms for the exact US plan and organization, plus transcript/note retention, assistant features, support access, and EHR transfer. A free product can be appropriate only after the same privacy and clinical review as a paid one. Bedside nurses should not infer that Heidi's general note workflow can populate or replace approved flowsheets. Verify it: Heidi official transcription and pricing pages . ## 4. ClinicFrame: best for independent and small-practice np narrative notes ClinicFrame is our product. Its relevant nursing use case is not hospital flowsheet automation; it is narrative documentation for NPs, PMHNPs, nurse-led clinics, or ambulatory workflows where a focused desktop application and manual EHR handoff are acceptable. It supports in-person capture, telehealth system audio without a meeting bot, post-visit medical dictation , and custom note structures. The limitations are important. ClinicFrame does not currently integrate directly with EHR fields and has no native inpatient flowsheet, medication-administration, device, or task workflow. It should not be positioned as a replacement for the hospital record. An NP should time the copy/export step, verify the correct chart, and compare the full workflow with integrated alternatives. A PMHNP should also evaluate the psychiatry-specific shortlist . ClinicFrame includes a signed BAA with every account and states that patient content is never used to train AI models, ours or any third party's. Confirm the agreement and data-use terms against your organization's own review before PHI use. In a pilot, reject unsupported exam findings, diagnoses, orders, codes, education, or follow-up, and confirm that scope and organizational policy permit the workflow. Verify it: ClinicFrame nursing workflow . ## First decide which nursing documentation job you have A bedside RN may need discrete assessments, events, interventions, education, and care-plan updates. An ambulatory nurse may document triage, advice, care coordination, or procedures. A home-health nurse may need visit narratives plus structured assessments. An NP may write a complete diagnostic and management note. A PMHNP combines prescribing and behavioral-health risk. One “nursing template” cannot responsibly represent all of these. Create a workflow map showing who speaks, what information is captured, what fields receive it, when the record becomes final, who reviews it, and what the fallback is. If the output still requires re-entering twenty flowsheet fields, a narrative scribe has not solved the bedside problem. If an NP only needs an HPI and plan draft, a large enterprise nursing platform may be unnecessary. ## Governance bef --- # Best AI Scribes for Physical and Occupational Therapists URL: https://clinicframe.com/blog/best-ai-scribes-for-physical-therapists Compare AI scribes for PT and OT on evaluations, daily notes, goals, objective measures, CPT support, rehab EHR workflow, privacy, and review. Publisher disclosure: ClinicFrame publishes this comparison and is included. Vendor metrics are identified as vendor claims and are not converted into independent proof; recommendations are based on documented workflow fit and a specialty-specific evaluation rubric. Short answer: For PT/OT-specific documentation and coding feedback alongside an existing EHR, shortlist PredictionHealth Sidekick . If you are evaluating a broader rehab EHR and revenue-cycle platform, shortlist SPRY . Use Heidi or Twofold as flexible multi-specialty benchmarks. Consider ClinicFrame when a focused desktop note and dictation workflow is more important than direct rehab integration. The best tool is the one that preserves objective measures, laterality, goals, skilled care, response, and plan with the least consequential editing. Rehab documentation asks an AI scribe to do more than summarize a conversation. A defensible PT or OT note connects the patient's report, objective measures, functional limits, skilled intervention, dosage or parameters, response, progress toward goals, home program, and next plan. Evaluations, daily notes, progress reports, recertifications, and discharge summaries are related but not interchangeable. If a product creates one generic SOAP note for all of them, the therapist may spend the saved time rebuilding the clinical logic. The physical environment matters too. Sessions occur in open gyms, treatment rooms, homes, schools, and telehealth. The clinician may move away from a device, demonstrate an exercise, speak with a caregiver, or treat more than one person within earshot. A product that performs well in a quiet demo may miss exercise dosage, side, assistance level, pain response, or a whispered measurement in the real clinic. This comparison separates rehab-specific platforms from general medical scribes. Coding and compliance suggestions are evaluated as decision support, not guarantees. The licensed professional remains responsible for the services documented, code selection, medical necessity, plan of care, signatures, and the final record. ## Best options at a glance Best rehab-specific add-on: PredictionHealth Sidekick, for PT/OT ambient notes, smart dictation, and point-of-workflow CPT/compliance feedback. Best integrated rehab platform: SPRY, for an EHR/RCM environment with native scribing, templates, co-signs, authorization, and billing workflow. Best free general benchmark: Heidi, for unlimited standard notes and flexible capture across specialties. Best browser-based generalist: Twofold, for cross-device capture, custom templates, and an explicit physical-therapy specialty presence. Best focused ClinicFrame alternative: ClinicFrame, for desktop in-person or dictated notes with custom structures and simple copy/export. ## How we compared these AI scribes We checked the products and source pages on August 23, 2026. Vendor terms, prices, and features change, so follow the linked source and verify the current contract before processing real records. We compared evaluation, daily, progress, recertification, and discharge workflows rather than treating one SOAP output as sufficient. We prioritized objective measures, laterality, units, assistance, functional goals, skilled intervention, dosage, response, plan continuity, and supervision or co-sign needs. We separated standalone scribes, EHR add-ons, and full rehab platforms so integration and migration costs remain visible. We treated CPT, compliance, reimbursement, and time-saving statements as vendor claims or decision support that requires therapist review, not guaranteed outcomes. We included privacy, BAA, consent, device, noisy-gym performance, EHR transfer, implementation, and regression testing in the buying rubric. ## Side-by-side comparison Tool Best fit What we verified Main limitation to test PredictionHealth Sidekick PT/OT-specific scribing and coding feedback Ambient listening, smart dictation, PT/OT focus, CPT feedback, browser extension workflow, and a two-week trial Pricing is not prominently standardized and vendor improvement percentages require independent validation in your clinic SPRY an integrated rehab EHR, documentation, and billing workflow Native AI SOAP scribe, PT/OT/SLP workflows, prior-note context, templates, co-signs, compliance checks, authorization, and billing readiness It is a larger platform decision, not a lightweight scribe purchase; migration, implementation, and custom pricing matter Heidi a free, flexible narrative-note benchmark Unlimited standard documentation on the free plan, advanced templates on paid tiers, offline transcription, broad language support, and security claims No native rehab EHR, authorization, co-sign, or discrete objective-measure workflow is established by the general product page Twofold cross-device general scribing with physical-therapy templates Physical-therapy specialty page, in-person/telehealth/dictation capture, custom templates, BAA/no-training statements, and public personal pricing Rehab-specific coding, objective fields, and EHR behavior should be verified rather than inferred from general marketing ClinicFrame a focused desktop note and dictation workflow Mac/Windows app, in-person capture, dictation, custom note formats, and copy/PDF output No direct rehab EHR integration or native coding/compliance workflow ## The best AI scribes for this workflow ## 1. PredictionHealth Sidekick: best for pt/ot-specific scribing and coding feedback PredictionHealth Sidekick is the strongest add-on shortlist when the practice wants rehab-specific documentation support without necessarily replacing the EHR. Its official page describes ambient listening, smart dictation, PT/OT-specific compliance models, real-time CPT feedback, and multiple capture modes. Its browser-extension demo also makes the integration expectation explicit: users can generate drafts and work in areas associated with CPT documentation. The vendor publishes substantial time, coding, and compliance improvement figures and customer examples. Treat those as reasons to investigate, not promises that transfer to your payer mix, baseline, and documentation habits. Ask for the study definitions, sample, comparison period, exclusions, and whether the result reflects selected customers. Build your own baseline for after-hours notes, time to sign, corrections, denials, and coding changes before the pilot. Sidekick should be tested on the record details rehab auditors and subsequent clinicians need: objective measures with units, laterality, skilled cues, assistance level, exercise or activity parameters, patient response, goal progress, plan changes, and code-support rationale. Confirm the BAA before PHI use and verify the exact EHR integration, user workflow, outage fallback, and how suggested codes remain clearly subordinate to the therapist's judgment. Verify it: PredictionHealth Sidekick official product page . ## 2. SPRY: best for an integrated rehab ehr, documentation, and billing workflow SPRY belongs in a different category from a standalone scribe. Its official documentation page describes a connected workflow spanning intake, prior notes, goals, visit count, authorization status, AI-generated SOAP notes, templates, co-signatures, compliance checks, and billing. The platform supports PT, OT, SLP, pelvic health, pediatrics, sports medicine, neuro rehab, and other outpatient therapy contexts. That integration can reduce the duplicate entry and wrong-chart risks of copy-and-paste, but it also makes the purchase larger. A clinic should evaluate clinical documentation, scheduling, intake, authorization, billing, reporting, migration, training, support, contract term, data export, and termination together. A scribe that comes with a new system of record can be the best strategic answer and the wrong tactical answer for a practice satisfied with its current EHR. SPRY publishes case studies and product performance claims, including reductions in documentation time. Validate them against your own baseline and include therapists with different experience levels. Test objective fields, goal carry-forward, progress calculations, PTA/OTA co-sign workflows, plan-of-care deadlines, and the path from signed note to claim. The integrated system should make discrepancies easier to find, not merely automate them downstream. Verify it: SPRY official SOAP and documentation workflow . ## 3. Heidi: best for a free, flexible narrative-note benchmark Heidi gives independent therapists and small practices a low-cost way to test general ambient documentation. Its free tier currently offers unlimited standard note generation, while paid tiers add advanced templates and other capabilities. Its transcription page describes offline use, background-noise handling, multiple speakers, and broad language support—features that can matter in home health, rural practice, and busy rehabilitation environments. A general scribe should be judged on rehab detail rather than fluency. Configure an evaluation and daily-note template, then verify range-of-motion values, strength grades, assistance, distance, repetitions, duration, side, device, cues, response, goals, and next plan. If the product converts a specific intervention into a vague sentence, the note may sound clean while losing skilled-care evidence. Confirm which templates and controls are available on the selected plan, the US BAA process, data retention, and the final EHR handoff. Heidi can be an excellent narrative benchmark without replacing a rehab platform's authorization, co-sign, and billing workflow. Price the review and transfer time honestly. Verify it: Heidi official transcription page . ## 4. Twofold: best for cross-device general scribing with physical-therapy templates Twofold is another generalist worth benchmarking. Its official site lists physical therapy among its specialties and supports in-person, telehealth, post-visit dictation, text, upload, desktop, and mobile workflows. Its personal plan is currently published at $69 monthly or $49 per month billed annually, with custom templates and unlimited notes. The security page states that Twofold offers a BAA for healthcare customers, does not retain recordings on its servers, and does not use patient data to train models. Confirm the governing agreement, transcript/note retention, account controls, and organizational features. For a group, verify shared templates, administrative visibility, offboarding, support access, and whether individual-plan behavior matches group deployment. The product should earn its place by preserving rehab content. Test a long evaluation, short daily note, progress report, and discharge. Ask it to distinguish patient report from measured performance, keep goals measurable, document skilled intervention and response, and avoid inventing exercises or normal findings. If code support is offered, compare it with the documented service and require therapist approval. Verify it: Twofold official site and PT specialty navigation . ## 5. ClinicFrame: best for a focused desktop note and dictation workflow ClinicFrame is the product behind this article. Its relevant PT/OT use case is a clinician who wants a focused desktop app for capturing the encounter or dictating afterward and generating an approved custom note template . It does not require an EHR migration, and it can support different formats for evaluations, daily notes, progress visits, and discharge when those templates are configured carefully. ClinicFrame does not currently integrate directly with rehab EHR fields and does not provide the native CPT, authorization, co-sign, or billing workflow of PredictionHealth or SPRY. The reviewed note must be copied or exported. That may be acceptable for a solo cash-pay practice and a poor fit for a high-volume insurance clinic. Time the handoff and consider wrong-chart, formatting, and discrete-field ris --- # 5 Best AI Scribes for Psychiatrists and PMHNPs URL: https://clinicframe.com/blog/best-ai-scribes-for-psychiatrists Compare AI scribes for psychiatry and PMHNP workflows: evaluations, medication management, MSEs, psychotherapy add-ons, privacy, and EHR handoff. Publisher disclosure: ClinicFrame publishes this comparison and is included below. Recommendations are editorial judgments based on current first-party documentation and psychiatry-specific workflow requirements; we did not conduct a head-to-head clinical trial. Short answer: For the most psychiatry-specific individual-clinician workflow, start with PMHScribe . Mentalyc is a strong choice when a practice combines psychotherapy and prescribing. Heidi and Twofold are flexible multi-specialty options worth benchmarking. ClinicFrame fits clinicians who want a focused desktop workflow and custom psychiatric note structures. None should be selected until it has been tested on medication changes, MSE attribution, risk language, and the final EHR transfer. Psychiatric documentation contains failure modes that a generic visit summary can hide. A fluent note can omit a dose change, turn a patient report into an observed finding, overstate a denial into a full risk conclusion, or merge psychotherapy content into the medical record. Those errors may be small in word count and large in clinical consequence. The best psychiatry scribe is therefore not the one that writes the longest or most polished note; it is the one that preserves the distinctions a psychiatrist or psychiatric nurse practitioner must verify. The APA Publishing review of AI scribes in psychiatry describes both the potential benefits and the need to manage privacy, hallucinations, bias, and the nuanced nature of psychiatric care. That balanced frame informs this guide. Every product still produces a draft. The treating professional remains responsible for the assessment, prescribing decision, risk evaluation, coding, and signed record. We separate purpose-built psychiatric tools from broad medical scribes and focused documentation apps. A solo outpatient prescriber, a therapy-plus-medication practice, and an enterprise psychiatry department may rationally choose different products. Use this list to build a shortlist, then run a controlled pilot with representative, authorized scenarios. ## Best options at a glance Best psychiatry-specific option: PMHScribe, for psychiatric formatting, medication management, psychotherapy add-ons, and provider-focused privacy controls. Best combined therapy and prescribing platform: Mentalyc, for behavioral-health templates spanning therapy, psychiatric evaluations, and medication workflows. Best flexible free benchmark: Heidi, for broad template and language support with an unlimited standard-documentation tier. Best browser-based generalist: Twofold, for cross-device capture and published behavioral-health/privacy details. Best focused ClinicFrame workflow: ClinicFrame, for desktop telehealth capture without a meeting bot, dictation, and custom psychiatric structures. ## How we compared these AI scribes We checked the products and source pages on August 23, 2026. Vendor terms, prices, and features change, so follow the linked source and verify the current contract before processing real records. We prioritized support for psychiatric evaluations, medication-management follow-ups, mental status examinations, psychotherapy add-ons, treatment plans, and patient instructions. We looked for explicit control of attribution: patient report, collateral report, clinician observation, and assessment must not collapse into one voice. We reviewed public capture, BAA, audio, retention, training, access, and EHR-transfer information, while treating vendor statements as claims to confirm contractually. We considered the ability to preserve dose, frequency, route, adherence, side effects, changes, risk actions, and follow-up without implying that the scribe makes clinical decisions. We did not award accuracy scores because the vendors do not publish one comparable, independent psychiatry benchmark using the same encounters and rubric. ## Side-by-side comparison Tool Best fit What we verified Main limitation to test PMHScribe psychiatry-specific documentation Psychiatric formatting, medication management, psychotherapy add-ons, BAA availability, no stored audio, and $99 monthly psychiatry plan Smaller, specialist platform; verify EHR fit, support capacity, and current security documentation for your organization Mentalyc practices combining therapy and medication management Psychiatric evaluation and medication templates, broad therapy workflows, signed BAA access, EHR browser extension, and published data-use answers Its therapy-insight ecosystem may exceed the needs of a prescribing-only practice Heidi a flexible multi-specialty benchmark with a free tier Unlimited standard notes on the free plan, advanced templates on paid tiers, 110+ language claim, and published security controls Psychiatry is not the sole product focus; advanced template and team workflows may require paid plans Twofold cross-device psychiatry and behavioral-health use Psychiatry and behavioral-health templates, in-person/telehealth/dictation inputs, published BAA and no-training statements, and personal pricing Multi-specialty defaults may need careful psychiatric template configuration ClinicFrame a focused desktop psychiatric note workflow Mac/Windows capture, telehealth system audio without a bot, dictation, custom formats, patient-history features, and copy/PDF handoff No direct EHR integration and unresolved public wording about BAA/training terms ## The best AI scribes for this workflow ## 1. PMHScribe: best for psychiatry-specific documentation PMHScribe is the most direct answer for an individual psychiatrist or PMHNP who wants a product designed around psychiatric rather than general medical documentation. Its official page describes psychiatric formatting, medication management, psychotherapy add-ons, patient medication education, ambient capture, and post-visit dictation. The psychiatry plan is currently listed at $99 per month or $999 yearly, while group pricing requires contact. Confirm current checkout terms before budgeting. Its privacy page states that it does not save an audio recording, retains transcripts and completed notes until the customer deletes them, offers a BAA for practices, encrypts data at rest, and does not use customer data to train models. That is a useful level of specificity because “no recording” does not mean “no retained text.” A practice can decide whether the transcript/note retention controls fit its policy and ask how backups, support access, and account termination are handled. The reason to trial PMHScribe is not a marketing superlative; it is the narrower workflow. Test an initial evaluation, a short medication follow-up, a combined E/M and psychotherapy encounter, and a risk-sensitive visit. Verify that psychotherapy content stays appropriately separated, medication changes are exact, the MSE contains only supported findings, and the final note fits your EHR without extensive reformatting. Verify it: PMHScribe official HIPAA and pricing page . ## 2. Mentalyc: best for practices combining therapy and medication management Mentalyc is a strong second choice for practices where prescribers and therapists share a behavioral-health ecosystem. The official FAQs state that it supports PMHNP workflows, psychiatric evaluations, medication management, customizable note layouts, and a browser extension for inserting notes into web-based EHRs. That can be valuable for a group trying to standardize documentation across therapy and prescribing without forcing both roles into a generic medical template. The same FAQs describe BAA access, model-training terms, and audio handling. Read those sections together: certain audio is temporarily used and retained for a stated period to support note generation, while other features have their own behavior. A psychiatric practice should map each enabled feature, not rely on the shortest privacy sentence. Also decide whether longitudinal insights are appropriate for the intended record and who may access them. Trial Mentalyc if psychotherapy documentation is a central part of the practice. Score whether medication lists, dose changes, side effects, and risk actions receive the same precision as therapy interventions and progress. Ask how psychiatric and psychotherapy records are separated, how shared templates are governed, and whether the EHR extension places each section in the correct chart fields. Verify it: Mentalyc official FAQs . ## 3. Heidi: best for a flexible multi-specialty benchmark with a free tier Heidi is useful as a benchmark because its free tier currently offers unlimited standard documentation and its transcription product claims broad language support, multi-speaker handling, offline transcription, and specialty adaptation. A psychiatrist can test whether a general clinical platform captures the structure of common visits before purchasing advanced templates or team capabilities. Heidi states that audio is not stored after processing and publishes several security and privacy certifications. Those claims support a shortlist, not a complete vendor review. Confirm the US BAA process for the exact account, where transcripts and notes remain, whether evidence or assistant features send additional context through different workflows, and which controls are available on the selected tier. The most important test is discipline. Generate a note from a visit containing a historical diagnosis, a current symptom report, an observed MSE, a dose adjustment, and a safety discussion. Check whether Heidi keeps each source and time frame distinct. A generalist that needs two minutes of corrections may beat a specialist that needs ten; a polished draft with one unsupported risk statement should fail regardless of speed. Verify it: Heidi official pricing and transcription page . ## 4. Twofold: best for cross-device psychiatry and behavioral-health use Twofold offers a browser-based workflow across desktop and mobile, with in-person, telehealth, dictation, typed, and upload inputs described on its official site. Its behavioral-health material includes multiple note formats and coding-related features. The current personal price is listed as $69 monthly or $49 per month billed annually, with a trial; promotional offers can vary, so use the live pricing page when deciding. Its security page states that a BAA is available for healthcare customers, recordings are not retained on its servers, patient data is not used for model training, and PHI is hosted on US infrastructure. A group should validate these claims through the agreement and security review and determine how transcripts, notes, user access, and administrative visibility are handled. Shortlist Twofold if device flexibility and fast onboarding matter more than a psychiatry-only product. Build approved templates for initial evaluation, medication follow-up, and any psychotherapy add-on before judging it. Pay particular attention to the boundary between a symptom mentioned in conversation and a finding the clinician actually assessed. Verify it: Twofold official behavioral-health page . ## 5. ClinicFrame: best for a focused desktop psychiatric note workflow ClinicFrame is our product, and its best case is deliberately narrow: a psychiatrist or PMHNP who wants a focused desktop application for in-person visits, telehealth capture without an extra meeting participant, or dictation after the visit. Custom note templates can be configured for evaluations, medication follow-ups, and other psychiatric records, and patient-history tools can help surface prior chart context for clinician review. ClinicFrame does not currently send notes directly into an EHR. The reviewed draft is copied or exported, which keeps implementation simple but adds a handoff that should be timed and risk-assessed. Large organizations may prefer an enterprise system with discrete field integration, role governance, and centralized deployment. A solo clinician ma --- # 5 Best AI Scribes for Therapists in 2026 URL: https://clinicframe.com/blog/best-ai-scribes-for-therapists Compare five AI scribes for therapists on note formats, privacy, telehealth, customization, EHR workflow, and price with current primary sources. Publisher disclosure: ClinicFrame publishes this comparison and is one of the products included. We apply the same source standard to every tool, identify where another product is the stronger fit, and do not claim hands-on testing that we did not perform. Short answer: There is no single best scribe for every therapist. Mentalyc is the strongest therapy-only shortlist; Upheal is the broadest option if you may want an AI-native mental-health EHR; Twofold offers a straightforward browser-based workflow with published privacy terms; Heidi is a flexible general clinical option with a usable free tier; and ClinicFrame is worth testing when you want a focused desktop workflow for in-person, telehealth, and post-session dictation. The right winner is the one that produces your approved note with the fewest meaningful corrections. Therapy documentation is not simply a medical SOAP note with different labels. A weekly progress note may need to connect symptoms, interventions, client response, progress toward goals, risk content, and a plan while still applying the minimum-necessary principle. An intake, couples session, psychological service, and medication follow-up each create a different record. A useful AI scribe must fit those distinctions instead of producing one polished generic summary. Privacy language also needs more precision than a badge. Before any tool processes protected health information, a practice should understand the Business Associate Agreement, what is captured, whether audio or transcript text is retained, who can access the output, whether customer content is used for model improvement, and how records are deleted. A BAA is important, but it does not make every configuration or use compliant by itself. Your practice remains responsible for its risk analysis, consent process, access rules, and final clinical record. This guide focuses on products with public information relevant to independent clinicians and behavioral-health practices. It does not treat vendor testimonials as independent proof, and it does not repeat time-saving or accuracy percentages without a transparent, comparable study. For a market-wide view before narrowing by specialty, see the seven-product AI medical scribe comparison . Then use this shortlist to choose two or three therapy-capable trials and score the same simulated or properly authorized sessions in each. ## Best options at a glance Best therapy-only platform: Mentalyc, for a deep behavioral-health template and insight ecosystem. Best if you may replace your EHR: Upheal, because notes, scheduling, forms, client portal, and telehealth can live in one mental-health platform. Best browser-based generalist: Twofold, for a simple cross-device workflow and clearly published BAA, audio, and training terms. Best free general clinical starting point: Heidi, when standard templates are enough for an initial evaluation and you need broader medical use. Best focused ClinicFrame workflow: ClinicFrame, when desktop telehealth capture without a meeting bot, dictation, custom formats, and copy/export fit your practice. ## How we compared these AI scribes We checked the products and source pages on August 23, 2026. Vendor terms, prices, and features change, so follow the linked source and verify the current contract before processing real records. We included products with a current official page describing therapy or configurable clinical documentation, not tools that only transcribe speech. We compared the record that reaches the chart: DAP, BIRP, SOAP, intake, treatment-plan, and custom-template support; attribution; and control over unnecessary detail. We checked capture modes, including in-person, telehealth, text or dictation, and whether the workflow requires changing the practice's EHR. We reviewed vendor-published BAA, audio-retention, security, and model-training statements. These are vendor representations, not our independent security audit. We considered price only when a current official source exposed it. Because plans change, price is a shortlist factor rather than a permanent score. ## Side-by-side comparison Tool Best fit What we verified Main limitation to test Mentalyc a therapy-only documentation and insight platform Therapy templates, EHR browser extension, signed BAA access, SOC 2 Type II claim, and published audio/training terms Its broader clinical-insight layer may be more product than a clinician who only wants a concise note needs Upheal therapists considering an AI-native mental-health EHR AI notes, extensive template sections, telehealth, client portal, scheduling, forms, and public usage-based pricing The value proposition changes if you only need a scribe and do not want to move more practice operations into one platform Twofold a simple cross-device behavioral-health workflow DAP, BIRP, SOAP and other templates, telehealth and in-person capture, signed BAA language, no-training statement, and current personal-plan pricing It is a multi-specialty product, so therapy-specific depth should be tested against Mentalyc or Upheal Heidi a flexible free starting point across clinical specialties Unlimited standard documentation on the free tier, advanced templates on paid plans, broad language support, and published security certifications Behavioral health is one of many specialties, and advanced customization belongs to higher tiers ClinicFrame a focused desktop workflow for independent and small practices Mac and Windows desktop capture, in-person and telehealth modes, post-session dictation, DAP/BIRP/SOAP and custom formats, and copy/PDF handoff No direct EHR integration today, so the reviewed note reaches the record by copy or export ## The best AI scribes for this workflow ## 1. Mentalyc: best for a therapy-only documentation and insight platform Mentalyc deserves the first place on a therapy-specific shortlist because behavioral health is the product's center, not a secondary template category. Its official FAQs describe support for individual, couples, family, child, and PMHNP workflows; editable templates; psychiatric evaluations and medication-management layouts; and a Chrome extension that inserts finished notes into web-based EHRs. That breadth matters when a practice uses more than one service type or wants to connect progress across sessions. Its published privacy answers are unusually detailed for comparison work. Mentalyc states that a signed BAA can be generated from account settings, session data is not used to train models, and session audio is processed and deleted under the retention behavior it describes. Read the complete wording rather than compressing it into “audio is never stored”: the same FAQ explains temporary audio handling for note generation and separate behavior for some features. That distinction is exactly why practices should inspect the actual data flow instead of relying on a badge. Choose Mentalyc when you want a behavioral-health ecosystem with therapy-specific templates, treatment-plan continuity, and a browser-based EHR handoff. Test whether its insights and level of detail match your documentation policy. A feature that can surface more session content is not automatically better if the clinical record should remain concise. Verify it: Mentalyc official FAQs . ## 2. Upheal: best for therapists considering an ai-native mental-health ehr Upheal is the most distinct option in this list because it is positioning itself as a mental-health EHR with an AI assistant, not merely a note generator. Its current product and pricing pages describe AI notes, treatment plans, customizable note sections, scheduling, forms, a client portal, telehealth, and migration support. For a solo or growing practice already reconsidering its EHR, evaluating those workflows together can be more useful than buying a separate scribe and then solving integration later. The trade-off is scope. If the practice is satisfied with its EHR and only wants a draft note, an all-in-one platform may introduce more configuration, migration, and governance work than necessary. Conversely, if scheduling, forms, video, and documentation are fragmented, the broader platform may remove handoffs a standalone tool cannot. Upheal currently advertises usage-based pricing capped monthly, but verify the current US plan and what counts as a session before budgeting because the company has changed pricing models. During a trial, test both the note and the system around it: client intake, consent capture, telehealth, template behavior, corrections, signing, export, and what happens when you leave the platform. Confirm how existing records migrate and how you retrieve them later. The best all-in-one experience is still a poor fit if it makes record access or termination difficult. Verify it: Upheal official pricing and feature page . ## 3. Twofold: best for a simple cross-device behavioral-health workflow Twofold is a strong generalist candidate when the practice wants to start quickly without adopting a new EHR. Its official behavioral-health page lists DAP, SOAP, BIRP, GIRP, and PIRP templates, and its main site describes in-person, telehealth, post-visit dictation, typed notes, audio upload, desktop, and mobile workflows. The published personal plan is $69 monthly or $49 per month when billed annually, with a seven-day trial; verify the checkout total and current offer because promotional pricing can appear on the site. Twofold's security page states that it signs a BAA with healthcare organizations using the platform, does not use patient data for model training, processes audio to create the transcript and note, and does not retain the recording on its servers. Those are specific, useful procurement answers. They remain vendor statements, so a practice handling PHI should review the BAA, subprocessor list, retention controls, and exact account terms rather than treating this summary as due diligence. Shortlist Twofold when device flexibility and a low-friction browser workflow matter. In testing, pay attention to whether its default behavioral-health notes preserve the difference between client report, observed behavior, clinician assessment, and plan. Also time the last step into your EHR: a fast draft can lose its advantage if formatting or field placement requires repeated repair. Verify it: Twofold official behavioral-health and security pages . ## 4. Heidi: best for a flexible free starting point across clinical specialties Heidi belongs on the list because its free plan currently includes unlimited AI documentation using standard templates and its product spans many clinical specialties and languages. That makes it a practical baseline: a therapist can learn what ambient drafting changes about the session without committing to a paid plan. Its paid Clinician tier adds advanced templates and other assistant features, while team capabilities sit higher in the product structure. Heidi's official transcription and safety pages state that data is encrypted in transit and at rest, audio is not stored after processing, and the service aligns with several security and privacy standards. The company also emphasizes that the clinician reviews every note. A purchaser should still confirm US BAA availability for the exact plan and entity, retention of transcripts and notes, subprocessor terms, and whether advanced template controls needed by the practice require a paid tier. Choose Heidi when a free, multi-specialty tool and language coverage outweigh the need for a therapy-only environment. Compare its output with the same session in a behavioral-health specialist. Look especially for unnecessary narrative, unsupported normal findings, speaker confusion in couples or family work, and whether your preferred DAP or BIRP structure remains stable after customization. Verify it: Heidi official US pricing . ## 5. ClinicFrame: best for a focused desktop workflow for ind --- # Best AI Scribes for Veterinarians in 2026 URL: https://clinicframe.com/blog/best-ai-scribes-for-veterinarians Compare veterinary AI scribes on SOAP notes, species and signalment, multi-pet visits, PIMS transfer, client summaries, team access, price, and data terms. Publisher disclosure: ClinicFrame publishes this comparison and appears in it. The veterinary vendors below describe their own features and results; we use those pages for current product facts, not as independent proof of outcomes. Short answer: For a veterinary-specific free starting point, shortlist Scribenote . For a broader veterinary platform with many templates, team seats, and published PIMS features, shortlist VetRec . For dental, specialty, and clinic-wide veterinary workflows, consider ScribbleVet . ClinicFrame is a general clinical alternative for practices that prefer a focused desktop note and dictation workflow. The winner depends on species, visit types, PIMS transfer, client documents, mobile use, and how many corrections remain after a real clinic pilot. Veterinary AI scribes operate in a different environment from human medicine. The patient does not speak, the client may describe several animals in one conversation, the exam can move quickly, and the record must separate owner report from clinician findings. Medication names, concentrations, weights, doses, units, species, signalment, and laterality can turn one small transcription error into a significant clinical problem. Veterinary specificity therefore deserves real weight. HIPAA is often used carelessly in veterinary marketing. HIPAA generally protects identifiable health information about people in covered healthcare contexts; an animal's veterinary record is not automatically PHI because it is medical. Veterinary practices still have serious privacy, security, contractual, professional, employment, payment, and state-law responsibilities, and a record can include information about human clients. The correct procurement frame is the actual data and obligations involved, not a borrowed badge. This guide uses public first-party product and pricing pages checked on August 23, 2026. It does not claim that we personally tested every platform. Use it to select trials, then score the same authorized or simulated encounters across products in the actual clinic environment. ## Best options at a glance Best free veterinary starting point: Scribenote, for unlimited core notes, veterinary templates, team access, and PIMS transfer on its published free plan. Best broad veterinary workflow: VetRec, for 30+ specialty templates, multi-pet support, phone workflows, team seats, and published PIMS transfer. Best specialty and dental shortlist: ScribbleVet, for visual dental charts, customizable veterinary SOAPs, client-facing tools, and a lower-volume plan. Best general focused alternative: ClinicFrame, when desktop conversation capture, dictation, custom notes, and a simple copy/export workflow are enough. ## How we compared these AI scribes We checked the products and source pages on August 23, 2026. Vendor terms, prices, and features change, so follow the linked source and verify the current contract before processing real records. We prioritized veterinary terminology, species and signalment handling, multi-pet and herd workflows, medication and unit fidelity, and the distinction between owner report and clinician finding. We compared note templates, client summaries, callbacks, phone workflows, dental or specialty support, team seats, mobile availability, and PIMS transfer. We used official current pricing when public and kept annual, monthly, usage limits, support-staff access, trials, and enterprise terms separate. We reviewed vendor-published data-sharing, security, retention, and access statements without treating them as an independent security audit. We judged fit by time to a reviewed record in the correct PIMS and the severity of corrections, not by vendor accuracy or time-saving percentages. ## Side-by-side comparison Tool Best fit What we verified Main limitation to test Scribenote a free veterinary-specific starting point Free unlimited standard notes, veterinary templates, PIMS integration, team mode, and Pro pricing from $79 per DVM monthly when annual Advanced models, custom templates, phone tools, and default opt-out from model-improvement data sharing require the paid plan VetRec a broad veterinary platform and team workflow 30+ specialty templates, multi-pet support, records recap, phone integration, PIMS transfer, unlimited support seats, and public pricing Higher per-DVM price than basic scribes; enterprise controls and some deployment needs require a custom agreement ScribbleVet specialty, dental, and clinic-wide veterinary workflows 150-note Essential plan, unlimited clinic plan, visual dental charts, PIMS transfer, multilingual support, client tools, and Plumb's integration Unlimited pricing is materially higher than entry plans and should be modeled against actual DVM volume ClinicFrame a focused general note and dictation workflow Mac/Windows desktop capture, in-person sessions, dictation, custom templates, and copy/PDF handoff Not veterinary-specific and no direct PIMS integration ## The best AI scribes for this workflow ## 1. Scribenote: best for a free veterinary-specific starting point Scribenote is the easiest veterinary-specific product to put on a shortlist because its official pricing page currently offers a free plan with unlimited standard-model notes, default veterinary templates, PIMS integration, and team access. Its listed templates include medical SOAP, multi-pet, pack/herd, dental chart, ultrasound, callback, recap, and dictation. That is a meaningful free test surface, not a generic medical note wearing a veterinary label. The Pro plan is listed at $99 per DVM monthly or $79 per month when billed annually and adds advanced models, higher transcription quality, custom templates, Scribephone, and other features; support staff are included with a paid DVM. Read the data-sharing row carefully. Scribenote explains that non-personally identifiable appointment data may be used for model improvements, while Pro and Enterprise users are opted out by default. A practice should confirm the current terms and whether its own definition and obligations align with that setup. Choose Scribenote when price and veterinary specificity matter. Test the free and Pro behavior on the same encounters rather than assuming the free model represents the paid result. Verify species, names, signalment, multi-pet attribution, medication units, dental content, client instructions, and the exact PIMS transfer. Count support-staff workflow as part of total value. Verify it: Scribenote official pricing . ## 2. VetRec: best for a broad veterinary platform and team workflow VetRec has one of the clearest public veterinary offerings. Its official pricing page lists a $99-per-vet monthly equivalent when billed annually or $150 monthly, both with a 14-day trial. The plans include unlimited visits, 30-plus specialty templates, a template builder, multi-pet support, records recap, phone-call integration, one-click PIMS transfer, webinars, and unlimited seats for technicians and front-desk staff. That package makes VetRec especially relevant for clinics where documentation is distributed across the care team. A DVM-only price can look expensive next to a general scribe and economical once technician, CSR, callback, and records workflows are included. Request a demonstration using your PIMS and roles. Confirm which integrations are direct, extension-based, or copy-based; what data returns to discrete fields; and how the system prevents one pet's history from entering another pet's record. VetRec's vendor-published customer and time-saving numbers are not independent comparative evidence, so do not use them as the decision rule. Use your own baseline. Trial routine GP, multi-pet, emergency, phone, and specialty cases, measure time to signed record, and review all medication and client-instruction content. Enterprise groups should also test SSO, role-based access, analytics, deployment, uptime terms, and data agreements. Verify it: VetRec official pricing . ## 3. ScribbleVet: best for specialty, dental, and clinic-wide veterinary workflows ScribbleVet is a strong specialty shortlist because its official site describes veterinary-tuned SOAP generation plus visual dental charts, PIMS transfer, multilingual support, customizable templates, phone/client tools, and an integration with Plumb's on the broader plan. The Essential tier is currently listed at $40 per user per month for 150 SOAP notes, with additional blocks available. That may fit lower-volume or part-time users better than a single unlimited price. The Unleashed plan is listed at $200 per DVM monthly or $150 per month billed annually and includes unlimited customizable SOAPs, full workflow features, and support-staff invitations without additional charge. Model the number of active DVMs, note volume, dental and client-summary use, and support seats. A cheaper entry plan can become expensive with overages; an unlimited clinic plan can be wasteful if only one workflow is used. During the pilot, include a dental encounter, a multilingual client conversation if relevant, a complex specialty case, and a phone callback. Verify that references and clinical suggestions remain separate from what was actually discussed and decided. No integration or reference tool removes the DVM's obligation to verify diagnosis, dose, contraindications, client instructions, and record accuracy. Verify it: ScribbleVet official plans and features . ## 4. ClinicFrame: best for a focused general note and dictation workflow ClinicFrame is the product publishing this guide. It is a general clinical documentation tool, not a veterinary platform with multi-pet, herd, dental-chart, phone, or PIMS modules. Its relevant use case is a small practice or relief veterinarian who wants a focused desktop app for conversation capture, custom note generation, and post-visit medical dictation and is comfortable transferring the reviewed note manually. That narrower scope can be a benefit or a disqualifier. A clinician who changes clinics may value an independent workflow. A busy hospital that needs role-based team access and one-click PIMS transfer should favor veterinary-specific products. Test vocabulary, species, breed, signalment, names, drug and unit accuracy, client-versus-clinician attribution, and the manual transfer step. A general model must earn its place against specialist alternatives. ClinicFrame includes a signed BAA with every account and states that patient content is never used to train AI models, ours or any third party's. Veterinary records are not automatically governed by HIPAA, so a BAA is not the right purchasing frame here: the practice still needs accurate contractual answers on retention, data use, access, and deletion, and should verify them before use rather than relying on a healthcare compliance label. Verify it: ClinicFrame veterinarian workflow . ## Why HIPAA is the wrong shortcut for veterinary records The HHS summary of the HIPAA Privacy Rule describes protections for individuals' medical records and identifiable health information handled by covered entities and business associates. An animal's chart is not human PHI simply because it contains medical language. A veterinary practice may still store identifiable client contact, payment, employee, and communication data, and state laws or professional rules may protect records. Determine the real obligations with qualified advisers. Ask every vendor the same practical questions regardless of its HIPAA marketing: what data is collected, where it is processed, who can access it, whether it is used for model improvement, how long audio/transcripts/notes remain, how deletion works, what subprocessors participate, and what happens after termination. A clear veterinary data agreement is more useful than an unexplained healthcare badge. ## A veterinary accuracy rubric Veterinary note quality must preserve source, patient, species, and units. Build a te --- # BIRP Notes: Format, Examples and Template URL: https://clinicframe.com/blog/birp-notes-examples What BIRP stands for, three complete BIRP note examples for individual, couples and substance use sessions, and a reusable template. BIRP stands for Behavior, Intervention, Response and Plan. It is a progress note format used in behavioral health because it forces the note to answer a question a reviewer actually asks: what did the clinician do, and what did it produce. The examples below are complete notes, not fragments, for three different kinds of session. ## What goes in each BIRP section? Section What it captures Behavior What the client reported and what you observed, including mental status and any change since the last session Intervention What you did in session: the modality, the technique, the specific work done Response How the client responded to that intervention, in session and to homework from the last one Plan Homework, the focus of the next session, frequency, and any coordination or referral ## BIRP note example: individual therapy Weekly individual session, generalized anxiety, cognitive behavioral work. Behavior. Client reported sleeping six to seven hours per night, up from four to five at intake. One panic episode in the past two weeks, down from three, triggered by a recurring work deadline. Presented alert and oriented, engaged throughout, no reported suicidal ideation. Intervention. Reviewed the thought record completed between sessions. Traced the cognitive chain around the work deadline and reinforced the distinction between workload and evaluation as the trigger. Practiced paced breathing in session for six minutes. Response. Client identified the deadline itself, rather than the volume of work, as the trigger, which is new. Reported shorter episode duration when using the breathing protocol. Adherence to the thought record was consistent on weekdays and inconsistent on weekends. Plan. Continue weekly sessions. Daily thought record including weekends. Use the breathing protocol at the first sign of escalation rather than at peak. Add a fifteen-minute walk before bed. Next session reviews the weekend gap. ## BIRP note example: couples therapy Biweekly couples session, communication and conflict repair. Both partners present. Behavior. Partners reported two arguments since the last session, both beginning over household logistics and escalating to criticism. Partner A described withdrawing; Partner B described pursuing. Both were able to describe the pattern without interrupting each other, which was not the case three sessions ago. Intervention. Named the pursue and withdraw cycle out loud and mapped one argument onto it in session. Ran a structured speaker and listener exercise on the household logistics topic, with the clinician interrupting escalation twice. Response. Partner A completed the listener turn without leaving the room, a first. Partner B was able to state a request instead of a complaint on the second attempt. Both reported the exercise felt artificial and also that the topic ended without escalation. Plan. Biweekly sessions continue. One structured conversation at home per week on a low-stakes topic, twenty minutes, timer-bound. Partner A to signal the urge to withdraw rather than acting on it. Next session repeats the exercise on a higher-stakes topic. ## BIRP note example: substance use treatment Weekly individual session in an outpatient program, alcohol use disorder, early recovery. Behavior. Client reported eleven days without alcohol use and one episode of craving on day nine following contact with a former drinking companion. Attended two of three planned support meetings. Presented with improved grooming and steadier speech compared with intake. Denied withdrawal symptoms. Intervention. Reviewed the craving episode in detail and identified the contact as a high-risk cue. Built a written refusal script for that specific relationship. Reviewed the gap in meeting attendance without confrontation and problem-solved the scheduling conflict behind it. Response. Client volunteered that the craving passed in under twenty minutes after leaving the setting, which he had not previously recognized as a coping success. Accepted the refusal script and rehearsed it once. Pushed back on the third weekly meeting and agreed to two. Plan. Weekly individual sessions continue. Two support meetings per week, chosen for the schedule that failed. Use the refusal script if contact repeats. Track craving episodes with duration. Next session reviews cues beyond that relationship. ## What the generated note looks like This is a note produced from a session, in a BIRP-based template, before any editing. The section headings are the ones you set; the content comes from what was said in the room. A BIRP-based note generated from a session. Illustrative example, no real client data. ## A BIRP note template you can reuse Copy this once, then fill it after every session. Keep the section names exactly as they are so the note stays readable to anyone who audits it. Section Prompt to answer Behavior What did the client report since the last session, what did you observe, and what changed? Intervention What modality and technique did you use, and on what specific material? Response What did the client do with it, in session and with homework? Plan What happens before the next session, and what will that session open with? ## How the format is generated from the session In ClinicFrame, BIRP is one of the built-in clinical note templates rather than a template you have to assemble. The session goes through real-time medical transcription with speaker labels, and the note comes back with the four sections written from what was said, which is why the Response section has material to work with: it comes from the client's own words in the session. You review it, edit anything, and sign off. If your practice adds a section, such as a risk assessment, build it once as a custom template and set it as your default. If you are deciding between formats, compare them in DAP vs BIRP vs SOAP . For how this works across a mental health practice, including what happens to session audio, see the AI scribe for therapy and psychiatry . ## A note on the examples The three notes above are illustrative. They do not describe real clients and contain no protected health information. Use them as structure, not as language to copy into a chart. The four sections above get written from the session itself, with the Response section built from what your client actually said. Generate your first BIRP note free 7 days free. No credit card. BAA included. --- # 7 Cheapest AI Medical Scribes in 2026 URL: https://clinicframe.com/blog/cheapest-ai-medical-scribes Compare seven affordable AI medical scribes using current official prices, plan limits, annual commitments, and realistic monthly note volumes. Publisher disclosure: ClinicFrame publishes this guide and is one of the products compared. We used current public pages for every vendor, applied the same price rules to ClinicFrame and competitors, and did not treat vendor marketing or a free trial as independent evidence of clinical quality. Short answer: Doximity Scribe and Heidi currently provide the lowest headline price—$0—for eligible or standard-documentation workflows. Among the unrestricted paid plans in this selected public-price set, ClinicFrame has the lowest annual-equivalent entry price at $27.99 per clinician per month, followed by Freed Starter at $39 per month with a 40-note cap and MedicalScribe.app at about $42 per month when billed annually. “Cheapest” changes when you need custom templates, more than 40 notes, EHR transfer, team controls, or no annual commitment. An affordable AI medical scribe is not simply the product with the smallest number on its pricing page. A $0 plan may require a particular professional credential or restrict advanced templates. A $39 plan may cover only 40 notes. A discounted monthly equivalent may require paying for a full year in advance. A higher-priced product may include a workflow that removes enough copying, correcting, or administrative work to produce the lower total cost. This guide separates those cases instead of arranging promotional prices in a misleading list. The comparison is designed for solo clinicians and small practices that need a usable self-serve tool. It excludes enterprise products that publish only custom quotes because a quote cannot be normalized fairly against a public individual subscription. It also separates price from quality. Public pricing pages can show what a plan costs and what the vendor says it includes; they cannot establish which system will produce the safest note for your patients, specialty, accent mix, templates, devices, and EHR configuration. Every generated note remains a draft. A low-cost tool becomes expensive if it repeatedly misses medication changes, confuses speakers, adds unsupported normal findings, or produces a format that requires a complete rewrite. Use the ClinicFrame AI-scribe accuracy framework to measure omissions, unsupported content, attribution, clinical entities, correction time, and transfer time. The best budget decision is the least expensive workflow that reaches an acceptable reviewed note—not the least expensive recording button. If you are still comparing an AI subscription with a human or virtual service, start with the broader medical-scribe cost guide . This article answers the narrower question: within the current self-serve AI market, what do the lowest published options cost after the important limits are included? ## The cheapest options at a glance Lowest price for eligible US clinicians: Doximity Scribe at $0 for verified US physicians, NPs, PAs, CRNAs, and specified students. Lowest free standard-documentation baseline: Heidi Free, with unlimited standard transcription and note generation but limits on advanced actions and custom workflows. Lowest paid annual-equivalent price in this set: ClinicFrame at $335.88 per year, equivalent to $27.99 per month per clinician; the current beta includes unlimited visits but the vendor says a session cap will come later with notice. Lowest paid capped plan: Freed Starter at $39 per month for up to 40 notes; higher-volume clinicians need to compare the $79 Core tier instead. Lowest paid cross-device option in this set: MedicalScribe.app at $499 per year, about $42 per month, with web, iOS, and WatchOS access listed on the current Professional plan. ## How we calculated affordability Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We used current official pricing or help-center pages. Search results and competitor articles helped identify products but did not establish prices or security facts. We show the ordinary public price, not referral codes, first-month promotions, trainee programs, or negotiated team discounts. Those discounts can improve a real quote but do not create a stable comparison. An annual price is divided by 12 and labeled as an annual-equivalent price. It is not presented as a monthly commitment when the buyer must prepay the year. We distinguish trials from continuing free plans, capped plans from unlimited plans, and standard templates from paid custom-template or advanced-action access. We compare 20, 80, and 240 notes per month to represent occasional use, a moderate weekly caseload, and roughly 12 notes per working day. These are planning scenarios, not assumptions about every specialty. We do not award points for a generic “HIPAA-compliant” badge. A regulated organization still needs the appropriate agreement, risk analysis, configuration, access controls, retention decision, consent workflow, and professional review described in the HIPAA AI-scribe guide . ## Cheapest AI medical scribe price comparison The table uses USD public prices and the lowest continuing plan that can plausibly support clinical documentation. Taxes, local currency changes, optional add-ons, custom team quotes, and temporary promotions are excluded. “Unlimited” means the vendor currently describes the selected plan that way; it is not a promise that terms can never change. Option Published starting point Best fit What we verified Main limitation to test Doximity Scribe $0 for eligible verified users Verified US physicians, NPs, PAs, CRNAs, and eligible students already using Doximity Free access, web and mobile capture, dictation, custom templates, and recordings up to 140 minutes Professional and geographic eligibility; requires a verified Doximity account Heidi $0 Free; paid advanced plans available Clinicians who can work with standard templates and want a free continuing baseline Unlimited standard transcription and note generation; 10 advanced actions per month on Free Custom templates, Ask Heidi, documents, linking, and other advanced actions share the free action limit ClinicFrame $34.99 monthly or $27.99/mo equivalent annually Solo and small-practice clinicians using in-person care, telehealth, dictation, and custom note formats 7-day trial; SOAP, DAP, BIRP, custom templates, patient records, and current beta unlimited usage Copy/export workflow rather than native EHR integration; a future session cap is planned Freed Starter $39/month for up to 40 notes Clinicians producing no more than 40 notes per month who want a mature self-serve workflow 40-note Starter cap, templates and support; Core at $79/month adds unlimited notes The cheapest tier becomes poor value above 40 notes; meaningful EHR Push access is gated MedicalScribe.app $499/year, about $42/month equivalent Clinicians prioritizing web, iOS, and WatchOS access with custom note formats 10-visit free plan; Professional includes unlimited visits, custom formats, multiple devices, and 57 languages The $42 figure requires annual prepayment; team and integration features move to custom pricing Twofold Health $69 monthly or $49/mo equivalent annually Clinicians wanting unlimited notes, multiple capture modes, templates, coding, and progress tracking Unlimited notes, treatment plans, custom templates, progress tracking, mobile and desktop access The lowest continuing price requires a $588 annual commitment; group pricing is custom Commure Scribe Pro $708/year, $59/month equivalent Practices wanting an unlimited individual plan with a possible path to enterprise onboarding and EHR sync 7-day unlimited trial; Pro lists unlimited transcription, custom templates, languages, and coding support The public page emphasizes an annual promotional price; enterprise EHR sync and team functions are quote-based ## The seven most affordable AI medical scribes to evaluate ## 1. Doximity Scribe: best free option for eligible US clinicians Doximity is the price leader when the clinician is eligible. Its current Scribe help page says access is free for verified US physicians, nurse practitioners, physician assistants, certified registered nurse anesthetists, and specified students. The product supports web and mobile use, on-demand dictation, in-person encounters, custom templates, and recordings of up to 140 minutes. For a qualifying clinician whose workflow fits those boundaries, no paid subscription can beat a continuing $0 price. The important word is eligible. A therapist, non-US clinician, nurse outside the listed roles, administrative user, or practice seeking organization-wide purchasing may not fit the same path. The product also lives inside the Doximity ecosystem. That can be convenient when the clinician already uses Dialer and other Doximity tools, but it is not equivalent to selecting an independent platform for every employee. Confirm account eligibility, available note types, team administration, data terms, BAA coverage, and the exact EHR handoff before treating it as the practice-wide answer. Use Doximity as the free benchmark in a pilot, not as an automatic winner. Generate the same authorized sample notes in Doximity and the leading paid option, then measure clinically meaningful edits and transfer steps. If the free tool produces acceptable drafts and fits the account model, paying more requires a specific justification such as stronger templates, a different capture path, shared administration, or less EHR work. Check the current details on the official Doximity Scribe help page before making a purchasing decision. ## 2. Heidi: best free standard-documentation baseline Heidi offers the broadest continuing free baseline in this comparison. The official pricing explanation says the Free plan includes unlimited transcription and note generation using standard templates. It also includes a limited pool of advanced actions for custom templates, documents, Ask Heidi, form filling, patient or session linking, and related agentic functions. A clinician with a straightforward standard-note workflow can therefore test meaningful volume without a subscription fee. The free plan stops being free in practical terms when the workflow depends on repeated customization or advanced downstream work. Ten shared actions per month can disappear quickly if every encounter needs a custom template or AI-assisted revision. The correct comparison is not Heidi Free versus a paid unlimited plan in the abstract; it is Heidi Free for the exact features you will use versus the paid plan required after the action limit. Regional plan names, prices, evidence features, and integration availability can also differ, so verify the currency and terms shown to your account. Heidi is the right first test when budget is the dominant constraint and standard documentation is sufficient. It is also a useful control product: if a paid tool cannot clearly reduce correction or transfer work relative to the free baseline, the paid subscription has not yet justified itself. Document which advanced actions you consume during a normal week so a generous trial does not hide the eventual production tier. Check the current details on the official Heidi pricing help article before making a purchasing decision. ## 3. ClinicFrame: best low-cost paid option for a focused desktop workflow ClinicFrame is the lowest-priced unrestricted paid option in this selected public-price set when billed annually. The current ClinicFrame pricing page lists $34.99 per clinician on a monthly subscription or $335.88 per year, equivalent to $27.99 per month. The plan includes in-person and telehealth capture, dictation, SOAP, DAP, BIRP and custom note templates , patient records, and a seven-day trial without a card. That price needs two honest qualifications. First, ClinicFrame currently describes beta usage as unlimited but says a session cap will be introduced later --- # 6 Cheapest AI Scribes for Therapists in 2026 URL: https://clinicframe.com/blog/cheapest-ai-scribes-for-therapists Compare six low-cost AI scribes for therapists by price at 40, 80, and 120 sessions, note limits, DAP and BIRP access, privacy, and workflow. Publisher disclosure: ClinicFrame publishes this price comparison and is included. We use the same current first-party-source standard for ClinicFrame and competitors, state annual commitments and plan limits, and do not treat price or vendor compliance language as proof of clinical quality or legal suitability. Short answer: Heidi is the cheapest $0 standard-note baseline. Wren Clinical has the lowest transparent paid entry at $14 plus usage. Mentalyc Mini is the lowest therapy-specific flat plan for up to 40 notes. ClinicFrame offers predictable focused pricing with unlimited beta use. Upheal charges $1 per session capped at $69. Twofold costs more at entry but bundles a broader unlimited workflow. The true cheapest option is the one that covers your formats and caseload with the least correction and transfer work. The cheapest AI scribe for a therapist cannot be identified from one monthly number. One vendor offers unlimited standard notes for $0 but limits advanced actions. Another charges $14 plus transcription and model usage. A third caps notes by tier. Another charges per session until a monthly ceiling. Flat-rate products may include more workflow but require annual payment to reach the lowest advertised price. This guide normalizes those models at 40, 80, and 120 sessions per month—roughly 10, 20, and 30 sessions per week in a four-week comparison month. It also checks whether the relevant plan includes DAP, BIRP, SOAP, custom formats, family or group cases, capture methods, and a plausible path into the EHR. A $15 plan that excludes the required format or runs out halfway through the month is not the cheapest usable plan. Cost is only one gate. Therapy sessions contain sensitive information, and psychotherapy notes have a distinct HIPAA meaning from ordinary progress notes. The practice should decide what the AI is allowed to process, obtain the required agreement, address recording consent and applicable law, minimize retained data, and keep the therapist responsible for the final record. For overall workflow fit rather than price alone, read the best AI scribes for therapists . Solo practices should also use the private-practice implementation guide . This page deliberately owns the narrower “cheapest” decision. ## Cheapest therapist scribes by pricing model Cheapest free standard-note option: Heidi Free at $0 with unlimited standard transcription and notes, plus 10 shared advanced actions monthly. Cheapest transparent paid entry: Wren Clinical at $14 per month plus visible usage charges; vendor examples estimate about $24, $34, and $44 for recorder workflows at 10, 20, and 30 clients weekly. Cheapest therapy-specific flat plan: Mentalyc Mini at $19.99 monthly or $14.99 annual equivalent for 40 notes, with higher tiers required as volume or formats expand. Cheapest predictable focused unlimited beta plan: ClinicFrame at $34.99 monthly or $27.99 annual equivalent, with a future 80-session cap disclosed. Best usage-capped therapy platform: Upheal at $1 per counted session and a $69 monthly ceiling. Best broader flat-rate workflow: Twofold at $69 monthly or $49 annual equivalent for unlimited notes and additional clinical workflow functions. ## How we calculated cheapest Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We used current official pricing and help pages, not prices copied from old listicles or Reddit posts. We compare 40, 80, and 120 sessions in a four-week month. Real calendar months average more than four weeks, so practices should also model their actual historical volume. We price the tier required for that volume and stated function. Mentalyc Mini is not used for 80 notes, and Heidi's $0 standard workflow is not represented as unlimited custom-template actions. Annual equivalents are labeled because they require prepayment or commitment. Month-to-month prices remain visible. We separate subscription cost from total usable cost: setup, corrections, failed captures, transfer, consent administration, governance, and migration all consume time. We do not convert price into an accuracy ranking. Use the same accuracy and correction rubric for every finalist. ## Cheapest AI scribe price comparison for therapists The table lists current public USD starting points. Usage estimates, limits, fair-use rules, discounts, beta terms, taxes, and regional availability can change. Check the official source and the agreement offered to your practice. Option Published starting point Best fit What we verified Main limitation to test Heidi Health $0 Free; 10 advanced actions/month Therapists whose required notes work with Heidi's standard templates Unlimited standard transcription and note generation; limited advanced-action pool; paid upgrade path Custom templates and related advanced functions can exhaust the 10-action pool quickly Wren Clinical $14/month plus usage; estimated recorder totals $24–$44 Therapists who want every feature available and prefer usage-based billing with visible request costs Recording optional; BIRP, SOAP, DAP and custom formats; base fee, per-note and transcription estimates; BAA wording Monthly total varies with input length, model, transcription, and number of generated documents Mentalyc $19.99 Mini; $39.99 Basic; $69.99 Pro monthly Therapists who want behavioral-health formats and can match volume and client type to a plan 40/100/160-note tiers, therapy capture paths, DAP/SOAP, treatment planning, higher-tier BIRP and complex client types Volume, BIRP, couples, family, child, group, and modality access can force a higher tier ClinicFrame $34.99 monthly or $27.99/mo equivalent annually Solo and small practices wanting one predictable price for in-person, telehealth, dictation, and custom formats SOAP, DAP, BIRP, custom templates, patient records, note chat, seven-day trial, and current beta unlimited use No native EHR integration today; an 80-session monthly cap is planned after beta; BAA wording requires review Upheal $1/counted session, capped at $69/month Therapists with fluctuating volume who want notes inside a broader therapy practice platform Usage billing, $69 cap, notes, treatment plans, telehealth, scheduling, portal, and practice functions Counted sessions can include scheduled or telehealth sessions even without an AI note; platform scope may exceed the need Twofold Health $69 monthly or $49/mo equivalent annually Clinicians who will use unlimited notes plus treatment plans, coding, custom templates, and progress tracking Unlimited notes, multiple capture modes, custom templates, coding, treatment plans, progress functions, mobile and desktop Not the lowest entry price; the $49 equivalent requires annual prepayment; group terms are custom ## What each low-cost therapist scribe actually includes ## 1. Heidi Health: cheapest free option for standard notes Heidi is the numerical winner when its standard templates cover the workflow. The official Heidi pricing help article says Free includes unlimited standard transcription and note generation. A therapist can therefore evaluate and continue using standard documentation without a subscription price. The critical word is standard. Custom templates, Ask Heidi, documents, form filling, and patient or session linking share 10 advanced actions per month. A practice that needs a custom DAP or BIRP format on every session should model the paid plan shown in its region, not assume the free workflow remains unlimited. Paid pricing and features can vary by account and geography. Choose Heidi Free when the production note format and workflow genuinely stay inside its standard functions. Use it as the $0 control in every low-cost pilot. Move to a paid alternative only if it reduces correction, supports a required structure, improves transfer, or provides an agreement or governance function that matters to the practice. Check the current details on the official Heidi pricing help article before making a purchasing decision. ## 2. Wren Clinical: cheapest transparent paid entry Wren Clinical has the lowest clear paid base in this shortlist. Its official pricing section lists $14 per month plus usage. It estimates note generation without a transcript at roughly $0.02–$0.05, note generation with an existing transcript at about $0.05–$0.12, and transcription at about $0.20 per hour. Recording is optional. Wren publishes unusually useful workload examples. For a recorder workflow with one note type per 55-minute session, it estimates about $24 monthly at 10 clients per week, $34 at 20, and $44 at 30. A power-documenter workflow generating two or three note types is estimated at about $28, $43, and $57. Those are vendor estimates rather than guaranteed invoices, and the chosen model, note length, session length, and requests change the total. Wren supports BIRP, SOAP, DAP, GIRP, and custom formats and says every user signs a BAA. Its terms explain that usage is billed separately in arrears and that current model and transcription rates may change. Choose Wren when transparent metering and customization fit; avoid it when variable billing complicates budgets or the practice needs a larger team vendor and integration program. Check the current details on the official Wren Clinical pricing page before making a purchasing decision. ## 3. Mentalyc: cheapest therapy-specific flat plan at low volume Mentalyc is the cheapest simple flat subscription built specifically around therapy in this set. Its official pricing page lists Mini at $19.99 monthly for 40 notes and transcripts, Basic at $39.99 for 100, Pro at $69.99 for 160, and Super at $119.99 for 330. Annual equivalents begin at $14.99, $29.99, $59.99, and $99.99. Mini covers individual-adult SOAP, DAP, and intake notes. Basic adds treatment planning and limited alliance functions. Pro adds BIRP and a larger template library, child, couple and family client types, EMDR, play and psychiatry modalities, progress tracking, and supervisor-side notes. Group therapy notes require Super. The cheapest card is therefore usable only when both volume and clinical format fit. At exactly 40 sessions in the comparison month, Mini is the cheapest therapy-specific flat plan. At 80, Basic covers the volume. At 120, Pro is required because Basic stops at 100. Choose Mentalyc when its specialty depth cuts editing enough to justify the tier; compare the final cost with Wren's usage estimate and ClinicFrame's flat beta plan rather than comparing only entry prices. Check the current details on the official Mentalyc pricing page before making a purchasing decision. ## 4. ClinicFrame: cheapest predictable focused unlimited beta plan ClinicFrame offers the simplest predictable price among the focused paid products here. Its pricing page lists $34.99 month to month or $335.88 annually, equivalent to $27.99 per month. Current beta access includes unlimited visits, while the page discloses a future cap of 80 sessions per month. The product supports SOAP, DAP, BIRP, and custom note templates, plus in-person capture, telehealth capture from the clinician's computer without a meeting bot, and dictation. It includes patient records and note chat. The handoff is currently copy or export rather than a native EHR integration, which can make a cheaper subscription more expensive in staff time for practices that need automated transfer. Choose ClinicFrame when a flat predictable amount and custom formats matter more than a current integration. Under beta pricing it costs the same at 40, 80, and 120 sessions, although the disclosed future cap would change the 120-session case and must be checked before purchase. ClinicFrame publishes this guide, so its correction time, BAA, retention, and transfer workflow should receive exactly the same scrutiny as competitors. Check the current d --- # 7 Cheapest AI Scribes for Veterinarians in 2026 URL: https://clinicframe.com/blog/cheapest-ai-scribes-for-veterinarians Compare seven low-cost veterinary AI scribes by recurring price, note limits, veterinary fit, PIMS transfer, team seats, and workload. Publisher disclosure: ClinicFrame publishes this comparison and is included. We use current first-party pricing for every product, distinguish veterinary-specific systems from general clinical scribes, and do not treat low price as evidence of accuracy, safety, or practice fit. Short answer: Scribenote Free is the cheapest veterinary-specific starting point at $0. Heidi Free is also $0 but is a general clinical tool. Among paid entries, ClinicFrame starts at $34.99 monthly and ScribbleVet Essential at $40 for 150 SOAP notes. Higher-cost veterinary platforms add stronger veterinary models, PIMS handoff, multi-pet workflows, team seats, or human support. The cheapest usable choice is the lowest-priced plan that produces an acceptable veterinary record in your real workflow. Veterinary AI scribe prices look simple until the plans are compared on the same basis. One product offers free unlimited notes on a standard model. Another charges $40 but caps the account at 150 SOAP notes. Some charge per veterinarian while technicians and front-desk staff are free. Others include unlimited visits, PIMS transfer, multi-pet support, direct calling, or record summaries. A general medical scribe may cost less but require more correction of species, breeds, drug doses, laterality, and owner instructions. This guide ranks current public entry points, then separates price from usable cost. We ask which model is veterinary-specific, how many records are included, whether support staff need paid seats, how notes reach the PIMS, and what happens during a busy month. Prices are shown in U.S. dollars and annual equivalents are labeled because prepayment changes switching risk. The article does not declare that any product is clinically accurate for every species or setting. Emergency, equine, exotic, surgical, dental, and multi-pet appointments can expose different failure modes. Every draft must be checked by the veterinarian responsible for the record, especially medications, dose, route, frequency, patient identity, diagnostics, and follow-up instructions. For the broader fit decision, use our best AI scribes for veterinarians . For a repeatable pilot, use the accuracy and correction-time rubric . This page owns the narrower “cheapest veterinary AI scribe” intent. ## Cheapest veterinary AI scribes by buying situation Cheapest veterinary-specific free plan: Scribenote Free at $0 for unlimited notes on its standard model, core templates, and PIMS integration. Cheapest general free baseline: Heidi Free at $0 for unlimited standard notes, useful as a control but not veterinary-specific. Cheapest predictable general paid plan: ClinicFrame at $34.99 monthly or $27.99 annual equivalent during its current unlimited beta. Cheapest veterinary paid plan with a stated note allowance: ScribbleVet Essential at $40 monthly for 150 SOAP notes. Lowest veterinary Pro annual equivalent: Scribenote Pro at $79 per DVM monthly when billed annually, or $99 month to month. Straightforward veterinary flat price: VetSkribe at a public $95 monthly starting point. Broader unlimited veterinary workflow: VetRec at $99 annual equivalent or $150 month to month per veterinarian. ## How we calculated cheapest Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We used current official pricing and help pages checked on August 23, 2026. Third-party comparisons were used to find questions, not to establish mutable prices. We compare the lowest production-usable public tier, then expose note caps, model tiers, annual commitment, and paid-seat rules. Free products stay in the ranking because they are valid price controls, but veterinary-specific and general clinical systems are labeled separately. We add workflow cost conceptually: correction, PIMS transfer, template setup, staff access, failed captures, client consent, support, and migration. Introductory trials and discounts are not treated as recurring prices. Annual equivalents never replace the month-to-month figure. We keep price separate from quality. Run representative visits and record correction time using the same rubric for every finalist . ## Veterinary AI scribe price comparison These are public starting prices, not negotiated quotes. Taxes, region, promotions, enterprise terms, usage rules, and product scope can change. Confirm the linked official source before contracting. Option Published starting point Best fit What we verified Main limitation to test Scribenote Free $0; unlimited notes on standard AI models DVMs and clinics testing a veterinary-specific workflow without subscription cost Unlimited standard-model notes, core templates, Teams Mode, and PIMS integration Standard rather than highest transcription quality; lighter customization and self-serve support Heidi Free $0; unlimited standard notes Veterinarians willing to test a general clinical scribe against veterinary-specific products Unlimited standard transcription and notes with 10 shared advanced actions monthly Not veterinary-specific; recurring custom workflows can exceed the advanced-action allowance ClinicFrame $34.99 monthly or $27.99/mo equivalent annually Small practices wanting in-person, telehealth, and dictation capture under one flat price Custom templates, patient records, note chat, multiple capture modes, seven-day trial, and beta unlimited use Not veterinary-specific; no native PIMS integration; future 80-session cap is disclosed ScribbleVet Essential $40/month for 150 SOAP notes Veterinary professionals with a known monthly volume below the stated allowance Veterinary-tuned models, 150 SOAP notes, selected PIMS transfer, multilingual support, and visual dental charts Essential is capped; full templates, direct calling, team workflow, and broader tools sit in Unleashed Scribenote Pro $99 monthly or $79/mo equivalent annually per DVM Busy DVMs wanting advanced veterinary models, custom templates, human support, and team access Unlimited advanced-model notes, highest transcription tier, custom templates, Scribephone, PIMS integration, and free care-team seats Annual headline requires prepayment; priced per DVM; Free may already cover simpler workflows VetSkribe $95/month Veterinarians wanting ambient or dictated SOAP notes with customizable templates and technician collaboration Public monthly price, 15-day trial, ambient listening, dictation, SOAP and discharge outputs, and free technician seats Exact feature and usage terms should be confirmed; Enhanced human-scribe service is a separate scope VetRec $150 monthly or $99/mo equivalent annually per veterinarian Busy clinics needing unlimited visits, multi-pet support, phone integration, records recap, templates, and team access Unlimited visits, support-staff seats, 30+ templates, template builder, multi-pet support, records recap, phone integration, and PIMS transfer Higher recurring entry price and annual commitment for $99 equivalent; some clinics may not use the broader scope ## What each low-cost veterinary scribe actually includes ## 1. Scribenote Free: cheapest veterinary-specific starting point Scribenote Free is the numerical and category-specific winner. The official Scribenote pricing page lists $0 for unlimited note usage on standard AI models, standard transcription quality, self-serve support, unlimited care-team members through Teams Mode, and PIMS integration. New accounts receive a two-week Pro trial before moving to Free unless they upgrade. The trade-off is visible: Pro uses the vendor's most advanced models and highest transcription quality, adds full custom templates, live human support, and Scribephone. A free plan can still be production-usable when core templates and standard quality pass the clinic's test, but the veterinarian should not assume the free and Pro outputs are equivalent. Choose Free for a controlled trial and for lower-complexity workflows that remain acceptable after review. Move to Pro or another vendor only when measured correction time, template limits, support, calling, or handoff creates a clear operational cost. A $0 subscription does not eliminate consent, review, retention, or staff-training work. Check the current details on the official Scribenote pricing page before making a purchasing decision. ## 2. Heidi Free: cheapest general clinical control Heidi is the second $0 baseline. Its official pricing help article says Free includes unlimited standard transcription and note generation. Custom templates, Ask Heidi, documents, form filling, and patient or session linking share 10 advanced actions per month. Heidi is designed for clinical documentation across human healthcare rather than veterinary medicine. That does not automatically make it unusable, but it creates a test obligation. The clinic should measure recognition of species, breed, sex and neuter status, veterinary abbreviations, drug names, dose units, multi-pet speaker context, diagnostics, and client-facing instructions. Choose Heidi only when its real veterinary drafts match or beat the correction burden of purpose-built tools. Price the paid plan available in the actual account if custom templates are needed on most visits. The cheapest general product becomes expensive when the DVM repeatedly repairs terminology or reorganizes every record. Check the current details on the official Heidi pricing help article before making a purchasing decision. ## 3. ClinicFrame: cheapest predictable general paid plan ClinicFrame is the lowest flat paid entry in this comparison. Its pricing page lists $34.99 month to month or $335.88 annually, equal to $27.99 per month. Current beta access is unlimited, while a future limit of 80 sessions per month is disclosed. The product supports custom note formats and captures in-person, telehealth, or dictated input on the clinician's computer. It is not veterinary-specific and currently uses copy or export rather than a native PIMS integration. A clinic must therefore test veterinary language and count transfer time as part of the price. Choose ClinicFrame when the custom template and capture workflow passes a veterinary pilot and a predictable price matters. Prefer a purpose-built option when multi-pet handling, veterinary models, direct PIMS transfer, veterinary phone workflows, or team deployment removes more work. Because ClinicFrame publishes this guide, apply the same correction and contract scrutiny to it as every competitor. Check the current details on the official ClinicFrame pricing page before making a purchasing decision. ## 4. ScribbleVet Essential: cheapest paid veterinary plan with a clear allowance ScribbleVet Essential is the lowest public paid veterinary-specific plan in this set. The official page lists $40 monthly per user for 150 SOAP notes, with additional blocks of 100 SOAPs at $20. It uses veterinary-tuned models and includes selected access to one-click PIMS transfer, multilingual support, and visual dental charts. The cap needs workload normalization. A veterinarian completing 140 records stays at $40; one completing 180 would need an extra block and reach $60. Essential also differs from Unleashed, which provides unlimited customizable SOAPs, direct calling, Care Cards, a Plumb's integration, and free support-staff access at a much higher per-DVM price. Choose Essential when SOAP volume is stable and its included features cover production. Do not buy the $40 tier for a workflow that really requires Unleashed. During the trial, include dental, multi-problem, discharge, telephone, and complicated medication cases rather than testing only routine wellness visits. Check the current details on the official ScribbleVet pricing page before making a purchasing decision. ## 5. Scribenote Pro: lowest veterinary Pro annual equivalent Scribenote Pro costs $99 monthly or $948 a --- # How to Choose an AI Medical Scribe URL: https://clinicframe.com/blog/choosing-an-ai-medical-scribe A practical checklist for evaluating AI medical scribes: capture modes, note formats, audio retention, BAA, pricing, and what to test in a trial. Every serious AI medical scribe transcribes a visit and produces a note. The differences that matter show up in the details, and the good news is that the details are checkable in a free trial. Here is the checklist to run, and where ClinicFrame lands on each point. If you are still weighing software against hiring a remote human at all, start with AI scribe vs. virtual medical scribe . ## What should you look for in an AI medical scribe? Capture modes. Does it handle in-person ambient capture, telehealth without a bot joining the call, and medical dictation ? If you do video visits, ask exactly how the patient's voice is captured. Note formats. Does it produce the formats your practice documents in (SOAP, DAP, BIRP) plus custom note templates you control section by section? Audio retention. Ask directly: is the audio stored, for how long, and where? The strongest answer is that it never is. BAA on every plan. If the Business Associate Agreement exists only on the enterprise tier, the entry price is not the real price of compliant use. Training use. Confirm in writing that patient content is not used to train AI models. Pricing transparency. A flat, published price with unlimited visits is easy to budget; per-note pricing punishes busy weeks. The ten-minute test. In the trial, time the path from signup to your first reviewed note. Tools that need a training session before the first note will need one for every new hire, too. ## Where does ClinicFrame stand? Checklist item ClinicFrame Capture modes In-person, telehealth (no bot), and dictation Note formats SOAP, DAP, BIRP, Enhanced, and custom templates Audio retention None; audio is never stored BAA Included on every account Training on patient data Never Pricing $34.99 per month, unlimited visits Time to first note About ten minutes, no training session The one test that settles it: run your own visits through a free trial . That is what trials are for. --- # Clinical Documentation: Standards, Workflow and Review URL: https://clinicframe.com/blog/clinical-documentation Learn what clinical documentation should capture, how to build a reliable source-to-signature workflow, and how to review EHR, template, and AI-assisted records. Clinical documentation is the record of the information, observations, reasoning, decisions, actions, and outcomes that matter to a person's care. It includes more than a visit note. Orders, medication records, results, flowsheets, procedure records, referrals, messages, care plans, consent records, discharge instructions, and amendments may all carry part of the clinical story. A useful record lets the next qualified reader understand what was known, what the clinician concluded, what happened, and what must happen next. The current CMS Documentation Matters toolkit says providers are responsible for documenting each encounter completely, accurately, and on time, and warns that incomplete or inaccurate records can contribute to unintended outcomes. That Medicaid program-integrity resource does not prescribe one universal note structure, but its core message is broadly useful: documentation quality is part of the care process, not an administrative task added after it. Good documentation is not the longest possible note. It is a current, attributable, internally consistent record that includes the material evidence and reasoning for its purpose without burying the reader in copied history or irrelevant detail. The right content depends on the profession, service, setting, patient, organization, payer, and jurisdiction. A template can organize that work, but it cannot decide what is true or sufficient for the encounter. ## Six dimensions of high-quality clinical documentation Dimension The record should show Common failure Identity and context Correct patient, encounter, date, author, participants, and information sources Content entered in the wrong chart or attributed to the wrong person Clinical fidelity Current facts, findings, uncertainty, reasoning, actions, and response Unsupported normal findings, changed certainty, or missing material information Chronology When information was obtained, care occurred, decisions changed, and follow-up is due Old information presented as current or a late entry presented as contemporaneous Reconciliation Agreement among the narrative, orders, medications, results, referrals, and instructions The note says an action occurred while the authoritative EHR field says otherwise Accountability Who created, reviewed, corrected, approved, and signed each relevant entry A draft, copied statement, or automated output appears to be clinician-approved Usability Relevant information is clear, concise, findable, and available to authorized readers Note bloat, unexplained abbreviations, duplicate text, or inaccessible information These dimensions are an editorial review framework, not a substitute for the requirements that apply to a specific record. ## What is clinical documentation? Clinical documentation is both a process and a set of records. The process begins when a clinician obtains or observes information and continues through interpretation, action, communication, entry, review, signature, distribution, correction, retention, and quality oversight. The records are the durable artifacts created along that path. A progress note may summarize the encounter, while structured fields and separate documents preserve medications, allergies, orders, results, procedures, messages, and other actions. CMS's May 2026 Evaluation and Management Services booklet describes medical records as a chronological report of care and of relevant facts, findings, and observations. It says clear, concise documentation helps clinicians evaluate immediate treatment and follow care over time. The booklet addresses Medicare E/M services, so teams must not treat it as a complete standard for every discipline or encounter. It does, however, explain why a record must serve care before it serves a template. Clinical documentation improvement or integrity work looks beyond grammar. An AHRQ issue brief on diagnostic documentation describes integrity as including content, information governance, authorship validation, amendments, and corrections. The work asks whether the record accurately represents the patient's condition, services, reasoning, and resulting plan. Coding and payment may be downstream uses, but a more specific phrase or a longer problem list is not an improvement when the clinical evidence does not support it. ## What belongs in the clinical record? Start with the purpose of the encounter and the information needed for safe continuity. Depending on the service, that may include the reason for care; participants and history sources; relevant symptoms and chronology; prior records reviewed; allergies and medications; measured and observed findings; tests; interventions; patient response; clinical assessment; uncertainty; risks; options discussed; orders; referrals; instructions; follow-up; and the identity and timing of the responsible professional. Include limitations when information was unavailable or an examination was not performed. Separate evidence from interpretation. A patient's report, a caregiver's statement, a device value, an examination finding, an imported result, and a clinician's conclusion are different kinds of information. Each may be important, but blending them can create false certainty. Attribute a report to its source, keep units and time with measurements, distinguish historical from current information, and identify whether a diagnosis is established, considered, ruled out, or still uncertain. The narrative does not need to repeat every structured field. It should explain the clinically relevant story, reasoning, and plan that the fields alone cannot communicate. Likewise, structured data cannot be ignored merely because the prose reads well. A medication list, allergy record, order, referral, procedure log, result status, or discharge instruction may be the authoritative operational artifact. The final record should tell one coherent story across those locations. ## A nine-step source-to-signature workflow A reliable workflow makes the transitions visible. Many errors occur not because a fact was never known, but because it was assigned to the wrong patient, lost between systems, copied without context, transformed into a stronger claim, or left in a draft state. Define ownership and expected evidence at every step. Identify the correct patient, encounter, service, date, author role, participants, and intended record type before entering information. Gather authorized source material and label its origin: patient report, collateral report, direct observation, measurement, examination, prior record, result, or clinician action. Assess and interpret within professional scope, preserving uncertainty, relevant negatives, limitations, and the relationship between evidence and conclusion. Record the services, interventions, discussions, decisions, and patient response that actually occurred; do not convert possibilities into completed actions. Choose the approved note structure and structured fields that fit the profession, setting, service, and local requirements. Reconcile names, medications, allergies, diagnoses, measurements, laterality, orders, results, referrals, instructions, timing, and follow-up across the EHR. Review copied, templated, dictated, transcribed, imported, and AI-generated content against the current encounter and remove unsupported or stale text. Complete the authorized approval and signature workflow with the correct author, date, time, co-signature, attestation, or status where applicable. Use the organization's correction, addendum, amendment, incident, and quality processes when information changes or an error is discovered after approval. ## Write for clinical meaning, not template completion A reader should be able to trace the central problem from source information through the clinician's assessment to the chosen action. That does not require documenting every question asked or every possible diagnosis. It requires enough relevant detail to show why the conclusion and plan make sense. When the evidence is incomplete, state the limitation and the next step rather than using polished language to conceal uncertainty. Use precise verbs. Reported, observed, measured, reviewed, performed, discussed, recommended, ordered, prescribed, administered, referred, instructed, declined, and scheduled describe different events. Replacing one with another can change the clinical and operational meaning of the record. The same is true of no, not assessed, unknown, pending, possible, probable, and confirmed. Preserve those boundaries during editing. Avoid empty phrases that imply evidence without showing it. Stable, doing well, tolerated treatment, continue to monitor, and medically necessary may be appropriate conclusions, but the surrounding record should explain what was assessed, what changed, how the patient responded, what will be monitored, and why the selected care follows. A phrase does not establish the underlying fact simply because it is familiar. ## Choose a note format that fits the work A format is a navigation aid. SOAP organizes attributed reports, observed or measured information, clinical synthesis, and the plan. The SOAP note format guide explains that structure in detail. DAP combines encounter data, assessment, and plan, while BIRP foregrounds behavior, intervention, response, and plan. Other settings use problem-oriented, procedure, consultation, discharge, nursing, rehabilitation, or emergency-care structures. Select the format required or approved for the profession and service, then adapt prompts to the actual workflow. Behavioral-health readers can use the DAP notes guide for a therapy-centered example. A format should help clinicians find and verify information; it should not force irrelevant normal findings, duplicate structured data, or imply that every heading must contain a positive statement. Test templates on routine, complex, incomplete-data, telehealth, and exception cases before broad rollout. ClinicFrame supports custom note templates , but a configured template still requires local approval and encounter-level review. Measure whether prompts improve completeness and reasoning without increasing irrelevant text or review burden. ## Balance completeness, concision, and timeliness Completeness means the record contains the material information needed for its purpose, not that it reproduces the entire chart. Concision means relevant content is easy to locate, not that important nuance is removed. Timeliness means entries are made within the applicable workflow while the facts and decisions can still be represented reliably, not that clinicians should sign an unchecked draft to meet a clock. Write the current encounter before importing background. A short summary of a stable chronic issue may be more useful than several copied paragraphs. Use headings, problem order, lists, and structured fields to make critical information visible. Remove duplicate test results, inactive plans, resolved symptoms, outdated examinations, and boilerplate that does not change the reader's understanding. Keep historical information when it materially affects today's assessment or future care, and label it as history. Organizations should define completion expectations, late-entry rules, escalation paths, and downtime workflows by record type. The appropriate window may differ for an operative note, medication administration, outpatient progress note, telephone message, or discharge record. When documentation is delayed, follow the approved late-entry process and preserve the actual timing rather than making the entry appear contemporaneous. ## Reconcile narrative notes with the rest of the EHR A signed paragraph is not proof that an order was placed, a prescription was transmitted, a referral was sent, or a follow-up was scheduled. Compare the narrative with the systems that execute those actions. Resolve disagreements before signing when possible. If the --- # DAP Notes: Format, Template and Examples URL: https://clinicframe.com/blog/dap-notes Learn the Data, Assessment, and Plan format with a copyable DAP note template, fictional therapy examples, a cheat sheet, and a clinician review checklist. A DAP note is a behavioral-health progress note organized into Data, Assessment, and Plan. Data records the information gathered and the work performed during the encounter. Assessment records the clinician's interpretation of that information, including progress, barriers, response, and relevant clinical reasoning. Plan records the actions already taken and the next steps selected. The three-part structure is compact, but it still has to tell an accurate clinical story. There is no single federal DAP template that makes a note compliant for every profession, payer, state, or organization. A Nevada government DAP progress-note sample illustrates the common structure: session information and symptoms in Data, the therapist's view of progress and barriers in Assessment, and interventions plus future actions in Plan. Use that structure as a writing aid, then apply the requirements that govern the actual service. ## DAP notes cheat sheet Section What it answers What usually belongs What does not belong Data What happened and what information was available? Client reports with attribution, observations, relevant measures, interventions, response, participants, and encounter context Unlabeled assumptions, invented observations, a transcript of the session, or copied material that was not verified Assessment What does the clinician conclude from today's data? Progress or lack of progress, symptom and functional change, response, barriers, clinical relevance, and uncertainty A new diagnosis, risk level, or certainty that the clinician did not assess and adopt Plan What was done and what happens next? Interventions, homework, coordination, referrals, follow-up, treatment-plan changes, monitoring, and precautions actually selected Generic future possibilities, actions never discussed, or a copied plan that no longer fits Many organizations place interventions in Data, while others place them in Plan. Follow the approved local template consistently and make the action and client response easy to find. ## What are DAP notes? DAP notes are commonly used for psychotherapy, counseling, substance-use treatment, case management, and other behavioral-health services. They compress the four-part SOAP structure into three sections by combining much of the reported and observed encounter information under Data. That can reduce duplication, but it also makes source attribution important: the reader should be able to distinguish what the client said, what another person reported, what the clinician observed, what a measure showed, and what intervention occurred. The format does not decide what a particular record must contain. A solo therapist, community mental-health program, school-based clinician, Medicaid provider, and multidisciplinary clinic may have different required fields, time rules, treatment-plan language, signatures, risk workflows, and access controls. An EHR may also store diagnoses, service codes, participants, start and stop times, measures, and signatures outside the narrative. The DAP narrative should complement those fields rather than contradict or needlessly repeat them. The CMS behavioral-health documentation fact sheet says Medicaid behavioral-health records should be complete, concise, accurate, legible, signed, and dated, while meeting the applicable state program rules. It also warns about cloned EHR notes that do not reflect the individual encounter. That guidance does not require DAP specifically; it shows why a clean format cannot rescue inaccurate or copied content. ## Copyable DAP note template Encounter details: [Date of service.] [Start and stop time or duration when required.] [Location or telehealth modality.] [Participants and their roles.] [Service type.] [Relevant treatment-plan goal or problem.] Complete any required identity, consent, billing, signature, credential, and structured EHR fields outside the narrative as applicable. Data: [Reason for today's encounter and client priorities.] [Client-reported symptoms, experiences, functional effects, adherence, and changes, with source attribution.] [Relevant observations, mental-status findings, screening or outcome measures, and collateral information actually obtained.] [Interventions delivered and client participation or response.] [Risk-related facts assessed today, when clinically indicated, without auto-filled conclusions.] Assessment: [Clinician's synthesis of the current presentation.] [Progress, regression, maintenance, or no measurable change relative to a named goal.] [Clinical meaning of the client's response to the intervention.] [Barriers, protective factors, and relevant uncertainty.] [Rationale for continuing, changing, coordinating, escalating, or ending the current approach, when applicable.] Plan: [Next treatment step and who owns it.] [Practice assignment or client action.] [Follow-up interval.] [Coordination, referral, consultation, monitoring, or treatment-plan change actually selected.] [Specific precautions, safety-plan action, or escalation documented according to the clinician's assessment and organizational workflow.] This template is deliberately made of prompts rather than default sentences. Prompts ask the author to supply encounter evidence. Default statements can imply that an examination, intervention, safety assessment, education, or response occurred when it did not. Remove prompts that are irrelevant to the service and add organization-approved fields that are required for the setting. ## Complete DAP note example for individual therapy Scenario: a fictional adult attends a scheduled outpatient psychotherapy session focused on anxiety during a role transition at work. The example demonstrates source attribution, an intervention, response, progress toward a treatment goal, and a specific plan. It is not a sample to copy into a real chart and does not direct care. Data: Client arrived on time for the scheduled telehealth session and confirmed being at the location recorded in the approved encounter fields. Client reported anxiety before three team meetings this week, with worry beginning the night before and difficulty falling asleep on two nights. Client described leaving one meeting early after noticing rapid breathing and said, “I thought everyone could see I was losing control.” Client reported using paced breathing before another meeting and remaining for the full discussion, although self-rated anxiety stayed at 6/10. Therapist reviewed the agreed goal of participating in work meetings with less avoidance, guided a brief review of the thought–feeling–behavior sequence, and practiced a two-minute grounding routine. Client identified the prediction that a pause would be interpreted as incompetence and generated two alternative explanations. Client participated throughout and accurately demonstrated the grounding steps at the end of rehearsal. The specific safety domains required by the treatment context were assessed and documented in the organization's designated fields; this educational example does not supply a generic risk conclusion. Assessment: Reported anticipatory anxiety continues to disrupt sleep and contributed to avoidance in one meeting. The client also described one instance of remaining in a meeting after using a coping strategy, which is limited but relevant progress toward the participation goal. During the session, the client could identify an automatic prediction and generate alternatives with prompting, then complete the grounding routine independently during the final rehearsal. Current evidence supports continued work on anticipatory anxiety and graded participation. It does not establish broad symptom improvement, a diagnostic change, or a risk formulation beyond what was actually assessed. Plan: Continue the current treatment approach as agreed in the treatment plan. Client will practice the two-minute grounding routine before two scheduled meetings and record the situation, predicted outcome, anxiety rating, whether avoidance occurred, and what happened. At the next appointment in one week, review the record and decide whether to repeat or adjust the graded participation step. Therapist will document any coordination, treatment-plan modification, or escalation only if it occurs. Final wording, codes, time, signatures, and required risk documentation must be completed by the treating clinician under the practice's rules. ## DAP note example for case management Scenario: a fictional adult meets with a behavioral-health case manager about transportation that is interfering with attendance at medical appointments. This example shows that DAP can organize a non-psychotherapy service, but the scope and documentation requirements still come from the program and staff role. Data: Client reported missing a primary-care appointment last week after the arranged ride did not arrive. Client stated that the scheduling phone line was difficult to navigate and asked for help identifying another option. Case manager reviewed the transportation benefits information already available in the authorized record, called the plan's member-services line with the client present and with the required permission, and confirmed the reservation process described by the representative. Client entered the number in a phone contact and repeated the steps for requesting and confirming a ride. No medical assessment or psychotherapy intervention was performed during this contact. Assessment: Transportation remains an active barrier to the client's care-plan goal of attending scheduled medical visits. The client engaged in problem solving and could repeat the reservation steps after coaching. Whether the new process resolves the barrier is not yet known because no ride has been completed. The note does not label the client noncompliant, infer a clinical condition, or claim success from making a phone call. Plan: Client will request transportation after the next appointment is scheduled and use the confirmation step reviewed today. Case manager will follow up on the date permitted by the program workflow and document whether the ride was completed. If the barrier persists, case manager and client will review the other authorized transportation resources. Record program-required service details, releases, contacts, and signatures in the appropriate fields. ## How to write a DAP note in 7 steps Write from the encounter and the approved treatment plan, not from a prior note. A useful DAP note lets another authorized reader understand what service occurred, what evidence was available, how the clinician interpreted it, and what will happen next. It should be individualized enough to distinguish this contact from the previous one without becoming a session transcript. Confirm the correct client, encounter, participants, service, location or modality, time elements, and relevant treatment-plan goal. Collect the client report, collateral report, observations, measures, interventions, and response; label each source clearly. Place encounter facts in Data and remove details that are irrelevant, unverified, or duplicated in reliable structured fields. In Assessment, connect today's data to symptoms, function, goals, response, barriers, and the clinician's level of certainty. In Plan, record what was done and the next actions actually selected, including owner and timing when useful. Check high-risk entities: identity, dates, medications, diagnoses, measures, risk statements, referrals, orders, coordination, and follow-up. Complete required signatures, credentials, attestations, and structured fields, then approve only the final clinician-reviewed record. ## Make progress and medical necessity specific Assessment should not be a label such as improving, stable, unchanged, or worsening without supporting data. Name the goal or problem, describe the relevant change or lack of change, and state what evidence supports the interpretation. Progress --- # DAP vs BIRP vs SOAP: Which Note Format to Use URL: https://clinicframe.com/blog/dap-vs-birp-vs-soap DAP, BIRP and SOAP compared: what each section captures, which format fits therapy, couples work and psychiatry, and how to switch between them. The three formats differ in how they split the middle of the session. SOAP separates what the person reports from what you observe. DAP merges those two into one section. BIRP is the only one that gives the intervention and the client's response their own headings. Everything else follows from that choice. ## The three formats side by side Format Sections Strongest for Weakest for SOAP Subjective, Objective, Assessment, Plan Psychiatry and medication management, where there is real Objective content Talk therapy, where the Objective section has little to hold and often goes thin DAP Data, Assessment, Plan Fast documentation of ongoing, stable work; fewer decisions per note Showing medical necessity, because the intervention is buried inside Data BIRP Behavior, Intervention, Response, Plan Payer review and supervision: the intervention and its result each have a heading Speed, since it asks you to separate two things you did at once ## How the same session reads in each format One weekly individual session, anxiety, cognitive behavioral work. Same material, three structures. In SOAP. Subjective carries the client's report of sleep and panic frequency. Objective carries the mental status observations. Assessment carries your read on the trajectory. Plan carries the homework. The intervention itself has no home and usually ends up as a sentence inside Assessment. In DAP. Data carries the report and the observations together, which is faster to write. Assessment carries the trajectory, including whether the thought record is working. Plan carries the homework. What you actually did in session is a clause, not a section. In BIRP. Behavior carries the report and observations. Intervention states that you reviewed the thought record and practiced paced breathing. Response states what the client did with it. Plan carries the homework. A reviewer can find the intervention and its result without reading the whole note. Complete examples of the BIRP version, for individual, couples and substance use sessions, are in BIRP notes: format, examples and template . ## Which format fits which practice Private practice therapy. BIRP if you bill insurance and want the note to defend itself. DAP if you are cash-pay and want the fastest note that is still clinically useful. Psychiatry and PMHNP work. SOAP, often with a mental status section added. See how the SOAP sections get written . Couples and family work. BIRP handles it better because the intervention is usually structural, such as an exercise run in session, and Response is where you record how each participant took it. Substance use treatment. BIRP, for the same reason: the response to an intervention is the clinical story, and programs are audited on it. Group therapy. Usually a group note plus an individual note per participant. The individual notes are short BIRP or DAP; the group note records the theme and the intervention delivered to the group. ## You do not have to choose once In ClinicFrame the note is generated from the session transcript , so the same session can be rewritten in another format with New format, without recording anything again. Set the format you use most as your default among the built-in clinical note templates , and switch on the sessions that need something else. If your practice has its own structure, build it once as a custom template with per-section instructions. For how this works across a mental health practice, including what happens to session audio and what a BAA covers, see the AI scribe for therapy and psychiatry . You do not have to commit to a format. Record one session and rewrite it as DAP, BIRP or SOAP to see which one reads better for your practice. Try all three formats on one session 7 days free. No credit card. BAA included. --- # 6 Best DeepCura Alternatives in 2026 URL: https://clinicframe.com/blog/deepcura-alternatives Compare six DeepCura alternatives by platform scope, scribe price, EHR workflow, eligibility, specialty fit, team deployment, and governance. Publisher disclosure: ClinicFrame publishes this comparison and is included as an alternative. We apply the same first-party-source standard to DeepCura, ClinicFrame, and every competitor; give DeepCura a genuine stay case; and separate verified facts from editorial fit judgments. Short answer: Stay with DeepCura when the seven-agent workflow, EHR connectivity, and team operations replace real systems and the credit model fits demand. Choose ClinicFrame for lower-cost focused alternative, Choose Doximity Scribe for free option for eligible U.S. clinicians, Choose Freed for independent-practice scribe alternative, Choose Twofold Health for broad flat-rate self-serve alternative, Choose Heidi Health for free standard-note alternative, Choose Nabla for enterprise integration alternative. The best alternative is the one that resolves a measured switching reason in the real charting workflow. DeepCura alternatives span different purchasing categories. DeepCura combines scribing with reception, fax, intake, tasks, scheduling, coding, research, analytics, collaboration, and EHR connectivity. A focused self-serve scribe, an eligibility-limited free tool, a specialty platform, an EHR-native add-on, and an enterprise deployment may all produce a note, but they do not solve the same operational problem. This guide preserves those distinctions instead of forcing every product into one numerical score. DeepCura remains the comparison baseline because a $129 monthly or $999 annual per-provider plan, 1,000 shared credits, seven AI agents, EHR integration, coding, reception, fax, intake, tasks, scheduling, research, analytics, and free read/edit team access. Its breadth can replace multiple point solutions when the implementation is intentional. A switch is justified only when another product produces a measurable improvement in the practice's priority—not because its landing page contains more features or a lower introductory number. The comparison starts with recurring price and product scope, then moves to capture, templates, specialty fit, correction time, EHR transfer, patient context, team administration, BAA, retention, deletion, model use, subprocessors, incident terms, export, and termination. Generated documentation remains a draft requiring clinician review before chart entry. For a market-wide shortlist, read the best AI medical scribes . For price-first research, use the cheapest AI medical scribes . This canonical page owns “DeepCura alternatives” and “ClinicFrame vs DeepCura”. ## Best DeepCura alternatives by switching reason best lower-cost focused alternative: ClinicFrame: solo and small practices that need documentation rather than an electronic health workforce. best free option for eligible U.S. clinicians: Doximity Scribe: eligible physicians, NPs, PAs, CRNAs, and students inside the Doximity workflow. best independent-practice scribe alternative: Freed: clinicians wanting plan choice, specialty templates, browser EHR Push, and a scribe-first product. best broad flat-rate self-serve alternative: Twofold Health: clinicians wanting unlimited notes, templates, coding, progress, reports, mobile, and desktop. best free standard-note alternative: Heidi Health: clinicians whose production notes fit standard templates or who need a free pilot control. best enterprise integration alternative: Nabla: health systems needing EHR integrations, APIs, deployment support, administration, and negotiated governance. ## How we compared DeepCura alternatives Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We show DeepCura first and define when keeping it is the rational decision. Mutable product and pricing facts come from official pages checked on August 23, 2026; third-party rankings identify questions but do not establish current facts. We compare recurring production terms, not trial access, first-month promotions, or unlabeled annual equivalents. Every alternative receives one real winning persona and one material limitation. Individual, specialty, EHR-native, and enterprise products remain separate purchasing categories. Every finalist must pass the same note-quality and correction-time rubric plus privacy, security, and contract review. ## DeepCura vs 6 leading alternatives Public prices, eligibility, limits, promotions, integrations, and enterprise terms can change. Verify the linked first-party page and the written agreement offered to the practice. Option Published starting point Best fit What we verified Main limitation to test DeepCura $129/month or $999/year per AI user practices that will use multiple agents for documentation, communication, intake, coding, research, and operations a $129 monthly or $999 annual per-provider plan, 1,000 shared credits, seven AI agents, EHR integration, coding, reception, fax, intake, tasks, scheduling, research, analytics, and free read/edit team access the higher price and shared-credit model can be unnecessary for a practice that only needs notes ClinicFrame $34.99 monthly or $27.99 annual equivalent solo and small practices that need documentation rather than an electronic health workforce custom SOAP/DAP/BIRP formats, in-person, telehealth and dictation capture, patient records, note chat, and current beta unlimited use no native EHR integration today and far narrower operational scope Doximity Scribe $0 for verified eligible U.S. clinicians eligible physicians, NPs, PAs, CRNAs, and students inside the Doximity workflow free access for eligible verified U.S. accounts, up to 140-minute capture, custom templates, mobile/web use, Dialer support, and 29-day note/transcript storage role and geography eligibility exclude many staff and behavioral-health professionals Freed $39–$119/month across public tiers clinicians wanting plan choice, specialty templates, browser EHR Push, and a scribe-first product public individual tiers, low-volume and unlimited options, specialty templates, browser EHR Push, and higher-tier coding features and limits vary by tier and it lacks DeepCura's all-in-one operations scope Twofold Health $69 monthly or $49 annual equivalent clinicians wanting unlimited notes, templates, coding, progress, reports, mobile, and desktop unlimited notes, clinical templates, assistant, coding, progress tracking, reports, telehealth, mobile/desktop use, and signed BAA wording broader than a basic scribe but materially narrower than DeepCura's practice-agent platform Heidi Health $0 Free; paid plans vary by region clinicians whose production notes fit standard templates or who need a free pilot control unlimited standard transcription and notes on Free with 10 shared advanced actions monthly custom and advanced workflows can require paid access and the platform is narrower Nabla Custom enterprise pricing health systems needing EHR integrations, APIs, deployment support, administration, and negotiated governance an enterprise clinical AI platform, integration program, APIs, deployment scope, and health-system positioning no comparable self-serve price and a heavier procurement and implementation path ## Which DeepCura alternative fits the actual reason to switch? ## 1. DeepCura: the all-in-one clinical AI platform baseline DeepCura is the baseline, not a straw man. Its official DeepCura pricing page verifies a $129 monthly or $999 annual per-provider plan, 1,000 shared credits, seven AI agents, EHR integration, coding, reception, fax, intake, tasks, scheduling, research, analytics, and free read/edit team access. Its breadth can replace multiple point solutions when the implementation is intentional. A practice should stay when those functions are reliable in representative visits and remove more work than the subscription and implementation add. The main constraint is the higher price and shared-credit model can be unnecessary for a practice that only needs notes. That limitation matters only in context: a lower-priced product can still cost more after correction, transfer, missing functionality, training, and parallel systems. Record the actual reason for evaluating DeepCura alternatives before opening another trial. Keep DeepCura when the seven-agent workflow, EHR connectivity, and team operations replace real systems and the credit model fits demand. Recheck the current order form, BAA, security exhibits, retention, model-use language, subprocessors, support, export, and termination terms. Product pages describe a workflow; they do not replace the agreement offered to the practice or the clinician's responsibility for the final note. Check the current details on the official DeepCura pricing page before making a purchasing decision. ## 2. ClinicFrame: best lower-cost focused alternative ClinicFrame is the best lower-cost focused alternative. Its official ClinicFrame pricing page verifies custom SOAP/DAP/BIRP formats, in-person, telehealth and dictation capture, patient records, note chat, and current beta unlimited use. It keeps the product and price centered on note creation. That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against DeepCura is it does not replace DeepCura's receptionist, fax, intake, scheduling, coding, research, or integration platform. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose ClinicFrame when focused documentation is the measured need and copy or export handoff is acceptable. Keep DeepCura when its current all-in-one clinical AI platform baseline workflow already performs better or switching would only exchange one problem for another. Test note quality, correction time, capture reliability, EHR handoff, governance, and total cost side by side before migrating. Check the current details on the official ClinicFrame pricing page before making a purchasing decision. ## 3. Doximity Scribe: best free option for eligible U.S. clinicians Doximity Scribe is the best free option for eligible U.S. clinicians. Its official Doximity Scribe help guide verifies free access for eligible verified U.S. accounts, up to 140-minute capture, custom templates, mobile/web use, Dialer support, and 29-day note/transcript storage. For an eligible individual, it creates a credible zero-subscription control. That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against DeepCura is Doximity is a free clinician workflow rather than DeepCura's multi-agent practice platform. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose Doximity Scribe when the clinician is eligible and its note, Dialer, template, and copy-to-EHR workflow passes testing. Keep DeepCura when its current all-in-one clinical AI platform baseline workflow already performs better or switching would only exchange one problem for another. Test note quality, correction time, capture reliability, EHR handoff, governance, and total cost side by side before migrating. Check the current details on the official Doximity Scribe help guide before making a purchasing decision. ## 4. Freed: best independent-practice scribe alternative Freed is the best independent-practice scribe alternative. Its official Freed pricing page verifies public individual tiers, low-volume and unlimited options, specialty templates, browser EHR Push, and higher-tier coding. Its tiered scribe-first offer can be easier to buy and pilot for ind --- # 6 Best DeepScribe Alternatives in 2026 URL: https://clinicframe.com/blog/deepscribe-alternatives Compare six DeepScribe alternatives by oncology focus, specialty workflow, EHR integration, self-serve price, APIs, dictation, and enterprise rollout. Publisher disclosure: ClinicFrame publishes this comparison and is included as an alternative. We apply the same first-party-source standard to DeepScribe, ClinicFrame, and every competitor; give DeepScribe a genuine stay case; and separate verified facts from editorial fit judgments. Short answer: Stay with DeepScribe when oncology context, SmartPrep, coding, personalization, and the target EHR deployment perform well. Choose ClinicFrame for lower-cost focused self-serve alternative, Choose Freed for independent-practice EHR-handoff alternative, Choose Suki for embedded general clinical-intelligence alternative, Choose Abridge for enterprise clinical-intelligence peer, Choose Microsoft Dragon Copilot for unified ambient and dictation alternative, Choose Nabla for API-oriented enterprise alternative. The best alternative is the one that resolves a measured switching reason in the real charting workflow. DeepScribe alternatives span different purchasing categories. DeepScribe is an enterprise ambient operating system increasingly centered on oncology, with pre-chart context, documentation, coding, customization, and embedded oncology-EHR workflows. A focused self-serve scribe, an eligibility-limited free tool, a specialty platform, an EHR-native add-on, and an enterprise deployment may all produce a note, but they do not solve the same operational problem. This guide preserves those distinctions instead of forcing every product into one numerical score. DeepScribe remains the comparison baseline because an oncology-focused ambient scribe, SmartPrep, AI coding, Customization Studio, patient-context use, and embedding in OncoEMR and iKnowMed plus Epic positioning. Its oncology context, workflow, and embedded integrations are genuine reasons to stay for cancer-care organizations. A switch is justified only when another product produces a measurable improvement in the practice's priority—not because its landing page contains more features or a lower introductory number. The comparison starts with recurring price and product scope, then moves to capture, templates, specialty fit, correction time, EHR transfer, patient context, team administration, BAA, retention, deletion, model use, subprocessors, incident terms, export, and termination. Generated documentation remains a draft requiring clinician review before chart entry. For a market-wide shortlist, read the best AI medical scribes . For price-first research, use the cheapest AI medical scribes . This canonical page owns “DeepScribe alternatives” and “ClinicFrame vs DeepScribe”. ## Best DeepScribe alternatives by switching reason best lower-cost focused self-serve alternative: ClinicFrame: solo and small practices needing notes without oncology enterprise scope. best independent-practice EHR-handoff alternative: Freed: clinicians wanting tier choice, specialty templates, patient context, browser EHR Push, and optional coding. best embedded general clinical-intelligence alternative: Suki: systems needing major-EHR integration, ambient documentation, coding, reasoning, orders, APIs, and SDKs across specialties. best enterprise clinical-intelligence peer: Abridge: health systems comparing scaled ambient documentation, clinical intelligence, EHR integration, and governance. best unified ambient and dictation alternative: Microsoft Dragon Copilot: organizations combining ambient capture, mature dictation, role-based workflows, EHR embedding, and extensibility. best API-oriented enterprise alternative: Nabla: health systems and healthtech platforms needing transcription, notes, normalized data, dictation, and flexible integrations. ## How we compared DeepScribe alternatives Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We show DeepScribe first and define when keeping it is the rational decision. Mutable product and pricing facts come from official pages checked on August 23, 2026; third-party rankings identify questions but do not establish current facts. We compare recurring production terms, not trial access, first-month promotions, or unlabeled annual equivalents. Every alternative receives one real winning persona and one material limitation. Individual, specialty, EHR-native, and enterprise products remain separate purchasing categories. Every finalist must pass the same note-quality and correction-time rubric plus privacy, security, and contract review. ## DeepScribe vs 6 leading alternatives Public prices, eligibility, limits, promotions, integrations, and enterprise terms can change. Verify the linked first-party page and the written agreement offered to the practice. Option Published starting point Best fit What we verified Main limitation to test DeepScribe Custom organization pricing oncology organizations needing contextual pre-charting, ambient notes, coding, customization, and oncology-EHR embedding an oncology-focused ambient scribe, SmartPrep, AI coding, Customization Studio, patient-context use, and embedding in OncoEMR and iKnowMed plus Epic positioning no public self-serve price and a narrower specialty focus than general platforms ClinicFrame $34.99 monthly or $27.99 annual equivalent solo and small practices needing notes without oncology enterprise scope SOAP, DAP, BIRP, custom templates, in-person, telehealth and dictation capture, patient records, and note chat no oncology-specific pre-charting, coding, or native EHR integration Freed $39–$119/month across public tiers clinicians wanting tier choice, specialty templates, patient context, browser EHR Push, and optional coding public low-volume and unlimited tiers, specialty templates, patient context, browser EHR Push, and higher-tier coding browser handoff and broad specialty templates are not oncology-enterprise equivalence Suki Custom organization or partner pricing systems needing major-EHR integration, ambient documentation, coding, reasoning, orders, APIs, and SDKs across specialties ambient notes, instructions, orders, coding, reasoning, 100+ specialties, major-EHR integrations, APIs, SDKs, multilingual capture, and structured output custom enterprise procurement and less oncology-specific public positioning Abridge Custom enterprise pricing health systems comparing scaled ambient documentation, clinical intelligence, EHR integration, and governance enterprise-wide deployment, clinical intelligence, EHR integration, and organization-level security and data-governance positioning no public self-serve price and direct oncology workflow comparison is required Microsoft Dragon Copilot Organization licensing and usage terms organizations combining ambient capture, mature dictation, role-based workflows, EHR embedding, and extensibility ambient and dictation, templates, coding and tasks, role-based physician/nurse/radiology experiences, EHR access, APIs, SDKs, and administration licensing, consumption, regional terms, and oncology-specific fit need analysis Nabla Custom organization pricing health systems and healthtech platforms needing transcription, notes, normalized data, dictation, and flexible integrations medical transcription, structured notes, dictation, FHIR-normalized data, patient instructions, APIs, and front-end or server-side EHR integration custom implementation and less oncology-specific public scope ## Which DeepScribe alternative fits the actual reason to switch? ## 1. DeepScribe: the oncology-focused ambient workflow baseline DeepScribe is the baseline, not a straw man. Its official DeepScribe platform page verifies an oncology-focused ambient scribe, SmartPrep, AI coding, Customization Studio, patient-context use, and embedding in OncoEMR and iKnowMed plus Epic positioning. Its oncology context, workflow, and embedded integrations are genuine reasons to stay for cancer-care organizations. A practice should stay when those functions are reliable in representative visits and remove more work than the subscription and implementation add. The main constraint is no public self-serve price and a narrower specialty focus than general platforms. That limitation matters only in context: a lower-priced product can still cost more after correction, transfer, missing functionality, training, and parallel systems. Record the actual reason for evaluating DeepScribe alternatives before opening another trial. Keep DeepScribe when oncology context, SmartPrep, coding, personalization, and the target EHR deployment perform well. Recheck the current order form, BAA, security exhibits, retention, model-use language, subprocessors, support, export, and termination terms. Product pages describe a workflow; they do not replace the agreement offered to the practice or the clinician's responsibility for the final note. Check the current details on the official DeepScribe platform page before making a purchasing decision. ## 2. ClinicFrame: best lower-cost focused self-serve alternative ClinicFrame is the best lower-cost focused self-serve alternative. Its official ClinicFrame pricing page verifies SOAP, DAP, BIRP, custom templates, in-person, telehealth and dictation capture, patient records, and note chat. It offers transparent individual access and a fast pilot. That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against DeepScribe is ClinicFrame cannot replace DeepScribe's oncology context, coding, embedded EHR, or enterprise rollout. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose ClinicFrame when focused note generation is the actual need and copy/export is acceptable. Keep DeepScribe when its current oncology-focused ambient workflow baseline workflow already performs better or switching would only exchange one problem for another. Test note quality, correction time, capture reliability, EHR handoff, governance, and total cost side by side before migrating. Check the current details on the official ClinicFrame pricing page before making a purchasing decision. ## 3. Freed: best independent-practice EHR-handoff alternative Freed is the best independent-practice EHR-handoff alternative. Its official Freed pricing page verifies public low-volume and unlimited tiers, specialty templates, patient context, browser EHR Push, and higher-tier coding. It provides a purchasable scribe-first workflow outside group procurement. That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against DeepScribe is the selected tier and target EHR must be tested against DeepScribe's integrated specialty workflow. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose Freed when independent-practice price and browser chart handoff solve the switching reason. Keep DeepScribe when its current oncology-focused ambient workflow baseline workflow already performs better or switching would only exchange one problem for another. Test note quality, correction time, capture reliability, EHR handoff, governance, and total cost side by side before migrating. Check the current details on the official Freed pricing page before making a purchasing decision. ## 4. Suki: best embedded general clinical-intelligence alternative Suki is the best embedded general clinical-intelligence alternative. Its official Suki platform page verifies ambient notes, instructions, orders, coding, reasoning, 100+ specialties, major-EHR integrations, APIs, SDKs, --- # 6 Best Doximity Scribe Alternatives in 2026 URL: https://clinicframe.com/blog/doximity-scribe-alternatives Compare six Doximity Scribe alternatives by eligibility, price, templates, specialty fit, EHR handoff, team scope, and enterprise deployment. Publisher disclosure: ClinicFrame publishes this comparison and is included as an alternative. We apply the same first-party-source standard to Doximity Scribe, ClinicFrame, and every competitor; give Doximity Scribe a genuine stay case; and separate verified facts from editorial fit judgments. Short answer: Stay with Doximity Scribe when the user is eligible and its free templates, capture, Dialer, review, and chart handoff perform well. Choose ClinicFrame for lower-cost option beyond Doximity eligibility, Choose Heidi Health for free general alternative, Choose Freed for paid independent-practice alternative, Choose Twofold Health for broad unlimited paid alternative, Choose DeepCura for all-in-one practice-agent alternative, Choose Nabla for enterprise deployment alternative. The best alternative is the one that resolves a measured switching reason in the real charting workflow. Doximity Scribe alternatives span different purchasing categories. Doximity Scribe is a free U.S.-eligibility-based tool integrated with the Doximity clinician ecosystem. A focused self-serve scribe, an eligibility-limited free tool, a specialty platform, an EHR-native add-on, and an enterprise deployment may all produce a note, but they do not solve the same operational problem. This guide preserves those distinctions instead of forcing every product into one numerical score. Doximity Scribe remains the comparison baseline because free access for eligible verified U.S. accounts, mobile and web capture, custom templates, up to 140-minute recordings, Dialer workflow, copy-to-EHR notes, and 29-day transcript/note storage. For an eligible clinician, free customized notes and Doximity integration are difficult to beat on price. A switch is justified only when another product produces a measurable improvement in the practice's priority—not because its landing page contains more features or a lower introductory number. The comparison starts with recurring price and product scope, then moves to capture, templates, specialty fit, correction time, EHR transfer, patient context, team administration, BAA, retention, deletion, model use, subprocessors, incident terms, export, and termination. Generated documentation remains a draft requiring clinician review before chart entry. For a market-wide shortlist, read the best AI medical scribes . For price-first research, use the cheapest AI medical scribes . This canonical page owns “Doximity Scribe alternatives” and “ClinicFrame vs Doximity Scribe”. ## Best Doximity Scribe alternatives by switching reason best lower-cost option beyond Doximity eligibility: ClinicFrame: therapists, psychologists, mixed specialties, and other users who need a focused desktop workflow. best free general alternative: Heidi Health: clinicians who want free standard notes without Doximity's exact U.S. role eligibility. best paid independent-practice alternative: Freed: clinicians needing plan choice, unlimited tiers, specialty templates, patient context, and browser EHR Push. best broad unlimited paid alternative: Twofold Health: clinicians wanting unlimited notes with coding, progress, reports, templates, mobile, and desktop. best all-in-one practice-agent alternative: DeepCura: practices needing scribe, reception, fax, intake, tasks, scheduling, coding, research, and EHR integration together. best enterprise deployment alternative: Nabla: large groups and health systems needing integrations, APIs, deployment support, and governance. ## How we compared Doximity Scribe alternatives Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We show Doximity Scribe first and define when keeping it is the rational decision. Mutable product and pricing facts come from official pages checked on August 23, 2026; third-party rankings identify questions but do not establish current facts. We compare recurring production terms, not trial access, first-month promotions, or unlabeled annual equivalents. Every alternative receives one real winning persona and one material limitation. Individual, specialty, EHR-native, and enterprise products remain separate purchasing categories. Every finalist must pass the same note-quality and correction-time rubric plus privacy, security, and contract review. ## Doximity Scribe vs 6 leading alternatives Public prices, eligibility, limits, promotions, integrations, and enterprise terms can change. Verify the linked first-party page and the written agreement offered to the practice. Option Published starting point Best fit What we verified Main limitation to test Doximity Scribe $0 for eligible verified U.S. clinicians eligible physicians, NPs, PAs, CRNAs, and students using Doximity on mobile or web free access for eligible verified U.S. accounts, mobile and web capture, custom templates, up to 140-minute recordings, Dialer workflow, copy-to-EHR notes, and 29-day transcript/note storage eligibility excludes many clinicians, staff roles, therapists, and non-U.S. users, while chart handoff is largely copy based ClinicFrame $34.99 monthly or $27.99 annual equivalent therapists, psychologists, mixed specialties, and other users who need a focused desktop workflow SOAP, DAP, BIRP, custom templates, in-person, telehealth and dictation capture, patient records, and note chat paid rather than free and no native EHR integration today Heidi Health $0 Free; paid plans vary by region clinicians who want free standard notes without Doximity's exact U.S. role eligibility unlimited standard transcription and notes on Free with 10 advanced actions monthly custom templates and advanced functions can require a paid plan Freed $39–$119/month across public tiers clinicians needing plan choice, unlimited tiers, specialty templates, patient context, and browser EHR Push public scribe tiers, low-volume and unlimited options, specialty templates, browser EHR Push, and higher-tier coding the recurring price is materially above Doximity's $0 and varies by required tier Twofold Health $69 monthly or $49 annual equivalent clinicians wanting unlimited notes with coding, progress, reports, templates, mobile, and desktop unlimited notes, assistant, templates, coding, progress tracking, reports, telehealth, mobile and desktop access, and BAA wording paid and broader than necessary for a user satisfied with free Doximity notes DeepCura $129 monthly or $999/year per AI user practices needing scribe, reception, fax, intake, tasks, scheduling, coding, research, and EHR integration together seven AI agents, 1,000 credits, EHR integration, coding, reception, fax, intake, tasks, scheduling, research, analytics, and team access far higher price and complexity than a free individual scribe Nabla Custom enterprise pricing large groups and health systems needing integrations, APIs, deployment support, and governance enterprise clinical AI positioning, EHR integrations, APIs, and organization-wide deployment scope not a like-for-like free individual tool and requires procurement ## Which Doximity Scribe alternative fits the actual reason to switch? ## 1. Doximity Scribe: the free eligible-U.S.-clinician baseline Doximity Scribe is the baseline, not a straw man. Its official Doximity Scribe help guide verifies free access for eligible verified U.S. accounts, mobile and web capture, custom templates, up to 140-minute recordings, Dialer workflow, copy-to-EHR notes, and 29-day transcript/note storage. For an eligible clinician, free customized notes and Doximity integration are difficult to beat on price. A practice should stay when those functions are reliable in representative visits and remove more work than the subscription and implementation add. The main constraint is eligibility excludes many clinicians, staff roles, therapists, and non-U.S. users, while chart handoff is largely copy based. That limitation matters only in context: a lower-priced product can still cost more after correction, transfer, missing functionality, training, and parallel systems. Record the actual reason for evaluating Doximity Scribe alternatives before opening another trial. Keep Doximity Scribe when the user is eligible and its free templates, capture, Dialer, review, and chart handoff perform well. Recheck the current order form, BAA, security exhibits, retention, model-use language, subprocessors, support, export, and termination terms. Product pages describe a workflow; they do not replace the agreement offered to the practice or the clinician's responsibility for the final note. Check the current details on the official Doximity Scribe help guide before making a purchasing decision. ## 2. ClinicFrame: best lower-cost option beyond Doximity eligibility ClinicFrame is the best lower-cost option beyond Doximity eligibility. Its official ClinicFrame pricing page verifies SOAP, DAP, BIRP, custom templates, in-person, telehealth and dictation capture, patient records, and note chat. Its broader role and specialty positioning can cover users outside Doximity's free list. That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against Doximity Scribe is it gives up Doximity's zero price and native connection to Dialer and Ask. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose ClinicFrame when eligibility or behavioral-health formats matter and copy/export handoff is acceptable. Keep Doximity Scribe when its current free eligible-U.S.-clinician baseline workflow already performs better or switching would only exchange one problem for another. Test note quality, correction time, capture reliability, EHR handoff, governance, and total cost side by side before migrating. Check the current details on the official ClinicFrame pricing page before making a purchasing decision. ## 3. Heidi Health: best free general alternative Heidi Health is the best free general alternative. Its official Heidi pricing help article verifies unlimited standard transcription and notes on Free with 10 advanced actions monthly. It provides another zero-subscription baseline with different availability and workflow. That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against Doximity Scribe is Heidi does not reproduce Doximity's Dialer, Ask, professional network, or eligibility-based ecosystem. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose Heidi Health when standard notes fit and the clinician prefers Heidi's availability or interface. Keep Doximity Scribe when its current free eligible-U.S.-clinician baseline workflow already performs better or switching would only exchange one problem for another. Test note quality, correction time, capture reliability, EHR handoff, governance, and total cost side by side before migrating. Check the current details on the official Heidi pricing help article before making a purchasing decision. ## 4. Freed: best paid independent-practice alternative Freed is the best paid independent-practice alternative. Its official Freed pricing page verifies public scribe tiers, low-volume and unlimited options, specialty templates, browser EHR Push, and higher-tier coding. It creates a paid path for more robust independent-practice workflow and browser chart handoff. That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against Doxim --- # 6 Best Microsoft Dragon Copilot Alternatives in 2026 URL: https://clinicframe.com/blog/dragon-copilot-alternatives Compare six Microsoft Dragon Copilot alternatives by ambient documentation, dictation, EHR integration, self-serve price, enterprise rollout, and specialty fit. Publisher disclosure: ClinicFrame publishes this comparison and is included as an alternative. We apply the same first-party-source standard to Microsoft Dragon Copilot, ClinicFrame, and every competitor; give Microsoft Dragon Copilot a genuine stay case; and separate verified facts from editorial fit judgments. Short answer: Stay with Microsoft Dragon Copilot when dictation and ambient documentation must coexist across roles and the Microsoft/EHR deployment is effective. Choose ClinicFrame for lower-cost focused self-serve alternative, Choose Doximity Scribe for free option for eligible U.S. clinicians, Choose Freed for independent-practice browser-handoff alternative, Choose Abridge for enterprise ambient clinical-intelligence alternative, Choose Suki for embedded ambient and partner-platform alternative, Choose DeepScribe for oncology-focused alternative. The best alternative is the one that resolves a measured switching reason in the real charting workflow. Microsoft Dragon Copilot alternatives span different purchasing categories. Microsoft Dragon Copilot unifies Dragon dictation, ambient documentation, surfaced information, task automation, role-based experiences, EHR integration, APIs, SDKs, and administration. A focused self-serve scribe, an eligibility-limited free tool, a specialty platform, an EHR-native add-on, and an enterprise deployment may all produce a note, but they do not solve the same operational problem. This guide preserves those distinctions instead of forcing every product into one numerical score. Microsoft Dragon Copilot remains the comparison baseline because natural-language dictation, ambient multi-party capture, specialty templates, information retrieval, coding and task support, physician/nurse/radiology experiences, web/mobile/desktop/EHR access, SDKs, APIs, and admin tools. Its combination of mature voice technology and extensible enterprise workflow is difficult for point solutions to match. A switch is justified only when another product produces a measurable improvement in the practice's priority—not because its landing page contains more features or a lower introductory number. The comparison starts with recurring price and product scope, then moves to capture, templates, specialty fit, correction time, EHR transfer, patient context, team administration, BAA, retention, deletion, model use, subprocessors, incident terms, export, and termination. Generated documentation remains a draft requiring clinician review before chart entry. For a market-wide shortlist, read the best AI medical scribes . For price-first research, use the cheapest AI medical scribes . This canonical page owns “Microsoft Dragon Copilot alternatives” and “ClinicFrame vs Microsoft Dragon Copilot”. ## Best Microsoft Dragon Copilot alternatives by switching reason best lower-cost focused self-serve alternative: ClinicFrame: solo and small practices needing notes without enterprise voice infrastructure. best free option for eligible U.S. clinicians: Doximity Scribe: eligible individuals wanting free mobile/web notes and Doximity Dialer integration. best independent-practice browser-handoff alternative: Freed: independent clinicians needing specialty templates, patient context, browser EHR Push, and optional coding. best enterprise ambient clinical-intelligence alternative: Abridge: health systems prioritizing scaled ambient intelligence, EHR integration, governance, and clinician adoption. best embedded ambient and partner-platform alternative: Suki: systems needing major-EHR integration, ambient notes, coding, reasoning, orders, APIs, and SDKs. best oncology-focused alternative: DeepScribe: oncology groups needing SmartPrep, contextual notes, coding, personalization, and oncology-EHR embedding. ## How we compared Microsoft Dragon Copilot alternatives Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We show Microsoft Dragon Copilot first and define when keeping it is the rational decision. Mutable product and pricing facts come from official pages checked on August 23, 2026; third-party rankings identify questions but do not establish current facts. We compare recurring production terms, not trial access, first-month promotions, or unlabeled annual equivalents. Every alternative receives one real winning persona and one material limitation. Individual, specialty, EHR-native, and enterprise products remain separate purchasing categories. Every finalist must pass the same note-quality and correction-time rubric plus privacy, security, and contract review. ## Microsoft Dragon Copilot vs 6 leading alternatives Public prices, eligibility, limits, promotions, integrations, and enterprise terms can change. Verify the linked first-party page and the written agreement offered to the practice. Option Published starting point Best fit What we verified Main limitation to test Microsoft Dragon Copilot Organization licensing and usage terms organizations needing ambient capture, mature dictation, role-based workflows, EHR embedding, extensibility, and Microsoft infrastructure natural-language dictation, ambient multi-party capture, specialty templates, information retrieval, coding and task support, physician/nurse/radiology experiences, web/mobile/desktop/EHR access, SDKs, APIs, and admin tools licensing, consumption, regional availability, configuration, and deployment are more complex than self-serve scribes ClinicFrame $34.99 monthly or $27.99 annual equivalent solo and small practices needing notes without enterprise voice infrastructure SOAP, DAP, BIRP, custom templates, in-person, telehealth and dictation capture, patient records, and note chat no native EHR integration, mature Dragon dictation equivalence, or enterprise administration Doximity Scribe $0 for eligible verified U.S. clinicians eligible individuals wanting free mobile/web notes and Doximity Dialer integration free eligible access, custom templates, mobile/web capture, up to 140 minutes, Dialer support, and copy-to-EHR notes individual eligibility and scope cannot replace Dragon enterprise deployment Freed $39–$119/month across public tiers independent clinicians needing specialty templates, patient context, browser EHR Push, and optional coding public low-volume and unlimited tiers, specialty templates, patient context, browser EHR Push, and higher-tier coding browser handoff and individual tiers are not enterprise Dragon equivalence Abridge Custom enterprise pricing health systems prioritizing scaled ambient intelligence, EHR integration, governance, and clinician adoption enterprise-wide deployment, clinical intelligence, EHR integration, and organization-level security and data-governance positioning does not present the same unified Dragon dictation heritage and requires direct procurement comparison Suki Custom organization or partner pricing systems needing major-EHR integration, ambient notes, coding, reasoning, orders, APIs, and SDKs ambient documentation, patient instructions, orders, coding, reasoning, 100+ specialties, major-EHR integration, APIs, SDKs, multilingual capture, and structured data organization-specific pricing and a different voice and administration ecosystem DeepScribe Custom organization pricing oncology groups needing SmartPrep, contextual notes, coding, personalization, and oncology-EHR embedding oncology ambient scribe, SmartPrep, AI coding, Customization Studio, patient context, and OncoEMR/iKnowMed embedding plus Epic positioning narrower oncology focus and no public self-serve price ## Which Microsoft Dragon Copilot alternative fits the actual reason to switch? ## 1. Microsoft Dragon Copilot: the unified enterprise voice-workflow baseline Microsoft Dragon Copilot is the baseline, not a straw man. Its official Microsoft Dragon Copilot documentation verifies natural-language dictation, ambient multi-party capture, specialty templates, information retrieval, coding and task support, physician/nurse/radiology experiences, web/mobile/desktop/EHR access, SDKs, APIs, and admin tools. Its combination of mature voice technology and extensible enterprise workflow is difficult for point solutions to match. A practice should stay when those functions are reliable in representative visits and remove more work than the subscription and implementation add. The main constraint is licensing, consumption, regional availability, configuration, and deployment are more complex than self-serve scribes. That limitation matters only in context: a lower-priced product can still cost more after correction, transfer, missing functionality, training, and parallel systems. Record the actual reason for evaluating Microsoft Dragon Copilot alternatives before opening another trial. Keep Microsoft Dragon Copilot when dictation and ambient documentation must coexist across roles and the Microsoft/EHR deployment is effective. Recheck the current order form, BAA, security exhibits, retention, model-use language, subprocessors, support, export, and termination terms. Product pages describe a workflow; they do not replace the agreement offered to the practice or the clinician's responsibility for the final note. Check the current details on the official Microsoft Dragon Copilot documentation before making a purchasing decision. ## 2. ClinicFrame: best lower-cost focused self-serve alternative ClinicFrame is the best lower-cost focused self-serve alternative. Its official ClinicFrame pricing page verifies SOAP, DAP, BIRP, custom templates, in-person, telehealth and dictation capture, patient records, and note chat. It provides transparent individual pricing, a quick desktop pilot, and a desktop mode that lets a clinician dictate into any field on the machine . That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against Microsoft Dragon Copilot is ClinicFrame is a focused note layer rather than a unified role-based voice platform. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose ClinicFrame when simple documentation and copy/export meet the practice's needs. Keep Microsoft Dragon Copilot when its current unified enterprise voice-workflow baseline workflow already performs better or switching would only exchange one problem for another. Test note quality, correction time, capture reliability, EHR handoff, governance, and total cost side by side before migrating. Check the current details on the official ClinicFrame pricing page before making a purchasing decision. ## 3. Doximity Scribe: best free option for eligible U.S. clinicians Doximity Scribe is the best free option for eligible U.S. clinicians. Its official Doximity Scribe help guide verifies free eligible access, custom templates, mobile/web capture, up to 140 minutes, Dialer support, and copy-to-EHR notes. It creates a credible zero-cost ambient note control. That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against Microsoft Dragon Copilot is Doximity lacks Dragon's mature dictation, role-based EHR embedding, APIs, SDKs, and admin platform. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose Doximity Scribe when the clinician is eligible and the free workflow is permitted and effective. Keep Microsoft Dragon Copilot when its current unified enterprise voice-workflow baseline workflow already performs be --- # 6 Best Freed AI Alternatives in 2026 URL: https://clinicframe.com/blog/freed-ai-alternatives Compare six Freed AI alternatives by current price, workflow, EHR transfer, devices, team scope, limitations, and who should stay with Freed. Publisher disclosure: ClinicFrame publishes this comparison and is included as a Freed alternative. We apply the same public-source standard to ClinicFrame and every competitor, identify situations where Freed or another vendor is the stronger fit, and have not represented vendor demonstrations as independent hands-on testing. Short answer: ClinicFrame is the lower-cost paid alternative for a focused browser and desktop workflow; Heidi is the strongest free standard-documentation baseline; Doximity Scribe is the $0 option for eligible verified US clinicians; Twofold is a lower-cost paid alternative with broad capture and workflow functions; MedicalScribe.app is worth considering for web, iOS, and WatchOS access; and DeepCura targets practices that want a broader all-in-one clinical AI platform. Stay with Freed when its mature self-serve experience, specialty templates, and browser-based EHR Push already remove more work than switching would save. People look for a Freed alternative for different reasons. One clinician wants a continuing free plan. Another has moved beyond Freed Starter's 40-note limit and is comparing the $79 Core price with lower-cost unlimited products. A practice may need a different device, template system, team contract, EHR handoff, or broader set of administrative functions. Those are separate decisions, so there is no responsible single replacement for every Freed user. This page owns both “Freed AI alternatives” and the practical “ClinicFrame vs Freed” comparison. Creating a second head-to-head URL would split the same search intent and repeat the same evidence. The comparison therefore begins with Freed as the baseline, gives Freed a genuine winning persona, and then evaluates six alternatives on equivalent dimensions: price and plan gates, capture, note formats, EHR transfer, team scope, BAA and security evidence, and the work required to reach a reviewed note. A product's public feature list cannot predict clinical performance in your environment. The same system may behave differently with a psychiatric intake, rapid primary-care follow-up, multi-speaker family visit, telehealth call, strong accent, or customized EHR template. Generated notes remain drafts, and the signing professional remains responsible for detecting omissions, unsupported statements, attribution mistakes, incorrect medications, and inappropriate plan language. If you have not yet narrowed the market to Freed, use the broader best AI medical scribes comparison . If the primary issue is subscription cost, use the cheapest AI medical scribes guide . This article is for the next decision: what do you gain and give up when choosing an alternative to Freed? ## Best Freed alternatives by reason for switching Best lower-cost paid alternative: ClinicFrame for a focused in-person, telehealth, and dictation workflow at $34.99 monthly or $27.99 per month equivalent annually. Best free standard-documentation alternative: Heidi Free when standard templates and its limited advanced-action pool are sufficient. Best free alternative for eligible US clinicians: Doximity Scribe for verified US physicians, NPs, PAs, CRNAs, and specified students. Best lower-cost broad workflow: Twofold for multiple capture paths, custom templates, coding, and progress tracking at $49 per month equivalent annually. Best for web and Apple-device capture: MedicalScribe.app for web, iOS, and WatchOS use at about $42 per month equivalent annually. Best broader-platform alternative: DeepCura when a practice wants scribing plus EHR integration, receptionist, fax, intake, billing, and related agents in one plan. ## How we compared Freed and its alternatives Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We selected alternatives that answer a distinct switching reason: lower paid price, continuing free access, verified-professional free access, broader low-cost workflow, device flexibility, or a larger all-in-one platform. We used current official pricing, product, help-center, and security pages. Competitor listicles helped identify questions but did not establish product facts. Freed and ClinicFrame receive the same evidence standard. A claim is included only when a current first-party page supports it, and vendor metrics are not treated as independent results. We compare the plan required for the stated function. Freed Starter's $39 price is not used to represent unlimited notes or unlimited EHR Push, and an alternative's annual equivalent is labeled as an annual commitment. We name who should not switch. Migration has a cost: retraining templates, changing capture habits, reviewing agreements, moving retained data, and accepting a new error pattern. We do not assign an accuracy star rating. Use the same local accuracy test for every finalist and keep unknown results unknown until the practice measures them. ## Freed vs six leading alternatives Prices are public USD starting points, not negotiated quotes. Free access, annual equivalents, note caps, and broader platforms are intentionally labeled because they are not interchangeable. Verify the current product, contract, and regional terms before relying on any row. Option Published starting point Best fit What we verified Main limitation to test Freed $39 capped; $79 Core; $104–$119 Premier Independent clinicians who value a mature self-serve workflow, specialty templates, and browser-based EHR Push 7-day trial, 40-note Starter, unlimited Core, Premier EHR Push/coding/context, group plans, and BAA path Price increases with volume and advanced workflow; meaningful EHR Push access is plan-gated ClinicFrame $34.99 monthly or $27.99/mo equivalent annually Solo and small practices using in-person visits, telehealth capture without a meeting bot, dictation, and custom formats SOAP, DAP, BIRP, custom templates, browser/desktop workflow, patient records, and current beta unlimited use No current native EHR integration; future session cap is planned; public BAA wording needs conservative handling Heidi $0 Free; $110/mo Clinician shown in USD Clinicians who can use standard templates for free or want a larger paid AI care-partner feature set Unlimited standard transcription and notes on Free; 10 advanced actions monthly; paid advanced plans Custom templates and advanced workflows consume the Free action pool; regional plans and integrations vary Doximity Scribe $0 for eligible verified users Verified US physicians, NPs, PAs, CRNAs, and eligible students who fit the Doximity account model Free access, web/mobile capture, dictation, custom templates, and recordings up to 140 minutes Eligibility excludes many roles and geographies; organizational purchasing is a different question Twofold Health $69 monthly or $49/mo equivalent annually Clinicians needing multiple capture modes, custom templates, coding, treatment plans, and progress tracking Unlimited notes, custom templates, mobile/desktop, telehealth, dictation, uploads, coding, and progress functions The lowest price requires annual prepayment; group pricing and organization terms are custom MedicalScribe.app $499/year, about $42/month equivalent Clinicians who value a web, iPhone, and Apple Watch workflow plus custom formats and multilingual support 10-visit free entry; unlimited Professional visits; web, iOS, WatchOS; custom formats; 57 languages listed The displayed low price requires annual prepayment; team controls and custom integrations are quote-based DeepCura $129/month or $999/year per AI user Practices seeking scribing plus EHR integration, receptionist, fax, intake, billing, research, and team workflows 1,000 monthly credits, multiple AI agents, EHR integrations, coding, free read/edit team access, volume pricing Higher price and much broader scope than Freed; credit use and every claimed integration require validation ## Which Freed alternative is best for each workflow? ## 1. Freed: the baseline—and often the right product to keep Freed should not be treated as the problem every alternative must solve. The current Freed pricing page gives individual clinicians a clear ladder: Starter at $39 per month for up to 40 notes, Core at $79 per month for unlimited notes, and Premier at $119 monthly or $104 per month equivalent annually for the fuller workflow. The product includes specialty templates, note-format learning, live support, and an established self-serve onboarding path. Freed also has a practical browser-based transfer story. Its EHR Push documentation describes a Chrome extension that maps a reviewed Freed note into supported browser-based EHRs. Starter and Core receive limited chart transfers, while Premier provides full access. That is not the same as a native bidirectional enterprise integration, but it can remove repeated copy-and-paste for an independent practice without a long implementation. Stay with Freed when your templates already work, correction time is acceptable, the extension fits your EHR, and the subscription tier matches your volume. Switching to save $30–$50 per month can be a false economy if it requires rebuilding templates, increases transfer work, or introduces unfamiliar errors. Freed is particularly defensible for a clinician who values its support and established workflow more than the lowest possible subscription. Check the current details on the official Freed pricing page before making a purchasing decision. ## 2. ClinicFrame: best lower-cost paid alternative for focused practices ClinicFrame is the clearest paid price alternative to Freed. Its current pricing page lists one plan at $34.99 monthly or $335.88 annually, equivalent to $27.99 per clinician per month. It includes unlimited visits during the current beta, SOAP, DAP, BIRP and custom note templates, patient records, note chat, and a seven-day trial without a card. There is no need to move from a capped entry tier to a separate unlimited tier under the current beta terms. The workflow is narrower than Freed Premier. ClinicFrame captures in-person and telehealth audio on the clinician's computer, supports dictation, and produces a note for review and copying or export. Direct API integration is described as a roadmap item, so a clinician buying primarily for automated EHR transfer may prefer Freed's current Chrome-extension path. ClinicFrame is not presented here as an enterprise equivalent to products with large-scale identity, integration, and implementation programs. Choose ClinicFrame when the practice wants a lower, predictable self-serve price and the browser/desktop capture plus copy-to-EHR workflow fits. Stay with Freed if EHR Push, existing templates, or prior-visit functions remove more work than the subscription difference. ClinicFrame includes a signed BAA with every account, on every plan, with no enterprise contract, and states that patient content is never used to train AI models. Read the agreement before using PHI, as you should with any vendor here. Check the current details on the official ClinicFrame pricing page before making a purchasing decision. ## 3. Heidi: best continuing free alternative Heidi is the most compelling Freed alternative when the switching reason is price and standard documentation is sufficient. Its official pricing help article says Free includes unlimited transcription and note generation with standard templates. Advanced templates, Ask Heidi, documents, form filling, and patient or session linking share a pool of 10 actions per month. That creates a meaningful continuing free workflow, not merely a short trial. The trade-off appears when the clinician wants the customization or downstream work that made Freed valuable. A custom template used on every encounter can exhaust a 10-action allowance quickly. Heidi's paid Clinician plan is currently displayed at $110 per user per --- # 6 Best Heidi Health Alternatives in 2026 URL: https://clinicframe.com/blog/heidi-health-alternatives Compare six Heidi Health alternatives by price, free-plan limits, templates, specialty fit, EHR workflow, practice size, and switching cost. Publisher disclosure: ClinicFrame publishes this comparison and is included as a Heidi alternative. We apply the same public-source standard to ClinicFrame and every competitor, state where Heidi or another vendor is a better fit, and have not represented vendor demonstrations as independent hands-on testing. Short answer: Stay with Heidi when its unlimited standard notes on Free or its broader paid care-partner workflow fits. Choose ClinicFrame for a focused lower-cost paid workflow, Freed for mature self-serve use and browser EHR Push, Twofold for broad capture and longitudinal functions, Mentalyc for therapy-specific documentation, Nabla for an embedded enterprise clinical AI layer, or DeepCura for a broader multi-agent practice platform. Searching for a Heidi Health alternative does not necessarily mean Heidi is failing. A clinician may love the free standard-note workflow but need custom templates on every encounter. Another may want a lower-cost paid plan, a therapy-specific note system, a browser-assisted EHR handoff, an enterprise implementation, or one platform for several administrative agents. Each reason produces a different shortlist. This guide therefore treats Heidi as the baseline, not a straw man. It compares the plan required for the stated workflow and gives every product a real winning persona. Public prices are useful, but they do not establish note quality, legal suitability, or total cost. The lowest subscription can become expensive if clinicians spend longer correcting drafts or manually moving them into the record. AI-generated notes remain drafts. Before signing, the responsible clinician should check speaker attribution, diagnoses, medications, risk statements, measurements, assessment language, and the plan. The practice must also verify consent, recording law, retention, access controls, incident handling, and the applicable business associate agreement before sending protected health information. If you are still choosing across the entire category, begin with the best AI medical scribes guide . If price is the main decision, use the cheapest AI medical scribes comparison . This page answers the narrower question: what would you gain and give up by replacing Heidi? ## Best Heidi alternatives by switching reason Best lower-cost focused paid alternative: ClinicFrame at $34.99 monthly or $27.99 per month equivalent annually. Best mature self-serve alternative: Freed when specialty templates, support, and browser EHR Push justify its paid tier. Best broad lower-cost workflow: Twofold for multiple capture modes, custom templates, coding, treatment plans, and progress tracking. Best therapy-specific alternative: Mentalyc for behavioral-health formats, client types, treatment planning, and longitudinal therapy functions. Best enterprise embedded alternative: Nabla for health systems that need configurable clinical AI, EHR integration, API access, and implementation support. Best broader multi-agent platform: DeepCura for practices intentionally combining scribing with intake, receptionist, fax, billing, and related workflows. ## How we compared Heidi and its alternatives Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We selected alternatives that answer different switching reasons rather than listing every product that calls itself an AI scribe. We checked official pricing, product, help-center, security, integration, and API pages. Competitor comparisons informed the questions but did not establish facts. Heidi and ClinicFrame receive the same evidence standard. Vendor claims are labeled as vendor claims, and no marketing metric is treated as independent clinical evidence. We compare the tier needed for the described workflow. Heidi Free's unlimited standard notes are not presented as unlimited access to custom templates, documents, form filling, or linked-session features. We distinguish copy-and-paste, browser-assisted transfer, vendor-listed integration, and embedded enterprise implementation. Those workflows are not interchangeable. We do not rank accuracy from feature pages. Every finalist should complete the same local accuracy and correction-time test before production use. ## Heidi vs six leading alternatives Prices below are current public USD starting points, not negotiated quotes. Regional Heidi plans and enterprise contracts may differ. Verify the linked first-party source and the exact contract offered to your account. Option Published starting point Best fit What we verified Main limitation to test Heidi Health $0 Free; paid plans vary by region Clinicians who can use standard templates for free or want Heidi's broader paid workflow Unlimited standard transcription and notes on Free; 10 advanced actions monthly; paid customization and team paths Custom templates and advanced workflows consume the Free action pool; regional pricing and features vary ClinicFrame $34.99 monthly or $27.99/mo equivalent annually Solo and small practices using in-person, telehealth, dictation, and custom-format workflows SOAP, DAP, BIRP, custom templates, desktop/browser capture, patient records, note chat, and beta unlimited use No current native EHR integration; a future session cap is planned; public BAA wording requires conservative review Freed $39 capped; $79 Core; $104–$119 Premier Independent clinicians who value specialty templates, established onboarding, support, and browser-assisted transfer 40-note Starter, unlimited Core, Premier workflow functions, group plans, and documented Chrome-extension EHR Push Price increases with volume and advanced workflow; full EHR Push is plan-gated Twofold Health $69 monthly or $49/mo equivalent annually Clinicians wanting multiple capture modes, custom templates, coding, treatment plans, and progress tracking Unlimited notes, mobile/desktop use, telehealth, dictation, uploads, custom templates, coding, and progress functions The lowest price requires annual prepayment; organization pricing and implementation require confirmation Mentalyc $19.99–$119.99 monthly; lower annual equivalents Therapists needing behavioral-health formats, client types, treatment planning, and longitudinal insights SOAP, DAP and intake on Mini; broader templates, modalities, client types, supervision, and tracking on higher tiers Note limits and specialty functions are plan-gated; broader clinical specialties should use a general product Nabla Custom enterprise pricing; individual trial path available Health systems needing configurable clinical AI, EHR integration, API access, implementation, and governance Ambient documentation, dictation, coding, major-EHR integration paths, customization, API, and enterprise deployment No public enterprise price; implementation scope is not comparable to a self-serve subscription DeepCura $129/month or $999/year per AI user Practices intentionally combining scribing with EHR, receptionist, fax, intake, scheduling, billing, and related agents 1,000 monthly credits, multiple AI agents, vendor-listed EHR integrations, free read/edit collaborators, and volume path Higher and broader-scope purchase; credit consumption and every integration must be validated ## Which Heidi alternative fits each workflow? ## 1. Heidi Health: the free standard-note baseline—and often the right product to keep Heidi is difficult to beat when standard documentation is sufficient. Its official pricing help article says the Free plan includes unlimited transcription and note generation with standard templates. That makes it a continuing $0 workflow, not merely a short trial, and a strong control when evaluating any paid alternative. The boundary is the advanced-action pool. Custom templates, Ask Heidi, documents, form filling, and patient or session linking share 10 monthly actions on Free. A clinician who uses a custom template on every encounter can move from an apparently unlimited workflow to a paid-plan decision quickly. Heidi's paid plans add broader functions, but names, prices, integrations, and evidence access can differ by region. Stay with Heidi when its standard templates work, correction time is low, and the account's agreements and data settings pass review. A switch should produce a measurable improvement in the approved-note workflow, not simply a different interface. Heidi may also be preferable to a cheaper paid product when its regional availability, evidence tools, or established configuration removes more work. Check the current details on the official Heidi pricing help article before making a purchasing decision. ## 2. ClinicFrame: best lower-cost focused paid alternative ClinicFrame is the clearest alternative when a clinician wants a focused paid workflow below Heidi's displayed US paid tier. The ClinicFrame pricing page lists one plan at $34.99 monthly or $335.88 annually, equivalent to $27.99 per month. It currently includes unlimited visits during beta, SOAP, DAP, BIRP and custom formats, patient records, and note chat. ClinicFrame captures in-person visits and telehealth audio on the clinician's computer without a meeting bot, and it supports dictation. Its narrower scope is also the main trade-off. Direct API integration is described as a roadmap item, so buyers who need a current embedded EHR workflow should not assume equivalence with Heidi integrations or enterprise vendors. Choose ClinicFrame when predictable self-serve pricing, custom formats, and a copy-or-export handoff fit the practice. Stay with Heidi when its free standard workflow is enough or its paid functions avoid more downstream work. ClinicFrame includes a signed BAA with every account, on every plan, and states that patient content is never used to train AI models. Read the agreement before PHI is processed. Check the current details on the official ClinicFrame pricing page before making a purchasing decision. ## 3. Freed: best mature self-serve alternative with browser EHR Push Freed is a stronger alternative when maturity and transfer matter more than the lowest price. Its official pricing page lists Starter at $39 per month for up to 40 notes, Core at $79 for unlimited notes, and Premier at $119 monthly or $104 per month equivalent annually. Specialty templates, format learning, support, and an established self-serve path can reduce migration risk. The clearest difference from a basic copy workflow is Freed EHR Push . Freed documents a Chrome extension that maps a reviewed note into supported browser-based EHRs. Transfer allowances depend on the plan, and this is not the same as a native bidirectional enterprise integration, but it can remove repetitive copying for an independent practice. Choose Freed when its templates and EHR Push save enough time to justify the tier. Stay with Heidi when Free covers the real workflow or when Heidi's paid ecosystem fits better. Test the supported EHR, specific note sections, failed-transfer recovery, and correction time rather than treating the existence of an extension as proof of a complete integration. Check the current details on the official Freed pricing page before making a purchasing decision. ## 4. Twofold Health: best broad lower-cost clinical workflow Twofold is positioned between a focused note generator and a broader clinical workflow. Its official pricing page lists Personal at $69 month to month or $588 annually, equivalent to $49 per month. It includes unlimited notes, custom templates, treatment plans, progress tracking, and mobile and desktop use. The current product also describes live capture, telehealth, dictation, typed inputs, uploaded recordings, coding support, and longitudinal functions. That breadth can make Twofold a better alternative than Heidi for a clinician who wants several documentation steps under one paid subscription. It does not prove that ever --- # HIPAA Compliant AI: Requirements and Vendor Checklist URL: https://clinicframe.com/blog/hipaa-compliant-ai-scribe What makes an AI tool HIPAA compliant: a signed BAA, PHI protection, retention limits and no training on patient data. A checklist for AI scribes and assistants, and how ClinicFrame answers each point. HIPAA compliant AI is any AI tool that handles Protected Health Information under a signed Business Associate Agreement, protects that information in transit and at rest, retains only what it needs, and never trains its models on patient data. The label is not automatic and no certification grants it. It applies the same way to an AI scribe that listens to visits and to an AI assistant that drafts letters or summarizes records. An AI medical scribe can be HIPAA compliant, but the label is not automatic. Compliance depends on specific, checkable things: whether the vendor will sign a Business Associate Agreement, how Protected Health Information is protected in transit and at rest, how little is retained, and whether patient content is kept out of AI model training. Here is what each requirement means and how ClinicFrame answers it. ## What makes an AI medical scribe HIPAA compliant? Requirement ClinicFrame Signed BAA Included with every account, on every plan, not gated to enterprise Audio retention None; audio is processed live and discarded, only the transcript persists Training on patient data Never; providers operate under agreements that exclude customer content Access and auditability Your account only; sessions carry an audit trail, deletions are recoverable Infrastructure HIPAA-compliant ## How do you check whether an AI tool is HIPAA compliant? Five questions settle most cases. Ask them of any AI scribe, note taker or assistant before patient information goes in, and expect written answers. Will you sign a BAA, and on which plan? A BAA gated to an enterprise tier means the advertised price is not the price of compliant use. What happens to the audio and the transcript? How long each is kept, where, and who can delete it. Is patient content used to train models? Yours or a third party's. The answer has to be no, in the contract, not in a blog post. Who can access the data? Inside the vendor, inside their providers, and inside your own account, with an audit trail. Where does the processing run? Encryption in transit and at rest is the floor; the vendor should name the infrastructure and its compliance posture. ## Which ClinicFrame tools are HIPAA compliant AI? Both products on the platform, under one account and one BAA. ClinicFrame Scribe is the ambient AI medical scribe: it listens to the visit, runs real-time medical transcription , writes the note and discards the audio. CompliantChatGPT is the HIPAA-compliant AI assistant for the work between visits, with PHI anonymization built in. The requirements in the table above hold for both; see how PHI is protected for the infrastructure detail. ## Why is a BAA the first thing to check with any AI scribe vendor? A Business Associate Agreement is the contract that makes a vendor legally accountable for PHI. If an AI scribe will not sign one, using it with patient information is a compliance problem regardless of its features. If it only signs on the enterprise tier, then the advertised entry price is not the real price of compliant use. ClinicFrame includes a BAA with every account. For what the agreement should cover and why enterprise-gating it is a red flag, see BAAs for AI medical scribes . ## Is ClinicFrame a HIPAA-compliant AI note taker for therapy? Yes. The same compliance holds when ClinicFrame is used as an AI note taker for behavioral health: a BAA on every account, audio that is never stored, and no training on patient content. It generates DAP and BIRP session notes, and for telehealth no bot joins the call, so the client sees only you. See AI progress notes for therapists . ## What does HIPAA compliance not take off your plate? HIPAA governs the tool and the vendor; your professional documentation duties remain yours. Two habits keep you on the right side of both: review every note before it enters the record, and obtain patient consent for recording where your state requires it. See patient consent for AI scribes and how audio and PHI are handled . Check it against your own compliance bar: ClinicFrame is a HIPAA-compliant AI scribe with a BAA on every account, no stored audio, and a 7-day free trial . This article is practical guidance, not legal advice. For a specific compliance question, consult your compliance officer or reach us through the in-app chat. --- # Medical Dictation Software: How to Choose URL: https://clinicframe.com/blog/medical-dictation Compare medical dictation software, transcription services, and AI note drafting with a practical workflow, privacy, accuracy, and purchasing checklist. Medical dictation software converts a clinician's spoken words into text. That simple definition now covers several very different products: real-time speech recognition that types into the active EHR field, recorded dictation sent for later transcription, and AI tools that turn a clinician's spoken summary into a structured note draft. Choosing among them starts with the output you need, not with an accuracy percentage or a list of features. For a short assessment or procedure description, direct voice-to-text may be the least disruptive option. For long reports that require an editorial layer, a transcription workflow may fit better. For a clinician who wants to speak naturally and receive a SOAP, DAP, BIRP, or custom note, structured AI drafting may reduce formatting work. None of these approaches removes the need to verify the final clinical record before it is signed or used for care, orders, coding, or communication. ## Medical dictation software: four workflow types Workflow What the clinician provides What comes back Best fit Main review risk Front-end speech recognition Words spoken at the cursor Near-real-time text in an app or EHR field Short findings, reports, messages, and commands Recognition errors can be overlooked while editing inline Recorded dictation with transcription A complete narrated note or report A transcript after automated or human processing Long reports and workflows with a transcription queue Turnaround, handoff, and version control can delay correction Structured AI dictation A spoken encounter summary or section-by-section narrative A formatted clinical note draft Clinicians who want structure without ambient recording Summarization can omit, relocate, or overstate information Ambient AI scribing An authorized clinician-patient conversation Transcript-derived note draft Visits where conversation capture is appropriate Speaker attribution, consent, incidental audio, and unsupported content Some products combine several workflows. Test each mode separately because a product can perform well for direct dictation and poorly for multi-speaker ambient capture, or the reverse. ## Medical dictation is not the same as transcription or ambient scribing Traditional front-end dictation follows the clinician's wording closely: the user speaks, text appears, and the user corrects it. Back-end transcription adds a queue between recording and final text, sometimes with a professional transcriptionist reviewing the speech-recognition output. Structured AI dictation goes further by selecting, organizing, and rewriting information into a requested note format. Ambient scribing starts from the encounter conversation rather than a clinician-authored summary. An AHRQ-funded study of speech-recognition-assisted clinical documents describes front-end and back-end workflows clearly. In its 217-note sample from two organizations, raw speech-recognition documents contained substantially more errors than transcriptionist-reviewed and signed notes. The study used one older product and 2016 dictations, so its exact rates should not be treated as a benchmark for current software. Its durable lesson is that correction and final review are part of the workflow, not optional cleanup after it. If the real need is a draft from the entire visit, use the separate AI scribe versus medical transcription comparison . This page focuses on clinician-led dictation: when to use it, how to evaluate it, and what to verify before patient information enters the system. ## Start with the documentation job A purchasing discussion often begins with a desired product name and ends with a tool that solves the wrong problem. Map the current job first. Note where dictation happens, what the clinician is speaking from, which sections are predictable, which facts require the chart, where text must land, who reviews it, and what happens when the tool is unavailable. A solo clinician dictating a progress-note summary after each visit has a different requirement from a radiology group producing high-volume reports or a hospital deploying voice commands across an enterprise EHR. Define the unit of success. For direct voice-to-text, success may mean correct text at the cursor with reliable commands and minimal formatting repair. For structured dictation, it may mean a note that preserves every clinically important fact in the correct section and requires fewer edits than typing from scratch. For back-end transcription, turnaround time, queue visibility, escalation, and version control may matter as much as raw recognition. The best medical dictation software is therefore the one that performs the practice's actual job with an acceptable total review burden and risk profile. Keep high-consequence actions outside a vague voice workflow. Orders, prescriptions, allergy changes, diagnoses, codes, referrals, and patient instructions should follow the organization's approved verification and authorization steps. Voice can help draft information, but a fluent transcript should never be mistaken for a completed clinical decision or an executed EHR action. ## The seven criteria that matter most Marketing pages tend to foreground an accuracy claim, a long specialty list, or the word HIPAA. A real evaluation needs a broader and more specific set of criteria. Weight them before running demos so that an attractive interface does not silently replace the practice's requirements. Output fit: verbatim text, lightly edited transcription, structured note draft, report, command, or a combination. Clinical fidelity: medications, doses, units, negation, laterality, anatomy, names, abbreviations, numbers, and source attribution. Review workload: time to detect and correct meaningful errors, not only time to produce the first draft. Workflow placement: devices, microphones, mobile support, EHR fields, templates, exports, queues, and downtime fallback. Privacy and security: BAA scope, permitted data uses, retention, deletion, access, auditability, subprocessors, hosting, and incident terms. Operational control: administration, user lifecycle, support, implementation, updates, monitoring, and correction handling. Total cost: licenses, hardware, integration, transcription, implementation, training, support, and clinician edit time. ## Test clinical accuracy, not a headline percentage A single accuracy percentage is difficult to interpret without the test set, reference transcript, scoring method, speaker population, specialty vocabulary, acoustic conditions, punctuation rules, and definition of an error. Word error rate can help engineers compare systems under controlled conditions, but a practice also needs to know whether the errors change meaning. One missed word can be harmless punctuation or a critical negation. One substituted number can alter a dose, measurement, date, or interval. Build a representative test set using simulated, synthetic, de-identified, or otherwise properly authorized material. Include ordinary cases and deliberate stress cases: similar drug names, decimals, ranges, units, right versus left, positive versus negative findings, acronyms, names, background noise, masks, variable microphones, strong accents, fast speech, corrections within the dictation, and specialty-specific shorthand. For structured drafts, add sparse narratives where the tool must preserve uncertainty rather than fill gaps. Score the final record with a clinical error taxonomy. The ClinicFrame AI scribe accuracy framework separates transcription, speaker attribution, clinical entities, omissions, unsupported content, and note usability. Record meaningful corrections per note, correction severity, edit time, failed handoffs, and cases that require manual re-documentation. A lower error rate with slower review may not improve the workflow. ## Evaluate EHR handoff and daily ergonomics Dictation saves little time if the user must repeatedly move text through fragile copy-and-paste steps, repair formatting, or hunt for the right patient. During a pilot, observe the full path from patient selection to the final signed note. Confirm how the tool identifies the encounter, where the cursor is, how sections and macros work, whether commands are consistent, how corrections are learned or stored, and what happens when the browser, microphone, network, or integration fails. An EHR integration is not one feature. It may mean that the software can type into an active field, launch from patient context, insert text through an extension, exchange documents through an interface, or write structured data through an API. Each path has different implementation and safety implications. Ask which fields are supported, whether writes are automatic or user-confirmed, how patient context is validated, what audit trail is created, and how duplicate or partial transfers are detected. The 2026 ONC SAFER guides emphasize organizational responsibility, system configuration and validation, patient identification, contingency planning, and safe use of EHR functions. They are self-assessment guides rather than a dictation-product certification, but those domains provide a useful implementation frame. Test updates and downtime, assign ownership, and preserve a manual fallback instead of assuming a successful demo proves safe production operation. ## HIPAA, BAAs, and data-use questions A vendor describing a product as HIPAA compliant does not complete the practice's evaluation. HHS guidance on HIPAA and cloud computing explains that when a cloud service creates, receives, maintains, or transmits ePHI on behalf of a covered entity or business associate, the service is a business associate and a HIPAA-compliant BAA is required. Encryption without the provider holding the key does not, by itself, remove business-associate status. Confirm that the BAA is actually available for the exact product, plan, account, and workflow being purchased. Read it alongside the service terms, privacy notice, security material, and any AI-specific terms. Identify every subprocess that may receive audio, transcript, prompts, generated text, metadata, or support artifacts. Determine which terms govern model training, product improvement, human review, telemetry, backups, export, account termination, and deletion. If documents conflict, require written resolution before sending PHI. HHS also says regulated entities need their own risk analysis and risk-management process. A signed BAA is one control, not a universal approval. Evaluate user access, multifactor authentication, device and browser risk, audit logs, least privilege, offboarding, breach notification, data return, business continuity, and any geographic or contractual considerations. State and professional rules, organizational policy, and patient-consent requirements may add obligations beyond this general federal guidance. ## Choose a microphone and environment deliberately Recognition quality begins before the software processes anything. Test the devices clinicians will actually use: built-in laptop microphones, wired or wireless headsets, handheld dictation microphones, phones, tablets, and exam-room equipment. A quiet office test does not represent a shared workroom, moving workstation, telehealth setup, or room with ventilation noise. Measure whether the clinician must change speaking style and whether that change is sustainable over a full day. A close microphone can reduce room noise but may add handling steps. A room microphone can feel natural but may capture other people, unrelated conversations, or sensitive information outside the intended encounter. Wireless devices add charging, pairing, range, and device-management concerns. The purchasing decision should include hardware replacement, cleaning, secure storage, help-desk support, and a clear fallback when the preferred device fails. Do not solve an acoustic problem by recording more information than the workflow --- # Medical Scribe Cost: Human vs Virtual vs AI URL: https://clinicframe.com/blog/medical-scribe-cost What a medical scribe costs in 2026: human, virtual and AI compared on hourly rate, turnover and total cost, with prices verified in July 2026. One full-time in-person scribe is a mid-five-figure annual commitment. An AI scribe is roughly $420 a year. That gap is real, but it is not the whole decision, because the two are not doing the same job. Below is what each model costs, what it includes, and where a person still wins. ## The three models, side by side Model How it is billed Typical annual cost Scales with volume? In-person scribe Employee, hourly wage plus payroll costs Roughly $34,000 to $48,000 for one full-time scribe, before benefits and turnover Yes. More clinic hours means more scribe hours Virtual scribe service Hourly or per shift, through an agency Commonly quoted at $10 to $18 per hour, so a part-time arrangement still reaches five figures Yes. You pay per hour covered AI scribe Software subscription per user $419.88 at $34.99 per user per month, or $335.88 billed yearly No. Unlimited sessions at the same price Our own price is exact. The human figures are published market ranges and vary a great deal by region and experience, so treat them as a starting point for your own budget rather than a quote. ## How much does an AI medical scribe cost? AI medical scribes are sold as subscriptions per clinician, billed monthly or yearly. ClinicFrame is $34.99 per user per month, or $335.88 a year billed annually, which works out to $27.99 a month. Unlimited visits and notes, the BAA included on every account, and a 7-day trial without a card. The price is current as of September 2026. Across the category the spread is wide, and the sticker price is not always the price of compliant use: some vendors keep the BAA, unlimited sessions or certain note formats for a higher tier. Compare the plan that includes what you actually need. For a vendor-by-vendor list with prices verified against each pricing page, see the cheapest AI medical scribes . ## What the salary line leaves out Practices that have hired a scribe usually describe the same four surprises, and none of them appear in the wage. Ramp-up. A new scribe takes four to twelve weeks before their notes need little correction. During that period you are documenting twice: once by them, once by you fixing it. Coverage. Sick days, vacation and no-shows do not pause your clinic. On those days the documentation returns to you, usually without warning. Turnover. The role is often filled by pre-medical students, who leave for medical school on a predictable schedule. Many practices restart the hiring and training cycle every year or two. Your time. Recruiting, interviewing, onboarding and reviewing early notes all come out of clinical or administrative hours that are already spoken for. ## When the human is worth it, honestly A scribe who only documents is expensive for what they do. A scribe who does everything else is often underpaid for what they do, and that second role is the one AI does not touch. The job is bigger than the note. Chasing lab results, handling prior authorizations, coordinating referrals, prepping charts, managing the inbox. That is a clinical assistant, and it is a different purchase. Judgement about what to include. In high-complexity specialties, deciding what belongs in the record is part of the work, and a trained person does that better. Teaching settings. A scribe who is a future clinician gets something from the role beyond the wage, and so does the practice. You want someone in the room. Some clinicians simply work better with a second person present. That is a legitimate reason and not a cost calculation. ## The arithmetic of switching If documentation is genuinely the whole job, the comparison is one full-time salary against a subscription of a few hundred dollars a year, and the subscription does not take vacation or leave for medical school. If the job is wider, the more useful question is not which one to pick but what to move: let the AI draft every note, and redirect the person to results, authorizations and coordination, which is work that has been waiting anyway. Either way, test it against your own visits before you decide. One real clinic day tells you more than any cost table, including this one. ## What an AI scribe does not do It does not exercise clinical judgement, it does not chase anything down, and it does not sign the note. Every draft is reviewed and signed by the clinician, the same as a note typed by hand. If you are comparing models, compare them on that basis rather than on the promise that one replaces the other. For how the documentation itself works, see AI scribe versus a virtual medical scribe , and for the note formats by specialty, which format to use . Seven days free, no card. Run your own visits through it and put the result next to the salary line. Compare it against one real clinic day 7 days free. No credit card. BAA included. --- # Mental Status Exam Template and Examples URL: https://clinicframe.com/blog/mental-status-exam-template The nine components of a mental status exam, three complete MSE examples, a reusable template, and how the exam gets written from the visit. A mental status exam records what you observed during the encounter, not what the patient reported about the past. That single distinction is what separates a usable exam from a history repeated twice. Below are the nine components, a template, and three complete exams for different presentations. ## The nine components Component What you record Appearance Grooming, hygiene, dress, apparent age against stated age, any physical findings you can see Behavior Eye contact, psychomotor activity, cooperation, unusual movements, attitude toward the interview Speech Rate, volume, rhythm, latency, spontaneity, any dysarthria or pressured quality Mood What the patient says they feel, quoted in their own words where possible Affect What you observe: range, intensity, reactivity, congruence with the stated mood Thought process The form of thinking: linear, circumstantial, tangential, flight of ideas, disorganized Thought content Preoccupations, delusions, obsessions, and suicidal or homicidal ideation with intent, plan and means Perception Hallucinations in any modality, illusions, derealization or depersonalization Cognition, insight and judgement Orientation, attention, memory, and whether the patient understands their situation and can act on it ## MSE example: routine medication follow-up Twenty-minute visit, stable on treatment, no change in presentation. Appearance and behavior. Casually dressed, well groomed, appears stated age. Good eye contact, cooperative throughout, no abnormal movements. Speech. Normal rate, volume and rhythm. Spontaneous, no latency. Mood and affect. Mood reported as "pretty steady, better than last time." Affect full range, reactive, congruent with stated mood. Thought process and content. Linear and goal-directed. No delusions elicited. Denies suicidal or homicidal ideation, no intent, no plan, no access to means beyond household items. Perception. No auditory or visual hallucinations reported or observed. Cognition, insight and judgement. Alert and oriented to person, place, time and situation. Attention and recent memory intact for the interview. Insight into diagnosis and treatment is good; judgement intact, reports taking medication as prescribed. ## MSE example: depressive presentation Follow-up after a reported worsening between visits. Appearance and behavior. Appears older than stated age. Hair unwashed, wearing the same clothing described at the previous visit. Minimal eye contact, psychomotor slowing evident, sat with shoulders forward for most of the interview. Speech. Reduced rate and volume, increased latency before answers, mostly monosyllabic until asked open questions about work. Mood and affect. Mood reported as "empty, I don't really feel anything." Affect constricted with limited reactivity, tearful once when discussing the family visit, otherwise flat. Affect broadly congruent with reported mood. Thought process and content. Linear but slowed, with increased latency rather than derailment. Content preoccupied with themes of failure and being a burden. Passive suicidal ideation present: reports thinking "it would be easier not to be here" several times in the past week. Denies intent, denies plan, denies access to firearms. Identifies daughter as a protective factor. Perception. No hallucinations reported or observed. Cognition, insight and judgement. Alert and oriented in all spheres. Attention reduced, required two repetitions of the medication instructions. Insight partial: recognizes symptoms have worsened but attributes it entirely to circumstances. Judgement intact for safety, agreed to the safety plan and to call before making changes to medication. ## MSE example: acute psychotic presentation Urgent visit, brought in by a family member. Appearance and behavior. Disheveled, wearing multiple layers despite the weather. Guarded, scanned the room repeatedly, would not sit with back to the door. Cooperative with questions after several minutes, no aggression during the encounter. Speech. Increased rate, difficult to interrupt at points, normal volume. Occasional loss of the thread mid-sentence. Mood and affect. Mood reported as "fine, I just need people to listen." Affect anxious and suspicious, restricted range, incongruent with the stated mood. Thought process and content. Tangential, returned to the original topic only with redirection. Content includes a persecutory belief that neighbors are coordinating surveillance, held with fixed conviction and not amenable to reasoning. Denies suicidal ideation. Denies intent to harm the named neighbors when asked directly; no plan elicited. Perception. Reports hearing two voices commenting on his actions, present for approximately three weeks, non-command. No visual hallucinations. Cognition, insight and judgement. Alert, oriented to person and place, uncertain of the date. Attention impaired. Insight absent: does not consider the beliefs to be part of an illness. Judgement impaired, had stopped medication two weeks ago without discussion. ## A mental status exam template you can reuse Copy this once and fill it after each encounter. Keeping the headings constant is what makes a change between visits visible. Heading Prompt Appearance and behavior How did they present, and how did they act during the interview? Speech Rate, volume, latency, spontaneity Mood and affect What they said they feel, and what you saw. Do the two match? Thought process and content Form of thinking, preoccupations, and risk with intent, plan and means Perception Hallucinations in any modality, present or denied Cognition, insight and judgement Orientation, attention, memory, and whether they can act on their situation ## How the exam gets written from the visit The exam is the part of a psychiatric note that comes from observation rather than from the patient's report, which is exactly why it is slow to type afterwards: you are reconstructing from memory. In ClinicFrame the Mental Status Exam is one of the built-in clinical note templates , generated from the encounter itself, so the observations you state out loud during the visit land in the exam section instead of in a narrative paragraph. Say the speech rate, name the affect, note the orientation, and the section has material to work with. You review and sign it. For the rest of the psychiatric workflow, including risk assessment and prior authorization letters, see the AI scribe for psychiatry and medication management . ## A note on the examples The three exams above are illustrative. They do not describe real patients and contain no protected health information. Use them as structure, not as language to paste into a chart. Say the observations out loud during the visit and the exam section writes itself, in your practice's order. Generate your first mental status exam free 7 days free. No credit card. BAA included. --- # 6 Best Mentalyc Alternatives in 2026 URL: https://clinicframe.com/blog/mentalyc-alternatives Compare six Mentalyc alternatives by therapy note formats, client types, price, note caps, capture, EHR workflow, privacy, and practice scope. Publisher disclosure: ClinicFrame publishes this comparison and is included as a Mentalyc alternative. We use current first-party sources for every product, explain where Mentalyc or another vendor is stronger, and have not performed or claimed an independent clinical head-to-head test. Short answer: Stay with Mentalyc when therapy-only templates, complex client types, and longitudinal behavioral-health functions justify its tier. Choose ClinicFrame for a focused cross-specialty workflow, Upheal for an AI-native therapy EHR, Wren Clinical for transparent usage pricing and deep customization, Heidi for free standard notes, Twofold for a broad flat-rate workflow, or Blueprint for per-session AI inside or alongside a therapy EHR. Mentalyc alternatives are not interchangeable. A solo therapist may be trying to avoid a 40-note cap. A couples clinician may need speaker attribution and a format unavailable on an entry plan. A group practice may want supervision and team controls. Another practice may be paying for Mentalyc on top of an EHR and would rather move documentation into one system. Mentalyc deserves a fair baseline. It is designed specifically for behavioral health and publicly documents plan differences for individual, child, couple, family, and group work. General medical scribes can cost less or serve more specialties, but they should not be assumed to match therapy-specific language, treatment continuity, or template depth. Every AI note remains a draft. Therapists should verify risk statements, symptoms, interventions, client response, medical necessity, diagnoses, medications, progress, and plans. The practice must also decide whether full-session recording is necessary, obtain appropriate consent, and verify the BAA, retention, deletion, subprocessors, and model-use terms. Use the overall therapist comparison if you have not selected Mentalyc as the baseline. Use the cheapest therapist scribes guide when price is the primary question. This page owns both “Mentalyc alternatives” and “ClinicFrame vs Mentalyc” to avoid duplicate URLs. ## Best Mentalyc alternatives by switching reason Best focused cross-specialty alternative: ClinicFrame for therapy, psychiatry, and general-practice documentation under one current plan. Best AI-native therapy EHR alternative: Upheal when notes, scheduling, telehealth, portal, forms, and practice operations should live together. Best transparent usage-priced alternative: Wren Clinical for custom formats and visible base, transcription, and model costs. Best free standard-note alternative: Heidi when standard templates cover the workflow without recurring advanced actions. Best broad flat-rate alternative: Twofold for unlimited notes plus treatment, coding, custom-template, and progress functions. Best per-session therapy EHR alternative: Blueprint for an EHR plus AI notes and treatment workflows billed by held session. ## How we compared Mentalyc alternatives Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We started with the switching problem—volume, format, client type, cost, EHR duplication, or cross-specialty scope—not a generic feature count. Prices, limits, formats, and workflows come from current official pages. Competitor listicles were used only to identify buyer questions. We price the plan required by the stated use. Mentalyc Mini is not represented as including BIRP, couples, family, group, or every modality. We distinguish a standalone documentation layer from an EHR. Migration, billing, scheduling, portal, and termination responsibilities change the decision. ClinicFrame receives the same scrutiny and is not described as an EHR or enterprise substitute. No public feature page can establish local note quality. Run the same blinded correction test for every finalist. ## Mentalyc vs six leading alternatives Public USD prices and terms can change. Annual equivalents require commitment, usage prices vary, and team contracts need confirmation. Verify the linked official source before purchase or PHI use. Option Published starting point Best fit What we verified Main limitation to test Mentalyc $19.99–$119.99 monthly; lower annual equivalents Therapists needing therapy-specific formats, complex client types, modalities, and longitudinal functions 40/100/160/330-note tiers; DAP/SOAP entry; higher-tier BIRP, complex client types, supervision, and tracking Note volume and important formats or client types can force a higher tier; EHR handoff still needs testing ClinicFrame $34.99 monthly or $27.99/mo equivalent annually Therapy, psychiatry, and mixed-specialty practices wanting one focused desktop workflow DAP, BIRP, SOAP, custom formats, in-person, telehealth, dictation, patient records, and current beta unlimited use Not a therapy EHR; no native EHR integration today; fewer therapy-specific longitudinal functions Upheal $1/counted session, capped at $69/month Therapists wanting notes, telehealth, scheduling, portal, forms, and practice functions together AI notes, treatment plans, telehealth, scheduling, client portal, forms, usage pricing, and monthly cap Migration and EHR responsibilities are larger; counted sessions can include more than completed AI notes Wren Clinical $14/month plus visible usage Solo therapists wanting custom clinical voice and optional recording with transparent costs DAP, BIRP, SOAP, GIRP, custom formats, recording/dictation/text inputs, BAA, and published usage estimates Variable monthly total; smaller vendor and lighter team/integration infrastructure Heidi Health $0 Free; paid plans vary by region Therapists who can use standard templates or want a general clinical tool across specialties Unlimited standard transcription and notes on Free; 10 monthly advanced actions; paid customization path Recurring custom templates consume advanced actions; less therapy-specific plan segmentation Twofold Health $69 monthly or $49/mo equivalent annually Clinicians wanting unlimited notes with custom templates, treatment plans, coding, and progress tracking Multiple capture modes, unlimited notes, custom templates, treatment plans, coding, progress, mobile and desktop Annual commitment for lowest price; less explicitly therapy-only than Mentalyc Blueprint $0.99/session Plus; $1.49/session Pro Therapists wanting an EHR plus AI notes, treatment plans, session prep, assessments, and billing Per-session pricing, EHR, notes, plans, summaries, session prep, assessments, telehealth, portal, and billing Per-session cost scales; an EHR migration is materially larger than changing scribes ## Which Mentalyc alternative fits your practice? ## 1. Mentalyc: the therapy-depth baseline—and often the right product to keep Mentalyc remains the strongest fit when behavioral-health depth is the requirement. Its official pricing page lists Mini at $19.99 monthly for 40 notes, Basic at $39.99 for 100, Pro at $69.99 for 160, and Super at $119.99 for 330, with lower annual equivalents. Mini covers individual-adult SOAP, DAP, and intake notes. Pro adds BIRP and a larger template library, child, couple and family client types, EMDR, play and psychiatry modalities, progress tracking, and supervision functions. Group therapy notes require Super. Stay when those functions reduce edits enough to justify the correct tier. Do not switch merely because another product is cheaper. Rebuilding templates, losing therapy-specific structure, adding EHR transfer steps, or accepting unfamiliar risk-language errors can cost more than the subscription difference. Test Mentalyc at the actual tier against no more than two alternatives. Check the current details on the official Mentalyc pricing page before making a purchasing decision. ## 2. ClinicFrame: best focused cross-specialty alternative ClinicFrame fits practices that want documentation across therapy, psychiatry, and general medical encounters. Its pricing page lists $34.99 monthly or $27.99 annual equivalent and includes DAP, BIRP, SOAP, custom templates, patient records, and note chat under current beta unlimited use. The trade-off is specialty depth and integration. ClinicFrame captures in-person, telehealth, and dictation on the clinician's computer but is not an EHR and currently relies on copy or export. Mentalyc's higher tiers offer more explicit therapy modalities, client types, supervision, and longitudinal functions. Choose ClinicFrame for a predictable focused cross-specialty workflow. Stay with Mentalyc for therapy-only depth. ClinicFrame includes a signed BAA with every account and states that patient content is never used to train AI models. Because ClinicFrame publishes this page, read that agreement yourself before processing PHI. Check the current details on the official ClinicFrame pricing page before making a purchasing decision. ## 3. Upheal: best alternative when the scribe should become the EHR Upheal is the alternative when paying for a scribe beside an EHR is the core problem. Its pricing page lists $1 per counted session capped at $69 monthly and includes notes, treatment plans, telehealth, scheduling, portal, messaging, and practice functions. This is a platform decision, not a note-template swap. The billing FAQ says scheduled sessions and some telehealth use can count even without an AI note. Evaluate migration, data export, billing, calendar, forms, client communications, downtime, termination, and recovery—not only progress-note output. Choose Upheal when consolidation is intentional. Stay with Mentalyc if the current EHR works and Mentalyc's therapy documentation is the only added layer needed. A broader platform should win because it removes real systems and work, not because it has more checkmarks. Check the current details on the official Upheal pricing page before making a purchasing decision. ## 4. Wren Clinical: best transparent usage-priced and customizable alternative Wren Clinical offers a different economic model. Its official page lists a $14 base plus usage, supports BIRP, SOAP, DAP, GIRP, and custom formats, and allows recording, dictation, typed notes, or pasted transcripts. The vendor publishes estimated recorder totals of about $24–$44 monthly across 10–30 weekly clients. Transparent metering benefits light and moderate caseloads, but totals vary by session length, model, transcription, and number of documents. Wren says each user signs a BAA and describes automatic audio deletion after transcription. Verify the actual agreement and account settings. Choose Wren for a highly customizable solo workflow with visible usage costs. Stay with Mentalyc when team controls, complex client types, therapy modalities, or longitudinal functions matter more than the lower base. Check the current details on the official Wren Clinical page before making a purchasing decision. ## 5. Heidi Health: best free standard-note alternative Heidi is the $0 control. Its pricing help article says Free includes unlimited standard transcription and notes, while custom templates, documents, form filling, Ask Heidi, and linking share 10 advanced actions monthly. Choose Heidi when a standard note works or a general clinical tool is preferable. Stay with Mentalyc when DAP/BIRP structure, complex client types, modality support, and therapy continuity justify the paid tier. Price the recurring custom workflow rather than the free headline. Use the same consent, privacy, BAA, and correction review for a free product. Zero subscription cost does not make clinical errors, retention, or EHR transfer free. Check the current details on the official Heidi pricing help article before making a purchasing decision. ## 6. Twofold Health: best broad flat-rate alternative Twofold offers unlimited notes and a broader visible feature bundle. Its pricing page lists $69 monthly or $49 annua --- # 6 Best Nabla Alternatives in 2026 URL: https://clinicframe.com/blog/nabla-alternatives Compare six Nabla alternatives by self-serve price, enterprise deployment, EHR integration, APIs, specialty workflow, governance, and practice size. Publisher disclosure: ClinicFrame publishes this comparison and is included as an alternative. We apply the same first-party-source standard to Nabla, ClinicFrame, and every competitor; give Nabla a genuine stay case; and separate verified facts from editorial fit judgments. Short answer: Stay with Nabla when organization-wide integration, API, security, governance, and deployment requirements justify the enterprise path. Choose ClinicFrame for lower-cost focused self-serve alternative, Choose Freed for independent-practice EHR-handoff alternative, Choose Twofold Health for broad flat-rate self-serve alternative, Choose DeepCura for public-price multi-agent platform alternative, Choose Abridge for enterprise clinical-intelligence alternative, Choose Microsoft Dragon Copilot for unified voice and enterprise workflow alternative. The best alternative is the one that resolves a measured switching reason in the real charting workflow. Nabla alternatives span different purchasing categories. Nabla is an enterprise clinical AI and integration platform with ambient documentation, dictation, structured notes, APIs, and multiple EHR integration paths. A focused self-serve scribe, an eligibility-limited free tool, a specialty platform, an EHR-native add-on, and an enterprise deployment may all produce a note, but they do not solve the same operational problem. This guide preserves those distinctions instead of forcing every product into one numerical score. Nabla remains the comparison baseline because medical transcription, structured note generation, dictation, FHIR-normalized data, patient instructions, front-end and server-side EHR integration, APIs, regional hosting, and enterprise security resources. Its integration and API surface supports workflows that individual scribe subscriptions do not attempt. A switch is justified only when another product produces a measurable improvement in the practice's priority—not because its landing page contains more features or a lower introductory number. The comparison starts with recurring price and product scope, then moves to capture, templates, specialty fit, correction time, EHR transfer, patient context, team administration, BAA, retention, deletion, model use, subprocessors, incident terms, export, and termination. Generated documentation remains a draft requiring clinician review before chart entry. For a market-wide shortlist, read the best AI medical scribes . For price-first research, use the cheapest AI medical scribes . This canonical page owns “Nabla alternatives” and “ClinicFrame vs Nabla”. ## Best Nabla alternatives by switching reason best lower-cost focused self-serve alternative: ClinicFrame: solo and small practices needing notes without an enterprise integration program. best independent-practice EHR-handoff alternative: Freed: independent clinicians wanting tier choice, specialty templates, browser EHR Push, and patient context. best broad flat-rate self-serve alternative: Twofold Health: clinicians wanting unlimited notes, templates, coding, progress, reports, telehealth, mobile, and desktop. best public-price multi-agent platform alternative: DeepCura: practices wanting scribe, reception, fax, intake, tasks, coding, scheduling, research, analytics, and integrations together. best enterprise clinical-intelligence alternative: Abridge: health systems prioritizing enterprise clinical intelligence, EHR integration, and scaled clinician deployment. best unified voice and enterprise workflow alternative: Microsoft Dragon Copilot: systems needing ambient capture, dictation, role-based workflows, EHR embedding, extensibility, and Microsoft healthcare infrastructure. ## How we compared Nabla alternatives Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We show Nabla first and define when keeping it is the rational decision. Mutable product and pricing facts come from official pages checked on August 23, 2026; third-party rankings identify questions but do not establish current facts. We compare recurring production terms, not trial access, first-month promotions, or unlabeled annual equivalents. Every alternative receives one real winning persona and one material limitation. Individual, specialty, EHR-native, and enterprise products remain separate purchasing categories. Every finalist must pass the same note-quality and correction-time rubric plus privacy, security, and contract review. ## Nabla vs 6 leading alternatives Public prices, eligibility, limits, promotions, integrations, and enterprise terms can change. Verify the linked first-party page and the written agreement offered to the practice. Option Published starting point Best fit What we verified Main limitation to test Nabla Custom organization pricing health systems, EHR vendors, telehealth platforms, and larger groups needing integration and governance medical transcription, structured note generation, dictation, FHIR-normalized data, patient instructions, front-end and server-side EHR integration, APIs, regional hosting, and enterprise security resources no directly comparable public self-serve price and a heavier procurement and implementation path ClinicFrame $34.99 monthly or $27.99 annual equivalent solo and small practices needing notes without an enterprise integration program SOAP, DAP, BIRP, custom templates, in-person, telehealth and dictation capture, patient records, note chat, and beta unlimited use no native EHR integration today and no enterprise API equivalence Freed $39–$119/month across public tiers independent clinicians wanting tier choice, specialty templates, browser EHR Push, and patient context public individual tiers, low-volume and unlimited options, specialty templates, browser EHR Push, and higher-tier coding browser handoff is not equivalent to enterprise server-side integration and features vary by tier Twofold Health $69 monthly or $49 annual equivalent clinicians wanting unlimited notes, templates, coding, progress, reports, telehealth, mobile, and desktop unlimited notes, templates, assistant, coding, progress tracking, reports, multi-device access, and BAA wording not a replacement for Nabla's health-system API and integration scope DeepCura $129 monthly or $999/year per AI user practices wanting scribe, reception, fax, intake, tasks, coding, scheduling, research, analytics, and integrations together seven agents, 1,000 credits, EHR integration, coding, communication, intake, operations, research, analytics, and team access credit model and practice-agent scope differ from Nabla's enterprise API and deployment program Abridge Custom enterprise pricing health systems prioritizing enterprise clinical intelligence, EHR integration, and scaled clinician deployment enterprise-wide health-system deployment, clinical intelligence, existing security review and data-governance relationship, and EHR integration positioning no public self-serve price and a substantial organizational procurement path Microsoft Dragon Copilot Organization licensing and usage terms systems needing ambient capture, dictation, role-based workflows, EHR embedding, extensibility, and Microsoft healthcare infrastructure ambient and dictation workflows, specialty templates, coding and task support, web/mobile/desktop/EHR access, SDKs, APIs, admin tools, and role-based experiences licensing, consumption, deployment, and regional availability require enterprise analysis ## Which Nabla alternative fits the actual reason to switch? ## 1. Nabla: the enterprise integration baseline Nabla is the baseline, not a straw man. Its official Nabla Core API documentation verifies medical transcription, structured note generation, dictation, FHIR-normalized data, patient instructions, front-end and server-side EHR integration, APIs, regional hosting, and enterprise security resources. Its integration and API surface supports workflows that individual scribe subscriptions do not attempt. A practice should stay when those functions are reliable in representative visits and remove more work than the subscription and implementation add. The main constraint is no directly comparable public self-serve price and a heavier procurement and implementation path. That limitation matters only in context: a lower-priced product can still cost more after correction, transfer, missing functionality, training, and parallel systems. Record the actual reason for evaluating Nabla alternatives before opening another trial. Keep Nabla when organization-wide integration, API, security, governance, and deployment requirements justify the enterprise path. Recheck the current order form, BAA, security exhibits, retention, model-use language, subprocessors, support, export, and termination terms. Product pages describe a workflow; they do not replace the agreement offered to the practice or the clinician's responsibility for the final note. Check the current details on the official Nabla Core API documentation before making a purchasing decision. ## 2. ClinicFrame: best lower-cost focused self-serve alternative ClinicFrame is the best lower-cost focused self-serve alternative. Its official ClinicFrame pricing page verifies SOAP, DAP, BIRP, custom templates, in-person, telehealth and dictation capture, patient records, note chat, and beta unlimited use. It provides a fast, transparent individual buying path. That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against Nabla is ClinicFrame cannot replace Nabla's API, EHR integration, administration, regional hosting, and deployment program. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose ClinicFrame when a focused standalone workflow and copy/export handoff meet the practice's needs. Keep Nabla when its current enterprise integration baseline workflow already performs better or switching would only exchange one problem for another. Test note quality, correction time, capture reliability, EHR handoff, governance, and total cost side by side before migrating. Check the current details on the official ClinicFrame pricing page before making a purchasing decision. ## 3. Freed: best independent-practice EHR-handoff alternative Freed is the best independent-practice EHR-handoff alternative. Its official Freed pricing page verifies public individual tiers, low-volume and unlimited options, specialty templates, browser EHR Push, and higher-tier coding. It narrows the decision to clinician documentation and practical browser chart transfer. That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against Nabla is Freed offers a different integration and governance category from Nabla. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose Freed when the buyer is an independent practice and browser EHR Push solves the handoff problem. Keep Nabla when its current enterprise integration baseline workflow already performs better or switching would only exchange one problem for another. Test note quality, correction time, capture reliability, EHR handoff, governance, and total cost side by side before migrating. Check the current details on the official Freed pricing page before making a purchasing decision. ## 4. Twofold Health: best broad flat-rate self-serve alternative Twofold Health is the best broad flat-rate self-s --- # SOAP, DAP & BIRP Note Formats URL: https://clinicframe.com/blog/note-formats What SOAP, DAP, and BIRP notes are, when each format fits, and how ClinicFrame generates progress notes in any of them automatically from the visit. SOAP, DAP, and BIRP are the three most common structures for clinical progress notes. They differ in how they separate what the patient reports from what the clinician does, which is why each one fits a different kind of practice. ClinicFrame generates any of them automatically from the visit, and you can switch between them for the same session without recording again. ## SOAP, DAP, or BIRP: what's the difference? Format Sections Common in SOAP Subjective, Objective, Assessment, Plan Primary care, pediatrics, cardiology, general practice DAP Data, Assessment, Plan Therapy and behavioral health BIRP Behavior, Intervention, Response, Plan Mental health with documented interventions ## When should you use SOAP? SOAP is the default across most of medicine. It separates the patient's subjective report from your objective findings, which suits any encounter with an exam component. If you are unsure which format to choose, SOAP is the safe starting point. See AI SOAP notes for how each section gets filled. ## When should you use DAP? DAP is common in therapy and behavioral health. It merges subjective and objective information into a single Data section, which fits conversational sessions where splitting the two adds little. Therapists who want a leaner note than SOAP tend to prefer it. ## When should you use BIRP? BIRP is used in mental health settings that need to document interventions explicitly. By keeping the clinician's Intervention and the client's Response in separate sections, it makes behavioral change legible over time, which helps with treatment plans and insurance or case review. ## How does ClinicFrame handle note formats? The Enhanced note reads the encounter and picks the clinically appropriate structure on its own; see what the Enhanced note is . Or you choose the format: generate the note in SOAP, DAP, BIRP, or a custom note template . One session can hold notes in more than one format. Use New format to regenerate without re-recording. Set a default format once and every session starts there. Building your own structure? See creating custom note templates to define sections and per-section instructions. --- # Nursing Notes: Examples, Template and Writing Guide URL: https://clinicframe.com/blog/nursing-notes Learn how to write nursing notes with an adaptable template, four fictional examples, an eight-step workflow, and a final review checklist. Nursing notes are attributable entries in the health record that communicate a patient's relevant status, the nurse's assessment and interpretation, actions taken, communication with others, the patient's response, and what needs to happen next. A useful note lets the next authorized reader understand what changed and why an action followed without reconstructing the event from several disconnected screens. A nursing note is not automatically a shift summary, a copy of the flowsheet, or a substitute for the medication administration record, orders, care plan, handoff, or incident-reporting process. The note should add the clinical narrative those components cannot show alone: chronology, context, source, nursing judgment, escalation, response, and ownership. The exact content and format depend on the nurse's scope, the setting, organization policy, and the patient situation. Current hospital record requirements in 42 CFR 482.24 require records to be accurately written, promptly completed, secure, and attributable, and identify nursing notes among the information needed to monitor a patient's condition. That federal hospital rule does not prescribe one universal nursing-note template. It supports the practical standard used throughout this guide: record the clinically relevant story accurately, complete the required structured documentation, and make the responsible author and timing clear. ## How nursing notes fit with the rest of the record Record component Primary job What a nursing note may add Flowsheet or assessment form Stores repeated observations and structured values Explains a meaningful change, limitation, pattern, or decision linked to those values Medication administration record Records medication administration status and timing Adds the assessment, reason, response, notification, or follow-up when clinically relevant Orders Shows authorized instructions and their status Records clarification, implementation, an exception, or escalation without changing the order itself Nursing care plan Defines current goals, needs, interventions, and evaluation Shows progress, a variance, response, and why the plan may need review Handoff Transfers current responsibility and priority information Creates durable context, but does not prove the receiver accepted a live handoff Incident report Supports the organization's separate safety-review process Documents patient facts, assessment, actions, and response without inserting internal investigation language Document each fact in the approved authoritative location. Avoid duplicating the same text across components merely to make the chart look complete. ## What belongs in a nursing note? Start with the purpose of the entry. A note may document a change in condition, focused assessment, intervention and reassessment, patient education, refusal, safety event, provider notification, care coordination, admission, transfer, discharge, or other clinically meaningful event. The purpose determines what evidence belongs. A stable routine assessment may be fully represented in approved structured fields, while a sudden change needs a concise chronological narrative. Common building blocks are date and time; encounter context; patient or caregiver report with source attribution; relevant observations and measurements; comparison with the prior state; nursing interpretation within scope; action completed; communication and read-back or clarification where required; patient response; unresolved risk; and the next action, owner, and time frame. Include an information limit when something could not be assessed or verified. Do not turn not assessed into normal, unavailable into denied, or planned into completed. The ANA Principles for Nursing Documentation describe high-quality documentation as accurate, relevant, consistent, auditable, clear, concise, complete, timely, sequential, and reflective of the nursing process. The publication dates to 2010 and should be read as enduring professional guidance alongside current state law, board guidance, organizational policy, and setting-specific requirements—not as a complete current legal checklist. ## A copyable nursing notes template Use this blank structure only in an approved workspace. Keep the headings that help the reader, remove prompts that do not apply, and place structured facts in the designated EHR fields. A template should remind the writer to preserve reasoning and follow-up; it should never create default findings or encourage a nurse to attest to work that was not performed. Context — date and time; location or encounter; nurse role; reason for the entry; relevant comparison point. Source — what the patient, caregiver, device, record, or another team member reported; who supplied the information; any reliability or access limit. Assessment — focused observations and measurements actually obtained; symptoms or concerns assessed; relevant structured record reference. Nursing interpretation — the change, priority, concern, risk, or uncertainty identified within the nurse's scope. Action — intervention completed; safety measure; approved protocol used; order implemented; care coordinated; exact time when important. Communication — who was contacted, when, what was communicated, what instruction or order was received, and how uncertainty was resolved. Response — reassessment time, patient response, current status, and any remaining concern or unexpected result. Follow-up — next action, responsible person or team, expected time frame, handoff status, and authentication through the approved process. ## How to write nursing notes in eight steps The safest shortcut is a repeatable sequence, not a longer canned paragraph. Complete the steps that apply to the event and let the record show the actual sequence. If urgent care takes priority, follow the emergency workflow and document as soon as safely possible, using the organization's late-entry process when required. Verify the patient, encounter, date, time, location, your role, and the intended entry type before entering text. Read the relevant current orders, care plan, allergies, medication record, recent assessments, results, and prior note without importing them blindly. Define the note's purpose in one sentence: what changed, what was assessed, what action occurred, or what needs continuity. Separate patient or caregiver report from your observations, device values, record review, and nursing interpretation. Describe the action with precise status verbs such as assessed, administered, assisted, held, notified, clarified, taught, escalated, or reassessed. Record the response at the clinically appropriate time and state any remaining concern, information gap, or deviation from the expected result. Reconcile the narrative with flowsheets, the medication record, orders, results, care-plan updates, task status, and handoff; resolve contradictions at the source. Review patient identity, chronology, numbers, units, laterality, attribution, order status, next ownership, and authentication before finalizing. ## Example 1: Documenting a change in condition Scenario: an inpatient reports new lightheadedness during assisted transfer. This fictional example demonstrates source attribution, focused assessment, immediate safety action, communication, and reassessment. It does not define the right clinical response for a real patient. 09:18 — During assisted transfer from bed to chair, patient stated, “I feel lightheaded.” Transfer paused and patient assisted back to bed with two staff; no fall occurred. Patient awake and responding to questions. Focused observations and vital signs entered in the designated flowsheet at 09:20. Patient reports symptom began on standing and denies the additional symptoms specifically assessed. Comparison with the prior documented baseline reviewed; one current value differs from the earlier measurement. 09:24 — Charge nurse notified of change and current assessment. Responsible practitioner contacted through the approved urgent communication channel at 09:26; information provided using the unit's structured format. Instruction received, read back, and entered through the authorized order process by the responsible person. Safety precautions continued. At 09:42, patient reports improvement while resting; repeat observations recorded in the flowsheet. Handoff updated with current status, pending reassessment, and responsible nurse. This example intentionally avoids invented measurements, a diagnosis, or a treatment recommendation. ## Example 2: Intervention and patient response Scenario: a patient reports increased incisional discomfort after activity. The note should connect the assessment to the intervention and the follow-up without duplicating every field in the medication record. 14:05 — Patient reports incisional discomfort increased after returning from supervised activity; rating and focused characteristics documented in the pain assessment flowsheet. Dressing appearance and other observations actually assessed entered in the appropriate fields. Current medication orders, administration history, and relevant precautions reviewed. Patient requested the available as-needed option. Medication administered at 14:12 and documented in the medication administration record; nonpharmacologic comfort measure also provided as accepted. 14:48 — Reassessment completed within the locally required interval. Patient reports lower discomfort and states the current level is manageable. Observed resting position and any assessed adverse effects documented in the flowsheet. No additional intervention requested at this time. Patient reminded to use the call system before the next activity and to report worsening or new symptoms. Next nurse informed of the response and the next eligible assessment or medication time through the approved handoff. The note does not say effective without showing the response used to support that conclusion. ## Example 3: Education, teach-back, and a declined action Scenario: a patient receives discharge teaching and declines one recommended step. Document what was explained, what the patient understood, what was declined, and what followed. Avoid labels such as noncompliant, difficult, or understands when the record does not show the basis. 11:10 — Reviewed the written home instructions using the patient's preferred language and the approved interpreter workflow. Topics included the medication schedule shown on the discharge list, the follow-up appointment, device care, and the specific return precautions supplied by the treating team. Patient used teach-back to describe the morning and evening schedule and where to call with questions. One point was restated after the first response differed from the written instruction; patient then repeated the corrected schedule. Patient declined the offered demonstration of device care, stating that a family caregiver performs it and will arrive later. Explained the reason for the demonstration and offered to repeat teaching with the caregiver present. Responsible discharge team member notified, and teaching remains pending until the planned caregiver session. The note records the patient's decision and the response without assuming incapacity, assigning motive, or representing incomplete education as complete. ## Example 4: Transfer and unresolved follow-up Scenario: a patient transfers to another unit with one result pending. A note can preserve the durable status, while a live handoff confirms that responsibility moved to a named receiver. 16:32 — Transfer assessment and required structured fields completed. Current lines, devices, mobility assistance, safety precautions, recent interventions, and patient belongings reconciled with the chart. One ordered result remains pending at time of transfer; no interpretation documented. Sending nurse contacted receiving nurse at 16:38 and communicated cu --- # Patient Consent for AI Scribes URL: https://clinicframe.com/blog/patient-consent How to inform patients that an AI scribe documents the visit, why consent matters, and simple language clinicians can use in person and in telehealth. Using an AI scribe means a conversation is being documented from audio, so treat it like any recording: inform the patient and obtain their consent. Recording-consent laws vary by state, and some require the consent of every party to a conversation, so the specifics depend on where you practice. This is practical guidance, not legal advice. ## Why does patient consent matter with an AI scribe? Beyond the legal question, consent is a trust question. Patients are more comfortable when they understand what is happening, and the framing is genuinely favorable: you are telling them you will spend the visit looking at them instead of a keyboard. Handled well, disclosing the scribe tends to raise confidence rather than lower it. Part of that reassurance is that no third person is listening in, unlike a virtual medical scribe . ## What consent language actually works? Most clinicians settle on a single sentence at the start of the visit: that they use a documentation assistant that listens to the conversation and drafts the note, that the audio is not stored, and that the patient can decline. That is usually all it takes. The fact that the audio is never stored is worth saying out loud, because it is the part patients most want to hear. ## Good practice around consent Mention it once at the first visit, and note the consent in the record. In telehealth, say it on camera at the start of the call. If a patient declines, end the session from the Quick Bar and document manually. The tool never requires the patient to agree. --- # 6 Best SimplePractice Note Taker Alternatives in 2026 URL: https://clinicframe.com/blog/simplepractice-note-taker-alternatives Compare six SimplePractice Note Taker alternatives by add-on cost, EHR dependency, therapy formats, migration scope, privacy, and workflow. Publisher disclosure: ClinicFrame publishes this comparison and is included as an alternative. We apply the same first-party-source standard to SimplePractice Note Taker, ClinicFrame, and every competitor; give SimplePractice Note Taker a genuine stay case; and separate verified facts from editorial fit judgments. Short answer: Stay with SimplePractice Note Taker when SimplePractice is the durable system of record and native chart placement outweighs standalone flexibility. Choose ClinicFrame for focused cross-EHR alternative, Choose Mentalyc for therapy-depth standalone alternative, Choose Upheal for AI-native therapy EHR alternative, Choose Blueprint for per-session therapy EHR alternative, Choose Wren Clinical for transparent customizable alternative, Choose Heidi Health for free standard-note alternative. The best alternative is the one that resolves a measured switching reason in the real charting workflow. SimplePractice Note Taker alternatives span different purchasing categories. SimplePractice Note Taker is a $35-per-clinician add-on inside an existing SimplePractice subscription, not a standalone scribe or replacement EHR. A focused self-serve scribe, an eligibility-limited free tool, a specialty platform, an EHR-native add-on, and an enterprise deployment may all produce a note, but they do not solve the same operational problem. This guide preserves those distinctions instead of forcing every product into one numerical score. SimplePractice Note Taker remains the comparison baseline because a 30-day trial, optional $35 monthly per-clinician add-on, access management, generated drafts, and mandatory clinician review inside SimplePractice. Native placement can remove copy, export, and patient-matching work for current customers. A switch is justified only when another product produces a measurable improvement in the practice's priority—not because its landing page contains more features or a lower introductory number. The comparison starts with recurring price and product scope, then moves to capture, templates, specialty fit, correction time, EHR transfer, patient context, team administration, BAA, retention, deletion, model use, subprocessors, incident terms, export, and termination. Generated documentation remains a draft requiring clinician review before chart entry. For a market-wide shortlist, read the best AI medical scribes . For price-first research, use the cheapest AI medical scribes . This canonical page owns “SimplePractice Note Taker alternatives” and “ClinicFrame vs SimplePractice Note Taker”. ## Best SimplePractice Note Taker alternatives by switching reason best focused cross-EHR alternative: ClinicFrame: practices keeping SimplePractice or another EHR while using a separate desktop documentation layer. best therapy-depth standalone alternative: Mentalyc: therapists needing explicit formats, modalities, client types, supervision, and longitudinal functions. best AI-native therapy EHR alternative: Upheal: therapists willing to replace the EHR with notes, telehealth, scheduling, portal, forms, and practice functions. best per-session therapy EHR alternative: Blueprint: therapists wanting AI documentation, session preparation, assessments, billing, and EHR functions together. best transparent customizable alternative: Wren Clinical: solo therapists wanting recording-optional custom formats and visible per-request costs. best free standard-note alternative: Heidi Health: therapists whose production documentation fits standard templates. ## How we compared SimplePractice Note Taker alternatives Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We show SimplePractice Note Taker first and define when keeping it is the rational decision. Mutable product and pricing facts come from official pages checked on August 23, 2026; third-party rankings identify questions but do not establish current facts. We compare recurring production terms, not trial access, first-month promotions, or unlabeled annual equivalents. Every alternative receives one real winning persona and one material limitation. Individual, specialty, EHR-native, and enterprise products remain separate purchasing categories. Every finalist must pass the same note-quality and correction-time rubric plus privacy, security, and contract review. ## SimplePractice Note Taker vs 6 leading alternatives Public prices, eligibility, limits, promotions, integrations, and enterprise terms can change. Verify the linked first-party page and the written agreement offered to the practice. Option Published starting point Best fit What we verified Main limitation to test SimplePractice Note Taker $35/month per clinician plus the underlying SimplePractice plan existing SimplePractice practices that value native chart workflow and no scribe migration a 30-day trial, optional $35 monthly per-clinician add-on, access management, generated drafts, and mandatory clinician review inside SimplePractice it requires the underlying EHR subscription and its value is tied to the SimplePractice ecosystem ClinicFrame $34.99 monthly or $27.99 annual equivalent practices keeping SimplePractice or another EHR while using a separate desktop documentation layer DAP, BIRP, SOAP, custom templates, in-person, telehealth and dictation capture, patient records, and note chat copy or export replaces native chart placement and it is not an EHR Mentalyc $19.99–$119.99 monthly across note tiers therapists needing explicit formats, modalities, client types, supervision, and longitudinal functions 40/100/160/330-note tiers, DAP/SOAP entry, higher-tier BIRP, complex client types, modalities, tracking, supervision, and groups note caps and feature gates can raise price and EHR transfer remains separate Upheal $1/counted session capped at $69/month therapists willing to replace the EHR with notes, telehealth, scheduling, portal, forms, and practice functions per-session pricing and cap, notes, treatment plans, telehealth, scheduling, portal, messaging, forms, and practice workflow this is an EHR migration rather than a note-add-on change and counted-session rules matter Blueprint $0.99/session Plus or $1.49/session Pro therapists wanting AI documentation, session preparation, assessments, billing, and EHR functions together per-session plans, EHR, notes, treatment plans, summaries, session prep, assessments, scheduling, telehealth, portal, and billing linear session cost and a full EHR migration must be modeled Wren Clinical $14/month plus usage solo therapists wanting recording-optional custom formats and visible per-request costs DAP, BIRP, SOAP, GIRP and custom formats, multiple inputs, BAA wording, a base fee, usage ranges, and workload examples variable billing and manual transfer into SimplePractice or another EHR Heidi Health $0 Free; paid plans vary by region therapists whose production documentation fits standard templates unlimited standard transcription and notes on Free with 10 shared advanced actions monthly custom templates can require paid access and notes must be moved into the EHR ## Which SimplePractice Note Taker alternative fits the actual reason to switch? ## 1. SimplePractice Note Taker: the native SimplePractice add-on baseline SimplePractice Note Taker is the baseline, not a straw man. Its official SimplePractice Note Taker FAQ verifies a 30-day trial, optional $35 monthly per-clinician add-on, access management, generated drafts, and mandatory clinician review inside SimplePractice. Native placement can remove copy, export, and patient-matching work for current customers. A practice should stay when those functions are reliable in representative visits and remove more work than the subscription and implementation add. The main constraint is it requires the underlying EHR subscription and its value is tied to the SimplePractice ecosystem. That limitation matters only in context: a lower-priced product can still cost more after correction, transfer, missing functionality, training, and parallel systems. Record the actual reason for evaluating SimplePractice Note Taker alternatives before opening another trial. Keep SimplePractice Note Taker when SimplePractice is the durable system of record and native chart placement outweighs standalone flexibility. Recheck the current order form, BAA, security exhibits, retention, model-use language, subprocessors, support, export, and termination terms. Product pages describe a workflow; they do not replace the agreement offered to the practice or the clinician's responsibility for the final note. Check the current details on the official SimplePractice Note Taker FAQ before making a purchasing decision. ## 2. ClinicFrame: best focused cross-EHR alternative ClinicFrame is the best focused cross-EHR alternative. Its official ClinicFrame pricing page verifies DAP, BIRP, SOAP, custom templates, in-person, telehealth and dictation capture, patient records, and note chat. Its price is close to the add-on while the workflow can travel across specialties and EHRs. That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against SimplePractice Note Taker is it adds a separate application and manual handoff that SimplePractice avoids. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose ClinicFrame when cross-EHR flexibility and custom capture matter more than native chart placement. Keep SimplePractice Note Taker when its current native SimplePractice add-on baseline workflow already performs better or switching would only exchange one problem for another. Test note quality, correction time, capture reliability, EHR handoff, governance, and total cost side by side before migrating. Check the current details on the official ClinicFrame pricing page before making a purchasing decision. ## 3. Mentalyc: best therapy-depth standalone alternative Mentalyc is the best therapy-depth standalone alternative. Its official Mentalyc pricing page verifies 40/100/160/330-note tiers, DAP/SOAP entry, higher-tier BIRP, complex client types, modalities, tracking, supervision, and groups. It offers behavioral-health segmentation beyond a generic note add-on. That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against SimplePractice Note Taker is Mentalyc can create another external workflow and the required tier may exceed $35. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose Mentalyc when therapy-specific depth reduces enough correction and the selected tier matches volume. Keep SimplePractice Note Taker when its current native SimplePractice add-on baseline workflow already performs better or switching would only exchange one problem for another. Test note quality, correction time, capture reliability, EHR handoff, governance, and total cost side by side before migrating. Check the current details on the official Mentalyc pricing page before making a purchasing decision. ## 4. Upheal: best AI-native therapy EHR alternative Upheal is the best AI-native therapy EHR alternative. Its official Upheal pricing page verifies per-session pricing and cap, notes, treatment plans, telehealth, scheduling, portal, messaging, forms, and practice workflow. It can consolidate the scribe and practice platform under one capped model. That gives it a legitimate winning use case --- # SOAP Note Examples: 6 Complete Samples URL: https://clinicframe.com/blog/soap-note-example Six fictional SOAP note examples for primary care, therapy, psychiatry, physical therapy, nursing, and EMS, with a writing and review checklist. A SOAP note example is useful only when it shows the reasoning behind the structure. Subjective records what the patient or another identified source reports. Objective records findings that were observed, measured, or reviewed. Assessment explains the clinician's synthesis. Plan records the actions that follow. The four headings stay stable, but the content, level of detail, and evidentiary boundaries change with the service. The examples below follow the standard structure described in the NCBI Bookshelf overview of SOAP notes . They are fictional, contain no patient information, and are not templates for billing or a substitute for professional judgment. The CMS Documentation Matters toolkit emphasizes complete, accurate, timely documentation. A polished example should never be copied when it does not match the encounter that actually occurred. ## What each SOAP section must do Section Primary question Typical evidence Common error Subjective What does the patient or identified source report? Symptoms, concerns, history, function, adherence, goals Presenting a reported statement as an observed fact Objective What was observed, measured, examined, or reviewed? Vital signs, examination findings, measures, relevant results Adding normal findings that were never assessed Assessment What does the clinician conclude from the available information? Status, differential, response, progress, clinical reasoning Letting a template or AI invent diagnostic certainty Plan What happens next, by whom, and when? Treatment, tests, referrals, education, precautions, follow-up Listing an action that was discussed but not ordered or agreed The exact record must reflect the clinician's scope, setting, organization policy, payer rules, and the encounter itself. ## 1. Primary care follow-up SOAP note example Scenario: an established adult returns for follow-up of elevated home blood-pressure readings. This sample demonstrates chronology, source attribution, measured findings, and an explicit follow-up plan. All details are fictional. Subjective: Patient reports home readings generally in the mid-140s/upper-80s over the past two weeks using an upper-arm cuff. Denies chest pain, new shortness of breath, syncope, focal weakness, or severe headache. Reports taking the current medication daily and missing no doses this week. Notes increased restaurant meals during recent travel. Patient brought a written home log but not the cuff. Goal is to improve readings without adding another medication if possible. Objective: Office blood pressure 146/88 mm Hg after five minutes seated; repeat 142/86 mm Hg. Heart rate 74 bpm. Patient appears comfortable and speaks in full sentences. Heart rhythm regular on examination. No lower-extremity edema observed. Home log reviewed and shows 12 entries; technique and cuff accuracy were not independently verified today. Assessment: Blood-pressure readings remain above the clinician's individualized target on the current regimen. Reported adherence is good, while sodium intake and home-measurement technique may contribute. No symptoms reported today that suggest an acute hypertensive emergency. The assessment states what the clinician concluded; it does not convert the absence of selected symptoms into a broader rule-out. Plan: Continue the current medication as discussed. Review low-sodium food choices and standardized home measurement technique. Ask the patient to bring the cuff and a seven-day morning/evening log to follow-up in four weeks. Order or review laboratory monitoring only if it was actually part of the encounter. Provide the specific return and urgent-care precautions discussed. The final signed note must match the clinician's orders and local documentation requirements. ## 2. Therapy SOAP note example Scenario: an adult attends a scheduled psychotherapy session focused on anxiety during a work transition. A therapy SOAP note should be clinically useful without becoming a transcript of sensitive conversation. Depending on practice standards, DAP or BIRP may be a better fit; the internal guide to DAP, BIRP, and SOAP explains those differences. Subjective: Client reports increased anticipatory anxiety before team meetings and difficulty falling asleep on three nights this week. Describes one instance of leaving a meeting early after feeling overwhelmed. Reports using paced breathing twice with partial benefit. Denies the specific safety concerns assessed during the session. The note attributes statements to the client and avoids presenting them as independently verified facts. Objective: Client arrived on time and participated throughout the session. Speech was clear and appropriately paced. Affect appeared anxious but stable during discussion of work stress. Therapist guided a brief cognitive-restructuring exercise and rehearsal of a meeting plan. The client identified one automatic thought and generated two alternative responses. Only domains actually observed or assessed belong here. Assessment: Symptoms continue to interfere with work participation and sleep, with early evidence that the practiced coping strategy can reduce intensity. Client engaged with the intervention and could apply the exercise to an upcoming situation. The note does not infer a new diagnosis, claim improvement beyond the evidence, or replace a separately performed risk assessment. Plan: Continue the agreed treatment approach. Client will practice the selected strategy before two meetings and record the situation, anxiety level, and response for review. Revisit sleep routine and workplace triggers at the next scheduled session. Document any safety plan, coordination, or level-of-care decision only when it actually occurred. For a more therapy-centered structure, compare this record with the existing BIRP note examples and therapy progress-note guide. ## 3. Psychiatry medication follow-up SOAP note example Scenario: a patient returns after a recent medication change. Psychiatry documentation demands careful separation of patient report, observed mental-status findings, medication facts, and the prescriber's reasoning. Every drug name, dose, route, frequency, adherence statement, adverse effect, and actual change requires direct verification. Subjective: Patient reports taking the prescribed medication each morning since the last visit and describes improved task initiation. Reports reduced appetite at midday and no change in sleep duration. Denies the specific adverse effects and safety symptoms asked about. A family member's collateral observation, if used, would be labeled separately rather than blended into the patient's account. Objective: Patient was alert and engaged in the visit. Speech was normal in rate and volume. Thought process appeared linear during the interview. No abnormal movement was observed on the limited examination performed. Weight and vital signs are included only if measured or reliably obtained and reviewed. A complete mental status examination should not be auto-filled from a short conversation. Assessment: The clinician documents the working interpretation of benefit, tolerability, remaining symptoms, and functional change. Any diagnosis, differential, risk formulation, or medication decision must be the clinician's own. An AI-generated phrase such as stable, improving, or low risk should be removed unless the encounter supports that conclusion and the clinician adopts it. Plan: Record the exact medication decision made, monitoring discussed, education provided, precautions, coordination, and follow-up interval. If no dose change occurred, say so clearly rather than leaving the reader to infer it. The plan is not a list of every possible next step; it is a record of the actions selected for this patient at this encounter. ## 4. Physical therapy SOAP note example Scenario: an outpatient physical-therapy visit addresses functional recovery after a knee injury. Rehabilitation notes need objective measurements, skilled intervention, patient response, progress toward goals, and a plan that connects to function. Generic language such as tolerated well is rarely enough by itself. Subjective: Patient reports pain of 3/10 at rest and 5/10 when descending stairs, improved from the prior self-reported level. Reports completing the home program on four of seven days. States that walking tolerance has increased to about 20 minutes before symptoms require a rest. No new fall or injury reported. Objective: Knee flexion measured at 118 degrees using the clinic's documented method. Patient completed the recorded therapeutic exercises, repetitions, resistance, and gait activity with the assistance or cueing actually provided. Stair trial showed reduced eccentric control on descent. The note should include measures and interventions performed, not a stock list carried forward from another visit. Assessment: Patient demonstrates measurable improvement in flexion and walking tolerance but continues to have a functional limitation with stair descent. Skilled cueing was required to maintain alignment during the task. The clinician relates today's findings to the established goals and explains why continued skilled care is or is not indicated. Plan: Continue or progress the exercises actually selected, update the home program as discussed, and reassess the relevant measure at the stated interval. Include precautions, frequency, coordination, or referral when they were part of the decision. The plan should be specific enough that the next treating clinician understands the intended progression. ## 5. Nursing or home-health SOAPIE example Nursing teams may use SOAP, SOAPIE, DAR, narrative, flowsheet, or organization-specific documentation. The Open RN Nursing Fundamentals text describes SOAPIE as Subjective, Objective, Assessment, Plan, Interventions, and Evaluation. The additional I and E fields make the action taken and the patient's response explicit. Subjective: Patient reports new soreness around the dressing beginning this morning and rates discomfort 4/10. Denies chills when asked. Objective: Temperature and other measured vital signs recorded with units and time. Dressing and surrounding skin described using observable characteristics; drainage amount, color, and odor documented only as assessed. Assessment: Nurse identifies the change requiring action within scope and according to agency protocol, without independently creating a medical diagnosis. Plan and Intervention: Record the provider notification, orders received, care performed, education, escalation, and follow-up plan with times when required. Evaluation: Record the patient's response and the reassessment performed. If the response is not yet known, state the pending follow-up rather than inventing a favorable result. An AI draft cannot replace medication-administration records, flowsheets, or required structured fields. ## 6. EMS SOAP narrative example EMS documentation systems and medical directors may require a different structure, including CHART, DCHART, or a narrative that follows local protocols. SOAP can still help organize the story, but it should not override the required electronic patient-care report fields, time stamps, procedure records, or handoff documentation. Subjective: Record the chief concern and relevant history from the patient, family, bystander, or dispatch, identifying the source. Objective: Record the scene observations, primary and secondary assessment findings, serial vital signs, monitoring, and other measured information with times. Assessment: Record the field impression and changes supported by the assessment. Plan: Record treatment, transport decision, destination, response, and transfer of care according to protocol. A strong narrative explains sequence and clinical relevance without copying every structured field into prose. It distinguishes not assessed from normal and documents limitations such as language, altered mental s --- # SOAP Note Format: How to Write It Step by Step URL: https://clinicframe.com/blog/soap-note-format Learn the SOAP note format and how to write Subjective, Objective, Assessment, and Plan with a step-by-step workflow, examples, and review checklist. The SOAP note format organizes an encounter into four connected sections: Subjective, Objective, Assessment, and Plan. Subjective records what the patient or another identified source reports. Objective records what the clinician observed, measured, examined, or reviewed. Assessment explains what the information means. Plan records the actions that follow. The value is not the four labels alone; it is the visible chain from evidence to clinical reasoning to action. A strong SOAP note is concise enough to scan and complete enough to support the next clinical decision. It does not become stronger by repeating every chart field, copying yesterday's examination, or adding a diagnosis that was not established. The exact content changes by specialty, setting, scope, payer, and organization. Use this guide to understand the writing process, then adapt it to the approved record requirements for the actual service. ## SOAP note format at a glance Section Question to answer Typical content Boundary to protect Subjective What did the patient or identified source report? Reason for visit, symptoms, history, function, concerns, goals, adherence Attribute the source; do not present a report as an observed fact Objective What was observed, measured, examined, or reviewed? Vital signs, examination findings, measures, relevant results, interventions Do not auto-fill findings that were not obtained or reviewed Assessment What does the clinician conclude from the available information? Status, synthesis, differential, response, progress, barriers, clinical reasoning Preserve uncertainty and stay within scope Plan What was done and what happens next? Treatment, orders, education, referrals, precautions, follow-up, reassessment Record actual decisions, ownership, and timing rather than possibilities SOAP is a structure, not a universal sufficiency standard. Required fields and documentation rules still come from the service, setting, profession, payer, jurisdiction, and organization. ## What SOAP means and why the order matters The NCBI Bookshelf overview of SOAP notes describes the format as both a documentation structure and a cognitive framework. The first two sections collect and organize information; the last two synthesize that information and state the response. A reader should be able to follow the note forward: the reported concern and relevant findings support the assessment, and the assessment supports the plan. SOAP grew from problem-oriented documentation. In a simple follow-up, one set of headings may cover the encounter. In a complex visit, the clinician may organize Assessment and Plan by numbered problem so that each conclusion connects to a specific action. Some organizations use APSO, placing Assessment and Plan first for faster scanning, or add fields such as Intervention or Evaluation. The approved local workflow should determine the displayed order, but the evidentiary relationship among the four functions should remain clear. The format does not decide which history, examination, measure, diagnosis, risk statement, intervention, or follow-up is clinically appropriate. It also does not establish billing support merely because all four headings contain text. SOAP helps organize responsible documentation; professional judgment and applicable requirements determine what belongs in the record. ## Before writing: identify the encounter and the problem Begin with the service that actually occurred. Confirm the correct patient, encounter date, participants, modality, clinician role, source of history, and reason for the visit. Review only the chart information needed for the work. A note written from the wrong encounter context can look internally coherent while attaching facts, findings, or actions to the wrong person or date. The May 2026 CMS Evaluation and Management Services booklet says E/M documentation should be complete and legible and should include the reason for the encounter, relevant history and findings, an assessment or clinical impression, and a medical plan of care. It also says to document during the encounter or as soon as possible afterward. That is Medicare E/M guidance, not a universal rule for every profession or service, but it reinforces a useful writing principle: the record should describe this encounter rather than an idealized version of one. For multiple problems, decide whether a single narrative will remain readable. A problem-oriented structure can pair Assessment item 1 with Plan item 1, item 2 with item 2, and so on. Put the active issue first when urgency or decision-making requires it. Do not create extra problems simply to fill a template, and do not bury an important new concern below a long stable history. ## How to write Subjective Subjective captures information reported by the patient, caregiver, family member, interpreter, referring professional, or another identified source. It often includes the reason for the encounter, symptom course, relevant history, functional impact, concerns, goals, adherence, response to prior care, and contextual information that affects the assessment. Attribution matters. Phrases such as patient reports, caregiver states, or referral notes indicate where the information came from without implying independent verification. Organize the story around the decision being made. For a new concern, chronology, location, character, severity, triggers, associated symptoms, and prior attempts may matter. For follow-up care, change since the last visit, response, adverse effects, adherence, function, and goal progress may matter more. For therapy, the section may include the client's account of symptoms, stressors, coping, function, or assigned practice. For rehabilitation, it may include pain, activity tolerance, falls, home-program participation, and patient goals. Keep reported numbers labeled as reported when they were not independently measured or verified. A home blood-pressure value, medication-adherence statement, pain rating, or duration belongs here when it comes from the patient. If a caregiver and patient disagree, preserve both attributed accounts when clinically relevant rather than blending them into one definitive statement. Avoid transcript-style excess. Sensitive detail belongs only when it is clinically relevant and appropriate for the record. Do not paste an entire intake questionnaire without showing what was reviewed. Do not convert a historical diagnosis into a current assessment merely because it appears in the patient's wording. Subjective should give Assessment the context it needs, not overwhelm the reader with every statement made during the encounter. ## How to write Objective Objective records information observed, measured, examined, performed, or reviewed during the encounter. Depending on scope and setting, that may include vital signs, physical or mental-status findings, standardized measures, laboratory or imaging results, functional tests, treatment activities, clinician observations, medication reconciliation, or relevant records from another professional. Include the method, units, side, time, source, or comparison point when those details change interpretation. Objective does not mean every sentence is unquestionable truth. Measurements have methods and limitations; observations occur in a specific context; external records come from an identified source. A telehealth examination may be limited. A patient-reported home reading remains reported even if it is placed near measured values. A test result should not be documented as reviewed unless it was actually reviewed. Precise source labeling makes the section more useful than a false appearance of certainty. Document only the examination and interventions actually performed. A carried-forward normal finding, an auto-populated review of systems, or a stock statement such as tolerated well can misrepresent the encounter when it was not reassessed. If a domain was not assessed, omit it or document the relevant limitation according to the approved workflow; do not turn not assessed into normal. Select details that support current reasoning. Copying every laboratory value or entire imaging report can make the important change harder to find. Summarize the relevant finding and preserve access to the source record. In therapy or rehabilitation, record the intervention, measure, cueing, assistance, performance, and observed response needed to understand skilled work rather than relying on a generic activity list. ## How to write Assessment Assessment is the clinician's synthesis, not a restatement of Subjective and Objective. Explain what the information means now. Depending on the profession and encounter, this may include current status, clinical impression, diagnosis or differential, response to treatment, progress toward goals, functional change, barriers, risk formulation, or the rationale for continued, changed, escalated, or concluded care. The statement should be specific enough that another qualified reader can understand the reasoning. Connect conclusions to evidence. Instead of writing improving, identify the relevant change and its significance. Instead of stable, state which symptoms, measures, function, or risks support that judgment and what remains unresolved. Instead of repeating a diagnosis alone, explain whether the problem is controlled, worsening, newly suspected, or still uncertain. The amount of reasoning should be proportionate to the decision; a routine encounter does not need theatrical complexity, while a high-consequence decision needs more than a label. Preserve uncertainty. Separate a confirmed diagnosis from a working impression, differential, patient-reported history, or problem requiring further evaluation. Do not infer that a condition was ruled out simply because selected symptoms were denied. In mental health, a risk statement must reflect the assessment actually performed and the clinician's judgment; it should never be auto-filled from a generic template. In rehabilitation, relate today's performance to functional goals and the need for skilled intervention within scope. When there are several active problems, number them and keep the order consistent with Plan. Note relevant interactions among problems without duplicating the entire chart. Assessment should carry the clinical meaning of the encounter. If it can be deleted without changing the reader's understanding, it is probably repeating data rather than synthesizing it. ## How to write Plan Plan records actions completed or selected because of the assessment. It can include treatment, medications, tests, referrals, education, counseling, precautions, coordination, home activities, monitoring, follow-up, and the conditions for reassessment or escalation. Record the actual decision, who owns the next step, and when it should occur when those details matter. Distinguish an order placed from an option discussed and a recommendation from a completed action. Specificity prevents ambiguity. For medications, verify the exact name, dose, route, frequency, change, and monitoring as applicable. For a test or referral, record the reason and next step according to the workflow. For rehabilitation or therapy, identify the planned progression, practice, target, frequency, or reassessment rather than writing continue current plan without context. Include return or urgent precautions only when they were actually discussed and document them in the form required by the organization. The plan must agree with orders, prescriptions, referrals, patient instructions, procedure records, and other structured fields. A sentence in a note does not necessarily execute an EHR action. Before signing, compare the narrative with the authoritative action records and resolve mismatches. If a planned step depends on a pending result or outside response, state the contingency and ownership rather than implying completion. Close the --- # SOAP Note Template: Copyable Clinical Formats URL: https://clinicframe.com/blog/soap-note-template A practical SOAP note template with general, quick follow-up, therapy, telehealth, and rehabilitation variants plus a review checklist. A useful SOAP note template is short enough to complete consistently and specific enough to prevent important information from being lost. Its purpose is not to fill the chart with text. It should help the clinician distinguish reported information from observed findings, connect the assessment to the evidence, and make the plan understandable to the next authorized reader. SOAP stands for Subjective, Objective, Assessment, and Plan. The NCBI Bookshelf clinical overview describes the structure as a widely used framework for organizing patient information and clinical reasoning. Copy the templates below into an approved documentation system only after adapting them to the practice's scope, setting, policies, payer rules, and record requirements. ## Core SOAP template Section Copyable prompt Final review question Subjective Reason for visit; symptoms/concerns; onset and course; relevant history; function; adherence; patient goals; source of information Is every important statement attributed to the patient or another identified source? Objective Relevant vital signs; examination/observation; measurements; tests or records reviewed; response observed during the encounter Was every finding actually observed, measured, examined, or reviewed? Assessment Status and clinical synthesis; problem list or differential when appropriate; response/progress; supporting reasoning; uncertainty Does this reflect the clinician's conclusion without adding unsupported certainty? Plan Treatment or intervention; tests; medications; referrals; education; precautions; coordination; follow-up and ownership Did every listed action actually occur or receive an order or agreement? Delete prompts that do not apply. Blank required fields should be handled according to the organization's documentation standard, not silently filled with normal findings. ## How to customize a SOAP template before using it Begin with the job the record must perform. A primary-care follow-up, psychotherapy visit, medication-management appointment, rehabilitation session, dental procedure, and home-health visit do not need the same prompts. Identify the information required for care continuity and the exact structured fields that remain in the EHR. The narrative template should complement those fields, not reproduce or contradict them. Review the documentation standard that applies to the service. The CMS Evaluation and Management guidance says the record should be complete and legible, document the reason and relevant findings, include an assessment or diagnosis and plan, and support the service reported. That guidance does not mean every possible field belongs in every SOAP note; the nature and amount of documentation vary with the service and circumstances. Write each prompt so it requests evidence rather than a predetermined answer. Use mental status domains assessed instead of normal mental status examination. Use relevant examination findings instead of normal examination. Use safety assessment performed and actions taken instead of low risk. A well-designed template makes omissions visible without encouraging fabricated completion. ## 1. General outpatient SOAP note template Subjective: [Reason for encounter.] [Patient-reported symptoms or concerns, onset, course, severity, context, and modifying factors.] [Relevant history, medication adherence, adverse effects, functional change, and patient priorities.] [Source of history and any limitations.] Objective: [Relevant measured vital signs with units and time.] [Focused examination or observed findings.] [Relevant point-of-care tests, laboratory results, imaging, external records, or medication list reviewed.] [Important limits of today's examination or data.] Assessment: [Problem or status.] [Clinician synthesis connecting the subjective and objective evidence.] [Differential or uncertainty when appropriate.] [Response to current management and clinically relevant change since the prior encounter.] Plan: [Treatment or medication decision.] [Tests, monitoring, consultation, or referral.] [Education, shared decision-making, and precautions actually discussed.] [Follow-up interval, responsibility, and conditions for earlier reassessment.] This version is intentionally broad. Remove unused prompts rather than generating placeholder prose. If a result is pending, document the follow-up process. If information came from a caregiver, record, or device, identify that source. If the examination was limited by telehealth or another condition, make the limitation clear. ## 2. Quick follow-up SOAP template Subjective: [Change since last visit.] [Response, adherence, and adverse effects.] [Current functional impact.] [New or specifically assessed red-flag symptoms.] [Patient question or goal for today.] Objective: [Targeted measurement or examination.] [Relevant trend or result reviewed.] [Observation related to treatment response.] Assessment: [Improved, unchanged, worsened, or uncertain—with supporting evidence.] [Remaining issue, risk, or barrier.] [Clinical interpretation.] Plan: [Continue, modify, stop, or start—with exact details.] [Monitoring and education.] [Follow-up and escalation criteria.] A quick template should shorten the note without erasing reasoning. Do not use a one-click unchanged assessment unless the clinician has actually reviewed current symptoms, response, measurements, and the need for the existing plan. Copy-forward errors are especially difficult to detect when repeated text looks familiar. ## 3. Therapy SOAP note template Subjective: [Client-reported symptoms, stressors, functioning, progress, barriers, and relevant safety statements.] [Client goal or concern for the session.] [Source of collateral information, if any.] Objective: [Observable presentation and mental-status domains actually assessed.] [Intervention delivered.] [Client participation and response observed during the session.] Assessment: [Clinical interpretation of current symptoms and functioning.] [Progress or barriers related to treatment goals.] [Response to intervention.] [Risk formulation only if performed by the clinician and documented with adequate support.] Plan: [Next intervention or treatment focus.] [Practice assignment or agreed action.] [Coordination, referral, consultation, or safety action.] [Next appointment or follow-up.] Therapy practices should decide whether SOAP is the right structure. The DAP vs BIRP vs SOAP comparison shows why DAP can better emphasize clinical synthesis and why BIRP can make intervention and response easier to audit. The therapy progress-note guide adds privacy and workflow considerations for behavioral health. ## 4. Psychiatry medication-management SOAP template Subjective: [Target symptoms and functional change.] [Medication name, dose, route, frequency, adherence, perceived benefit, and adverse effects as reported.] [Sleep, appetite, substance use, and other relevant domains assessed.] [Safety statements and source attribution.] Objective: [Vital signs, weight, relevant monitoring, observed mental-status findings, abnormal movements, and results actually obtained or reviewed.] [Limits of the examination.] Assessment: [Current diagnoses or differential as determined by the prescriber.] [Response and tolerability.] [Risk formulation and supporting factors when assessed.] [Rationale for the medication decision.] Plan: [Exact medication continuation or change.] [Monitoring, laboratory work, education, precautions, and interaction discussion.] [Psychotherapy, referral, coordination, or higher-level care.] [Follow-up and emergency instructions.] Medication fields require exact review. Verify the drug, formulation, strength, route, frequency, start or stop instruction, adherence, adverse effects, allergies, interactions, monitoring, and the change actually made. An AI draft must not reconcile medications or select a treatment on the prescriber's behalf. ## 5. Physical or occupational therapy SOAP template Subjective: [Symptoms and rating scale used.] [Functional ability and limits.] [Change since last visit.] [Home-program adherence, falls, new injury, or relevant patient goal.] Objective: [Measures with units and method.] [Interventions, repetitions, resistance, duration, assistance, cueing, and response.] [Observed movement, task performance, device use, or precautions.] Assessment: [Progress toward each relevant functional goal.] [Continued impairment or limitation.] [Why skilled intervention remains necessary, when applicable.] [Factors affecting progress.] Plan: [Progression or modification.] [Home-program change.] [Next measure or reassessment.] [Frequency, coordination, discharge planning, referral, or precautions.] The template should preserve discrete measurements and intervention details rather than hiding them in general prose. If the EHR already stores exercises, flowsheet values, and goals in structured fields, decide what the narrative needs to explain. Avoid duplicated numbers that can diverge between the flowsheet and the note. ## 6. Telehealth SOAP note template Subjective: [Patient location and identity verification when required by the workflow.] [Participants and source of history.] [Reason for visit and relevant reported information.] [Technology or communication limitations affecting the encounter.] Objective: [Findings reasonably observed or measured remotely.] [Patient-reported home measurements labeled as such.] [Information reviewed.] [Explicit limits of remote examination.] Assessment: [Clinician synthesis based on available remote information.] [Uncertainty created by examination or data limits.] [Whether in-person assessment or escalation is indicated.] Plan: [Actions selected.] [Instructions and teach-back when used.] [Follow-up, escalation, or in-person evaluation.] [Technical or consent issue relevant to documentation.] If an AI scribe captures the telehealth encounter, test the actual platform, headphones, microphone, and system-audio path. Define the consent process using the patient-consent guide , and verify what happens to audio and retained text in the ClinicFrame audio-privacy workflow . A remote note should not imply an examination that the medium could not support. ## Turn the template into a usable clinical workflow A template is successful when clinicians can complete it accurately without adding work or meaningless text. Pilot it with a small set of representative, de-identified, simulated, or appropriately authorized encounters. Include routine, complex, multi-problem, telehealth, and incomplete-information cases. Compare the final note with the source encounter and the organization's requirements. Measure missing required elements, fields that invite unsupported statements, copy-forward errors, clinically meaningful corrections, review time, and EHR transfer work. Ask downstream readers whether the assessment and plan are easy to find. If a prompt is repeatedly deleted or produces boilerplate, revise it. If an important distinction is repeatedly missed, clarify the prompt or move the information into a structured field. Include more than one clinician in the pilot when the template will be shared. Different speaking styles, specialties, visit patterns, and documentation habits can expose prompts that appeared reliable in a single user's test. Record the reasons for significant changes so future reviewers understand what problem each prompt was designed to solve. Create ownership for template changes. A clinician or documentation lead should approve the initial version; billing, compliance, privacy, information security, and specialty leaders may need to review relevant sections. Record the version and effective date. Revalidate after material EHR, payer, service, or AI-workflow changes. Define the service and the record's required purpose. Keep only prompts that are relevant to most encounters of that type. Use evidence-seeking prompts --- # 6 Best Suki Alternatives in 2026 URL: https://clinicframe.com/blog/suki-alternatives Compare six Suki alternatives by EHR integration, self-serve price, ambient documentation, dictation, APIs, enterprise rollout, and eligibility. Publisher disclosure: ClinicFrame publishes this comparison and is included as an alternative. We apply the same first-party-source standard to Suki, ClinicFrame, and every competitor; give Suki a genuine stay case; and separate verified facts from editorial fit judgments. Short answer: Stay with Suki when target-EHR integration, end-to-end clinical workflow, APIs, structured output, and rollout fit the system. Choose ClinicFrame for lower-cost self-serve alternative, Choose Freed for independent-practice browser-handoff alternative, Choose Abridge for enterprise clinical-intelligence peer, Choose Nabla for API-oriented enterprise alternative, Choose Microsoft Dragon Copilot for mature dictation and ambient alternative, Choose Doximity Scribe for free option for eligible U.S. clinicians. The best alternative is the one that resolves a measured switching reason in the real charting workflow. Suki alternatives span different purchasing categories. Suki is an enterprise ambient clinical-intelligence platform spanning documentation, coding, reasoning, Q&A, dictation, orders, EHR integration, APIs, and SDKs. A focused self-serve scribe, an eligibility-limited free tool, a specialty platform, an EHR-native add-on, and an enterprise deployment may all produce a note, but they do not solve the same operational problem. This guide preserves those distinctions instead of forcing every product into one numerical score. Suki remains the comparison baseline because ambient notes, patient instructions, orders, coding and reasoning positioning, support for 100+ specialties, major-EHR integrations, web/mobile use, APIs, SDKs, multilingual capture, and structured data. Its integration with Epic, Oracle Health, athenahealth, and MEDITECH plus partner tooling is a substantial advantage. A switch is justified only when another product produces a measurable improvement in the practice's priority—not because its landing page contains more features or a lower introductory number. The comparison starts with recurring price and product scope, then moves to capture, templates, specialty fit, correction time, EHR transfer, patient context, team administration, BAA, retention, deletion, model use, subprocessors, incident terms, export, and termination. Generated documentation remains a draft requiring clinician review before chart entry. For a market-wide shortlist, read the best AI medical scribes . For price-first research, use the cheapest AI medical scribes . This canonical page owns “Suki alternatives” and “ClinicFrame vs Suki”. ## Best Suki alternatives by switching reason best lower-cost self-serve alternative: ClinicFrame: solo and small practices needing focused notes without enterprise integration. best independent-practice browser-handoff alternative: Freed: independent clinicians needing specialty templates, patient context, and browser EHR Push. best enterprise clinical-intelligence peer: Abridge: health systems comparing scaled ambient documentation, clinical intelligence, EHR integration, and governance. best API-oriented enterprise alternative: Nabla: health systems and platforms needing transcription, structured notes, normalized data, and flexible integration paths. best mature dictation and ambient alternative: Microsoft Dragon Copilot: organizations combining ambient, natural-language dictation, EHR embedding, role-based workflows, and extensibility. best free option for eligible U.S. clinicians: Doximity Scribe: eligible individuals wanting free custom notes on mobile/web and in Doximity Dialer. ## How we compared Suki alternatives Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We show Suki first and define when keeping it is the rational decision. Mutable product and pricing facts come from official pages checked on August 23, 2026; third-party rankings identify questions but do not establish current facts. We compare recurring production terms, not trial access, first-month promotions, or unlabeled annual equivalents. Every alternative receives one real winning persona and one material limitation. Individual, specialty, EHR-native, and enterprise products remain separate purchasing categories. Every finalist must pass the same note-quality and correction-time rubric plus privacy, security, and contract review. ## Suki vs 6 leading alternatives Public prices, eligibility, limits, promotions, integrations, and enterprise terms can change. Verify the linked first-party page and the written agreement offered to the practice. Option Published starting point Best fit What we verified Main limitation to test Suki Custom organization or partner pricing health systems and partners needing deep EHR integration, ambient documentation, structured outputs, APIs, and SDKs ambient notes, patient instructions, orders, coding and reasoning positioning, support for 100+ specialties, major-EHR integrations, web/mobile use, APIs, SDKs, multilingual capture, and structured data no directly comparable public self-serve price and an enterprise buying and integration path ClinicFrame $34.99 monthly or $27.99 annual equivalent solo and small practices needing focused notes without enterprise integration SOAP, DAP, BIRP, custom templates, in-person, telehealth and dictation capture, patient records, and note chat no native EHR integration today and no API/SDK enterprise equivalence Freed $39–$119/month across public tiers independent clinicians needing specialty templates, patient context, and browser EHR Push public low-volume and unlimited tiers, specialty templates, browser EHR Push, patient context, and higher-tier coding browser handoff is not equivalent to Suki's major-EHR integration and partner APIs Abridge Custom enterprise pricing health systems comparing scaled ambient documentation, clinical intelligence, EHR integration, and governance enterprise-wide deployment, clinical intelligence, EHR integration, and organization-level security and data-governance positioning custom pricing and enterprise procurement require a direct implementation comparison Nabla Custom organization pricing health systems and platforms needing transcription, structured notes, normalized data, and flexible integration paths medical transcription, note generation, dictation, FHIR-normalized data, patient instructions, APIs, and front-end or server-side integration custom implementation and procurement with no simple public individual price Microsoft Dragon Copilot Organization licensing and usage terms organizations combining ambient, natural-language dictation, EHR embedding, role-based workflows, and extensibility ambient and dictation, specialty templates, clinical information, coding and tasks, role-based experiences, EHR access, APIs, SDKs, and admin tooling licensing, consumption, regional availability, and deployment are complex Doximity Scribe $0 for eligible verified U.S. clinicians eligible individuals wanting free custom notes on mobile/web and in Doximity Dialer free eligible access, custom templates, web/mobile capture, up to 140 minutes, Dialer support, and copy-to-EHR notes individual eligibility and copy-based workflow are not enterprise Suki deployment ## Which Suki alternative fits the actual reason to switch? ## 1. Suki: the embedded ambient clinical-intelligence baseline Suki is the baseline, not a straw man. Its official Suki platform page verifies ambient notes, patient instructions, orders, coding and reasoning positioning, support for 100+ specialties, major-EHR integrations, web/mobile use, APIs, SDKs, multilingual capture, and structured data. Its integration with Epic, Oracle Health, athenahealth, and MEDITECH plus partner tooling is a substantial advantage. A practice should stay when those functions are reliable in representative visits and remove more work than the subscription and implementation add. The main constraint is no directly comparable public self-serve price and an enterprise buying and integration path. That limitation matters only in context: a lower-priced product can still cost more after correction, transfer, missing functionality, training, and parallel systems. Record the actual reason for evaluating Suki alternatives before opening another trial. Keep Suki when target-EHR integration, end-to-end clinical workflow, APIs, structured output, and rollout fit the system. Recheck the current order form, BAA, security exhibits, retention, model-use language, subprocessors, support, export, and termination terms. Product pages describe a workflow; they do not replace the agreement offered to the practice or the clinician's responsibility for the final note. Check the current details on the official Suki platform page before making a purchasing decision. ## 2. ClinicFrame: best lower-cost self-serve alternative ClinicFrame is the best lower-cost self-serve alternative. Its official ClinicFrame pricing page verifies SOAP, DAP, BIRP, custom templates, in-person, telehealth and dictation capture, patient records, and note chat. It offers a transparent individual subscription, a fast trial path, and a desktop mode that lets a clinician dictate into any field on the machine . That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against Suki is manual copy/export and narrow scope replace Suki's deep EHR and partner integration. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose ClinicFrame when focused documentation and independent purchasing are enough. Keep Suki when its current embedded ambient clinical-intelligence baseline workflow already performs better or switching would only exchange one problem for another. Test note quality, correction time, capture reliability, EHR handoff, governance, and total cost side by side before migrating. Check the current details on the official ClinicFrame pricing page before making a purchasing decision. ## 3. Freed: best independent-practice browser-handoff alternative Freed is the best independent-practice browser-handoff alternative. Its official Freed pricing page verifies public low-volume and unlimited tiers, specialty templates, browser EHR Push, patient context, and higher-tier coding. It provides practical EHR handoff under a self-serve clinician product. That gives it a legitimate winning use case rather than a decorative place in the list. The trade-off against Suki is feature tiers and browser workflow need target-chart testing. Public prices and features are not directly comparable when one offer is a focused scribe and another is a broader platform, enterprise deployment, EHR add-on, or eligibility-limited free product. Price the production workflow and contract actually available to the practice. Choose Freed when the practice is independent and its browser EHR workflow solves the transfer problem. Keep Suki when its current embedded ambient clinical-intelligence baseline workflow already performs better or switching would only exchange one problem for another. Test note quality, correction time, capture reliability, EHR handoff, governance, and total cost side by side before migrating. Check the current details on the official Freed pricing page before making a purchasing decision. ## 4. Abridge: best enterprise clinical-intelligence peer Abridge is the best enterprise clinical-intelligence peer. Its official Abridge enterprise announcement verifies enterprise-wide deployment, clinical intelligence, EHR integration, and organization-level security and data-governance positioning. It is a true peer for system-wide ambient clinical intelligence. --- # AI Therapy Notes: DAP, BIRP & Progress Notes URL: https://clinicframe.com/blog/therapy-progress-notes AI therapy notes in DAP, BIRP and your own template, written from the session. What each format captures, how the generator works, and how session privacy is handled. An AI therapy note is a progress note written from the session itself. The scribe listens, transcribes with speaker labels, and returns the note in the format mental health documents in: DAP, BIRP, SOAP or a template you build. You review it and sign off. A fifty-minute session that used to cost another hour of writing ends with a draft already structured. Therapists can use an AI scribe, and the fit is often better than in general medicine, because so much of a session is conversation. ClinicFrame writes therapy progress notes from the session itself: it listens, runs real-time medical transcription with speaker labels, and generates the note in the formats mental health documents in, DAP and BIRP, or in a template you build. Psychologists, psychiatrists, and licensed counselors use it for both in-person and telehealth sessions. ## Why does an AI scribe fit behavioral health? The right formats, not medical ones. DAP and BIRP ship as built-in clinical note templates , and custom templates cover practice-specific structures like a risk-assessment section. See which format to use . Telehealth without a third presence. The call audio is captured on your computer; no bot joins, and your client sees only you, which matters more in therapy than almost anywhere else. It is also the biggest difference from a virtual medical scribe , where a person listens to every session. Privacy by design. The session audio is never stored, and a BAA is included with every account. See how audio and PHI are handled . Presence. No typing during the session means your attention stays with the client, which is the entire point. ## Session notes templates for your practice If your practice has a documentation standard, build it once as a custom template: name the sections, write a short instruction for each, and apply it to every session. This is how a therapist notes template stays consistent across a group practice or across your own caseload. See creating custom note templates . ## Consent Tell your client the session is being documented with an AI scribe and record their consent, following the rules in your state. The scribe stays in the background, but the conversation about it belongs at the start of the relationship. See patient consent for AI scribes . ## Where the notes are generated Everything above happens inside the product: the formats, the templates and the privacy rules are the same ones described here. If you want the full picture for a mental health practice, start at the AI scribe for therapists and psychiatry , which covers the note formats, what happens to session audio, and pricing. DAP, BIRP, SOAP or your own template, drafted from the session before your next client sits down. Write your next progress note automatically 7 days free. No credit card. BAA included. --- # 6 Best Twofold Alternatives in 2026 URL: https://clinicframe.com/blog/twofold-alternatives Compare six Twofold alternatives by price, specialty fit, capture workflow, EHR handoff, coding, privacy, and practice size. Publisher disclosure: ClinicFrame publishes this comparison and is included as an alternative. We apply the same first-party-source standard to every vendor, show Twofold first as the baseline, separate promotions from recurring prices, and give Twofold a genuine stay case. Short answer: Stay with Twofold when its unlimited notes, mobile and desktop capture, templates, coding, progress, reports, and EHR-agnostic workflow are already performing well. Choose ClinicFrame for a lower-priced focused desktop workflow, Freed for clinician-oriented tiers and browser EHR Push, Heidi for free standard notes, Mentalyc for behavioral-health depth, Wren Clinical for transparent usage pricing and customization, or Nabla for an enterprise integration program. Twofold alternatives should not be ranked as if every buyer is solving the same problem. A solo therapist may want a cheaper DAP workflow. A physician may want browser-based EHR handoff. A mixed-specialty practice may need one predictable desktop tool. A health system may need APIs, governance, integrations, deployment support, and negotiated service levels. The strongest alternative changes with the switching reason. Twofold remains a serious baseline. Its public Personal plan includes unlimited notes, clinical templates, an AI assistant, coding, progress tracking, reports, mobile and desktop access, telehealth and in-person capture, a signed BAA, and use with any EHR. Public pricing shows $69 month to month or $49 per month when billed annually, while a time-limited first-month promotion appears separately. A promotion is not the recurring comparison price. Before switching, name the measured failure: subscription cost, correction time, missing specialty structure, EHR transfer, team administration, contract terms, or enterprise deployment. A longer feature list is not a reason to migrate. The alternative should improve the problem in representative visits without introducing a larger privacy, training, or integration burden. For a market-wide shortlist, see the best AI medical scribes . For price-first intent, use the cheapest AI medical scribes . This page owns both “Twofold alternatives” and “ClinicFrame vs Twofold”. ## Best Twofold alternatives by switching reason Best lower-cost focused alternative: ClinicFrame for a $34.99 monthly desktop workflow with custom formats and multiple capture modes. Best clinician-oriented alternative with EHR Push: Freed for plan choice, unlimited tiers, browser-based EHR Push, and an established independent-practice workflow. Best free standard-note alternative: Heidi Free for unlimited standard transcription and notes. Best behavioral-health-specific alternative: Mentalyc for therapy modalities, client types, supervision, and longitudinal functions distributed by tier. Best transparent customizable alternative: Wren Clinical for a $14 base plus visible usage and recording-optional custom formats. Best enterprise integration alternative: Nabla for health-system deployments, EHR integrations, API scope, and negotiated governance. ## How we compared Twofold alternatives Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We use Twofold's current public plan and feature scope as the baseline and keep its introductory promotion separate from recurring price. We selected alternatives that win distinct use cases: focused price, EHR handoff, free entry, behavioral health, customization, and enterprise integration. Mutable facts come from official pricing, product, help, security, and legal pages checked on August 23, 2026. We compare the whole workflow: capture, note structure, correction, EHR transfer, mobile/desktop access, coding, patient context, team controls, BAA, retention, and exit. ClinicFrame receives the same limitation and unresolved-public-wording scrutiny as competitors. Every finalist must pass the same representative-note and correction-time test . ## Twofold vs six leading alternatives Public prices can change and enterprise offers may require a quote. Verify the linked page, account offer, BAA, order form, data terms, and service scope before purchase. Option Published starting point Best fit What we verified Main limitation to test Twofold Health $69 monthly or $49/mo equivalent annually Clinicians wanting unlimited notes plus templates, assistant, coding, progress, reports, mobile, desktop, and telehealth Unlimited notes, clinical templates, coding, progress, reports, mobile and desktop, multiple encounter modes, signed BAA, and EHR-agnostic use Not the lowest recurring price; annual headline requires commitment; groups and integrations need separate evaluation ClinicFrame $34.99 monthly or $27.99/mo equivalent annually Solo and small practices wanting focused documentation across in-person, telehealth, and dictation workflows SOAP, DAP, BIRP, custom templates, patient records, note chat, multiple capture modes, and beta unlimited use No native EHR integration today; narrower coding and longitudinal scope; public BAA wording needs conservative resolution Freed $39–$119/month across public individual tiers Independent clinicians wanting plan choice, browser EHR handoff, coding on higher tiers, and an established scribe workflow Low-volume and unlimited plans, browser extension EHR Push, specialty templates, and higher-tier coding functions Features and limits vary materially by tier; EHR Push is browser workflow rather than universal native integration Heidi Health $0 Free; paid plans vary by region Clinicians whose production workflow fits standard notes or who need a no-cost control for a pilot Unlimited standard transcription and note generation on Free with 10 shared advanced actions monthly Recurring custom templates and advanced workflows can require paid access; regional plans differ Mentalyc $19.99–$119.99 monthly; lower annual equivalents Therapists and behavioral-health teams prioritizing client types, modalities, supervision, and therapy-specific longitudinal functions 40/100/160/330-note tiers, DAP and SOAP entry, higher-tier BIRP, complex client types, modalities, tracking, and group scope Note caps and feature gates can force a higher tier; less suitable for mixed medical specialties Wren Clinical $14/month plus usage Solo clinicians wanting recording-optional custom formats and visible per-request economics Base fee, transcription and generation ranges, multiple input modes, DAP/BIRP/SOAP/GIRP/custom formats, and BAA wording Variable invoice; lighter team, integration, coding, reporting, and enterprise infrastructure Nabla Custom enterprise pricing Health systems and larger groups needing EHR integration, APIs, deployment support, administration, and negotiated governance Enterprise clinical AI platform, EHR integration program, API and workflow scope, and organizational deployment model No comparable self-serve public price; procurement and implementation are heavier than an individual subscription ## Which Twofold alternative fits the reason to switch? ## 1. Twofold Health: the broad unlimited self-serve baseline Twofold should stay when the broad workflow is earning its price. Its official public page lists Personal at $69 monthly or $49 per month when billed annually. It also displays a first-month offer; buyers should use the recurring $69 or annual-equivalent $49 in long-term comparisons. The plan describes unlimited notes, all clinical templates, an advanced AI assistant, CPT and ICD coding, patient progress tracking, reports, mobile and desktop access, telehealth and in-person support, a signed BAA, and compatibility with any EHR. This is broader than a basic transcription-to-note subscription. Stay when those functions perform reliably and the handoff fits the practice. Switch only when an alternative improves a measured issue such as price, specialty depth, correction burden, integration, governance, or support. Annual prepayment should follow a successful pilot, not precede it. Check the current details on the official Twofold public pricing page before making a purchasing decision. ## 2. ClinicFrame: best lower-cost focused desktop alternative ClinicFrame is the lower-priced focused alternative. Its official pricing page lists $34.99 monthly or $27.99 annual equivalent, with current beta unlimited visits and a future 80-session monthly cap disclosed. It supports SOAP, DAP, BIRP, custom templates, patient records, and note chat. ClinicFrame captures in-person and telehealth audio on the clinician's computer and supports dictation. It currently relies on copy or export rather than native EHR integration. Twofold offers a broader visible bundle around coding, progress, reports, mobile and desktop use, and unlimited notes under its current Personal plan. Choose ClinicFrame when lower predictable price and a focused desktop workflow beat Twofold in real correction and handoff time. Stay with Twofold when its broader functions are used. ClinicFrame includes a signed BAA with every account and states that patient content is never used to train AI models. Because ClinicFrame publishes this page, read that agreement yourself before PHI processing. Check the current details on the official ClinicFrame pricing page before making a purchasing decision. ## 3. Freed: best clinician-oriented alternative with browser EHR Push Freed offers more price segmentation than Twofold. Its official pricing page lists public individual tiers from a lower-volume $39 plan through unlimited and higher-function plans up to $119 monthly. The exact plan should be priced by note volume, templates, EHR Push, and coding needs. Freed's browser extension provides an EHR Push workflow, which may reduce copy-and-paste work in supported browser-based systems. That is not the same as a fully native bidirectional integration. The pilot should test the target EHR, field placement, patient matching, formatting, failure recovery, and staff permissions. Choose Freed when its tier and browser handoff solve the reason for leaving. Stay with Twofold when its $69 unlimited bundle already covers the needed workflow with less plan complexity. Compare recurring rates, not temporary discounts, and measure transfer time in the actual chart. Check the current details on the official Freed pricing page before making a purchasing decision. ## 4. Heidi Health: best free standard-note alternative Heidi is the price control. Its official help article says Free includes unlimited standard transcription and note generation. Ten shared advanced actions cover custom templates, Ask Heidi, documents, form filling, and patient or session linking. A clinician who can use standard notes may reduce the recurring subscription to zero. A clinician who uses a custom template every visit should price the paid plan shown in the relevant account and region. The test must use the intended production workflow rather than an artificially simple note. Choose Heidi when its standard output is acceptable and the free workflow remains inside the limits. Stay with Twofold when custom templates, coding, progress, reporting, multi-device use, or the broader bundle reduce enough work to justify $69 monthly. Free still requires BAA, consent, retention, and correction review. Check the current details on the official Heidi pricing help article before making a purchasing decision. ## 5. Mentalyc: best behavioral-health-specific alternative Mentalyc is the specialist alternative. Its official pricing page lists Mini at $19.99 for 40 notes, Basic at $39.99 for 100, Pro at $69.99 for 160, and Super at $119.99 for 330, with lower annual equivalents. Mini includes individual-adult SOAP, DAP, and intake notes. Higher tiers add BIRP, larger template libraries, child, couple and family work, therapy modalities, progress tracking, supervision, a --- # 6 Best Upheal Alternatives in 2026 URL: https://clinicframe.com/blog/upheal-alternatives Compare six Upheal alternatives by therapy notes, EHR scope, migration, telehealth, scheduling, price, privacy, and who should stay with Upheal. Publisher disclosure: ClinicFrame publishes this comparison and is included as an Upheal alternative. We apply the same first-party-source standard to every product, concede Upheal's integrated-platform strengths, and do not claim that a standalone scribe replaces an EHR feature for feature. Short answer: Stay with Upheal when its notes, scheduling, telehealth, portal, forms, and growing practice-management workflow belong together. Choose ClinicFrame to keep the current EHR and add focused documentation, Mentalyc for therapy-specific formats and client types, Blueprint for another per-session AI EHR model, SimplePractice Note Taker for native use inside an existing SimplePractice account, Wren Clinical for transparent customization, or Heidi for free standard notes. An Upheal alternative can mean two very different things. Some therapists want another AI-native EHR because they are ready to move scheduling, telehealth, forms, portal, billing, and documentation. Others like their existing EHR and want only a scribe. Mixing those categories in one undifferentiated ranking creates a bad decision: the platform always appears to have more features, while the focused tool appears cheaper. Upheal is a legitimate winner for consolidation. Its current individual pricing is usage-based at $1 per counted session with a $69 monthly cap, and its product scope extends far beyond note generation. Leaving it can therefore require a data migration, new client workflows, retraining, export validation, and an exit plan—not just a new note template. Therapy documentation also needs a conservative data boundary. Decide whether full-session recording is necessary, distinguish progress notes from psychotherapy notes, obtain appropriate consent, and verify the BAA, retention, deletion, model-use, subprocessor, and incident terms. Generated notes must be reviewed before they enter the designated record. If you want a market-wide scribe ranking, use the best AI scribes for therapists . If you are comparing cost, use the workload-based price guide . This canonical page owns both “Upheal alternatives” and “ClinicFrame vs Upheal”. ## Best Upheal alternatives by desired change Best focused scribe while keeping the current EHR: ClinicFrame for in-person, telehealth, dictation, DAP/BIRP/SOAP, and custom formats. Best therapy-depth alternative: Mentalyc for explicit therapy modalities, complex client types, supervision, and longitudinal functions. Best alternative AI-native therapy EHR: Blueprint for per-session AI documentation inside an EHR with scheduling, portal, telehealth, and billing. Best native option for current SimplePractice users: SimplePractice Note Taker when zero system migration and in-chart workflow outweigh standalone flexibility. Best transparent customizable standalone option: Wren Clinical for a $14 base plus usage and custom clinical formats. Best free standard-note alternative: Heidi when standard notes cover the production workflow. ## How we compared Upheal alternatives Prices, plan terms, and product pages were checked on August 23, 2026. They can change, so verify the linked official page and your contract before processing real patient information. We first classify each option as a standalone documentation layer, an EHR-native add-on, or an AI-native EHR. We use current official product, pricing, help, and legal pages. Secondary comparisons identify questions but do not establish facts. We compare total operational scope: migration, calendar, telehealth, portal, forms, billing, export, termination, documentation, and review. Pricing includes counted-session rules, caps, plan limits, annual commitment, and the cost of retaining another EHR. ClinicFrame is described as a focused scribe, not an Upheal replacement EHR. Every finalist must pass the same local note and correction-time test plus privacy and security review. ## Upheal vs six leading alternatives Public USD starting points can change. EHR and add-on prices may depend on account, region, billing path, and negotiated terms. Verify the linked source and written contract. Option Published starting point Best fit What we verified Main limitation to test Upheal $1/counted session, capped at $69/month Therapists wanting AI notes plus telehealth, scheduling, portal, forms, and practice functions in one system Usage price and cap; notes, plans, telehealth, scheduling, messaging, portal, forms, and practice workflow Counted sessions extend beyond completed AI notes in some workflows; migration and platform governance are larger ClinicFrame $34.99 monthly or $27.99/mo equivalent annually Solo and small practices that want documentation without replacing scheduling, billing, portal, or telehealth systems DAP, BIRP, SOAP, custom formats, in-person, telehealth, dictation, patient records, and beta unlimited use Not an EHR; no native EHR integration today; copy or export remains part of the workflow Mentalyc $19.99–$119.99 monthly; lower annual equivalents Therapists prioritizing formats, modalities, complex client types, supervision, and longitudinal therapy functions 40/100/160/330-note tiers; DAP/SOAP entry; higher-tier BIRP, couples/family, modalities, supervision, and tracking Separate from the EHR; caps and feature gates can raise the required tier Blueprint $0.99/session Plus; $1.49/session Pro Therapists wanting another integrated EHR with notes, treatment plans, session prep, assessments, telehealth, and billing EHR included; AI notes/plans/summaries, scheduling, forms, telehealth, portal, billing, and per-session prices Linear session cost and another full platform migration; exact counted-session and contract terms require review SimplePractice Note Taker Account-level add-on price; verify current offer Therapists already committed to SimplePractice who want notes inside the existing chart workflow SimplePractice AI add-on path, account controls, and official Note Taker FAQ Requires the SimplePractice ecosystem; public price visibility and plan eligibility need account confirmation Wren Clinical $14/month plus usage Solo therapists who want recording-optional, custom-format documentation with visible costs DAP/BIRP/SOAP/GIRP/custom formats, multiple inputs, BAA wording, base price, and usage estimates No EHR replacement; variable invoice and lighter organizational infrastructure Heidi Health $0 Free; paid plans vary by region Therapists who can use standard templates and want to retain the current EHR Unlimited standard transcription and notes on Free; 10 advanced actions monthly; paid customization path Not a therapy EHR; custom templates and advanced workflows consume the limited pool ## Which Upheal alternative fits the actual decision? ## 1. Upheal: the integrated therapy-platform baseline Upheal should remain the choice when consolidation is working. Its official pricing page lists $1 per counted session with a $69 monthly cap and describes AI notes, treatment plans, a compliance checker, telehealth, scheduling, portal, messaging, forms, and additional practice-management functions. The billing FAQ says a session can count when an AI note is generated or a client session is scheduled; telehealth through Upheal can count without a note. That is still predictable once the cap is reached, but light-volume practices should model their calendar behavior rather than completed notes alone. Stay when the integrated workflow, records, client experience, and capped price solve more than documentation. Switching to a cheaper scribe while rebuilding EHR functions elsewhere can increase total cost and risk. Export representative records and test the termination path before any future dependency grows. Check the current details on the official Upheal pricing page before making a purchasing decision. ## 2. ClinicFrame: best focused alternative while keeping the current EHR ClinicFrame is an Upheal alternative only for the documentation layer. Its pricing page lists $34.99 monthly or $27.99 annual equivalent with DAP, BIRP, SOAP, custom templates, patient records, and note chat under current beta unlimited use. It captures in-person and telehealth audio on the clinician's computer and supports dictation. The practice keeps its current EHR, scheduler, billing, portal, forms, and telehealth stack. That avoids migration but retains the cost and integration work of multiple systems. Choose ClinicFrame when the existing practice stack works and focused documentation is the need. Stay with Upheal when consolidation is the value. ClinicFrame includes a signed BAA with every account, on every plan; read it before PHI use. Check the current details on the official ClinicFrame pricing page before making a purchasing decision. ## 3. Mentalyc: best therapy-depth standalone alternative Mentalyc is the strongest alternative when therapy documentation—not EHR consolidation—is the priority. Its pricing page lists four individual tiers from $19.99 for 40 notes to $119.99 for 330, with therapy features increasing by plan. Pro adds BIRP, a larger template library, child, couple and family work, EMDR, play and psychiatry modalities, progress tracking, and supervision functions; group notes require Super. Price the plan that fits the actual client population. Choose Mentalyc for behavioral-health depth while keeping another EHR. Stay with Upheal when integrated scheduling, portal, telehealth, forms, and practice operations remove more work than Mentalyc's specialty depth. Check the current details on the official Mentalyc pricing page before making a purchasing decision. ## 4. Blueprint: best alternative per-session AI therapy EHR Blueprint is the most direct category alternative. Its official pricing page lists Plus at $0.99 per session and Pro at $1.49, with an EHR, AI notes and treatment plans, session prep, assessments, scheduling, forms, telehealth, portal, insurance billing, invoices, and payments. At 40, 80, and 120 monthly sessions, Plus is approximately $39.60, $79.20, and $118.80 before any other terms. Upheal reaches its $69 cap at higher volume. Blueprint can still win when its clinical-support and EHR workflow reduce enough separate work. Choose Blueprint after testing migration, imports, billing, export, downtime, support, BAA, and termination. Stay with Upheal when the existing Upheal configuration works and switching platforms would create no measurable operational gain. Check the current details on the official Blueprint pricing page before making a purchasing decision. ## 5. SimplePractice Note Taker: best native alternative for existing SimplePractice users SimplePractice Note Taker is a workflow alternative rather than a stand-alone market substitute. The official FAQ describes it as an add-on AI product within SimplePractice and points to the addendum governing AI products. Current price and eligibility should be confirmed in the account. For an existing SimplePractice practice, native chart placement and no EHR migration can outweigh a higher add-on price or narrower feature set. For a practice outside SimplePractice, the total decision includes the underlying subscription and migration, not merely the Note Taker add-on. Choose it when SimplePractice is already the durable system of record. Stay with Upheal when its integrated EHR is preferred, or choose a standalone tool when cross-EHR flexibility matters more than native placement. Check the current details on the official SimplePractice Note Taker FAQ before making a purchasing decision. ## 6. Wren Clinical: best transparent and customizable standalone alternative Wren Clinical provides the clearest standalone cost model. Its official page lists a $14 base plus usage, multiple capture and input methods, custom formats, and vendor-estimated recorder totals of about $24–$44 monthly across 10–30 weekly clients. It supports DAP, BIRP, SOAP, GIRP, and custom structures and says each user signs a B --- # What Is a Medical Scribe? Role, Duties and Career Path URL: https://clinicframe.com/blog/what-is-a-medical-scribe Learn what a medical scribe does, where the role begins and ends, the skills employers seek, and a practical path to becoming a medical scribe. A medical scribe is a person who assists a physician or another licensed practitioner with documentation. During or after an encounter, the scribe may capture the history, observations, examination details, procedures, results, and plan communicated by the practitioner, then organize that information in the approved electronic health record format. The scribe supports the documentation process; the responsible practitioner still evaluates the patient, makes clinical decisions, verifies the record, and completes the required authentication or signature. The Joint Commission's documentation-assistance guidance says a scribe may be unlicensed, certified, or licensed, provided the assistance is consistent with the person's job description and any certification or licensure. That broad definition matters: medical scribe is a function, not one nationally uniform credential or scope. The employer must define what the person may do, how the work is attributed, and how the practitioner reviews it. Some scribes work beside a clinician in an exam room. Others join telehealth visits, listen remotely, or prepare a draft from a recording or dictation under an approved workflow. A human scribe is also different from an AI medical scribe, which is software that transforms audio or other source material into a draft. Both workflows require governance and final clinician review, but their training, privacy, quality-control, and failure modes are not interchangeable. ## What a medical scribe does—and does not do Workflow area Typical scribe contribution Boundary to preserve Encounter capture Listen, identify speakers, and record relevant information in the approved note structure Do not independently evaluate symptoms or replace the practitioner's interview Record review Locate authorized prior notes, results, or structured data when the workflow permits Do not interpret a result or decide its clinical importance independently Drafting Enter or organize a draft using the practitioner's statements and observed workflow Do not invent findings, diagnoses, reasoning, services, or completed actions EHR support Navigate approved fields and prepare permitted entries under role-based access Do not place, modify, or execute orders unless law and explicit policy authorize the exact action Clarification Flag uncertainty, conflicting details, or missing information for the practitioner Do not resolve clinical ambiguity by guessing Completion Route the draft for review and make directed corrections with clear attribution Do not represent a draft as final or sign as the responsible practitioner This table describes a conservative documentation-assistance model. The actual job description and authorized workflow control. ## What does a medical scribe do during a visit? Before an encounter, a scribe may open the correct chart, confirm the visit context, and review the permitted parts of the record. During the visit, the scribe listens for clinically relevant information and enters it in the organization's approved format. That may include the reason for the visit, attributed patient history, relevant review of systems, observed or practitioner-stated examination findings, procedures, results discussed, assessment language, and the plan communicated by the practitioner. The job is not verbatim transcription. A usable note must preserve meaning, chronology, source, and uncertainty without turning the encounter into a transcript. The scribe needs to distinguish what the patient reported from what the practitioner observed, what was historical from what is current, and what was considered from what was actually ordered or completed. When the source is unclear or two details conflict, the safe action is to ask or flag the issue, not fill the gap with a plausible phrase. After the encounter, the scribe may help organize the draft, enter corrections directed by the practitioner, and route the note for review. The practitioner must check the finished record against the encounter and the authoritative EHR actions. A note saying that a medication was prescribed or a referral was placed does not prove the corresponding prescription or referral exists. Final review needs to reconcile the prose with orders, medications, results, instructions, and follow-up fields. ## A medical scribe is a documentation assistant, not the treating clinician The central boundary is clinical authority. A scribe can record a practitioner's assessment, but does not create that assessment merely by drafting the words. A scribe can enter an examination finding communicated by the practitioner, but should not convert a casual observation into an independent examination. A scribe can document a plan, but does not choose treatment, determine medical necessity, prescribe, diagnose, or give unsupervised clinical advice by virtue of the scribe role. For Medicare medical-review purposes, the current CMS signature guidance explains that when a scribe documents an entry, the treating physician or nonphysician practitioner's signature indicates that the note adequately documents the care provided. CMS guidance has a specific Medicare scope, so it is not a universal rule for every profession or payer. It nevertheless reinforces a sound operational principle: documentation assistance does not transfer responsibility for the care or the final record to the scribe. Organizations should translate that principle into a written job description, permissions matrix, supervision plan, note-attribution standard, escalation path, and competency assessment. A licensed nurse, medical assistant, student, and unlicensed employee may each have different authorized duties even when all perform some scribing. The label medical scribe should never be used to blur the person's underlying credentials or expand their scope. ## Where medical scribes work Scribes work in emergency departments, hospitals, outpatient clinics, specialty practices, urgent care, behavioral health, rehabilitation, and telehealth. The pace and record structure differ sharply. Emergency documentation emphasizes chronology, procedures, reassessment, disposition, and handoff. An outpatient specialty visit may depend on longitudinal history, examination details, test review, and a problem-oriented plan. Behavioral-health documentation may require careful limits on transcript-like sensitive detail. An in-person scribe is physically present with the care team. A remote scribe may join a live encounter through approved audio or video technology. An asynchronous workflow may use authorized recordings or dictated summaries after the visit. Each model changes what the scribe can hear, see, clarify, and enter, as well as the privacy, technology, contingency, and patient-notification questions that the organization must address. A virtual medical scribe usually means a remote human, although vendors sometimes use the phrase more loosely. The human-versus-AI scribe comparison explains the workflow differences. Teams comparing software should use the separate AI medical scribe guide ; a career candidate should focus on the employer's human role, training, supervision, schedule, and permitted EHR activities. ## The core skills a medical scribe needs The strongest scribes combine listening, structured writing, medical-language fluency, attention management, and judgment about when to stop and clarify. Fast typing can help in a live workflow, but speed without fidelity creates rework and risk. A scribe must follow several information streams while protecting the boundaries among patient report, practitioner observation, clinical conclusion, and completed action. The Department of Labor's 2026 O*NET profile for medical transcriptionists includes medical scribe among reported job titles and emphasizes reviewing reports, identifying inconsistencies, using medical terminology, and returning work for practitioner review, signature, or correction. The occupational group is broader than bedside scribing, so its education data should not be treated as one national hiring rule for scribes. It is useful evidence for the underlying documentation skills. Active listening: follow the encounter while retaining speaker, time, context, negation, and uncertainty. Medical language: recognize common terminology, anatomy, medications, abbreviations, and note structures without pretending to make clinical judgments. Accurate writing: create clear, concise sentences that preserve the source meaning and do not add unsupported detail. EHR fluency: use templates, shortcuts, structured fields, and navigation safely within assigned access and the approved workflow. Prioritization: identify information that affects the current assessment, action, follow-up, and continuity of care. Professional communication: ask concise clarifying questions, accept feedback, and escalate uncertainty or integrity concerns. Confidentiality: handle patient information only through authorized systems and follow privacy, security, and workplace policies. Reliability: arrive prepared, maintain focus through repetitive or high-volume work, and complete assigned routing steps. ## How to become a medical scribe: an eight-step path There is no single national path that fits every employer. Some organizations hire candidates with a high school diploma and provide structured training; others prefer college coursework, a certificate, previous healthcare experience, or a particular credential. State law, the practitioner's profession, the care setting, and the exact duties may change the requirements. Read the real job description before paying for a course. Define the role you want: in-person, remote, emergency, outpatient, specialty, part-time, full-time, or a broader medical-assistant position that includes scribing. Review local postings from hospitals, practices, and established scribe employers. Record repeated requirements for education, schedule, typing, terminology, experience, and minimum commitment. Build the fundamentals through medical terminology, anatomy and physiology, documentation structure, privacy, EHR basics, and concise professional writing. Practice with fictional or properly licensed training encounters. Separate subjective reports, objective information, assessment, and plan, then compare the draft with a reference note. Measure accuracy before speed. Track omitted facts, added facts, wrong speakers, negation errors, terminology mistakes, numbers, laterality, and actions recorded with the wrong status. Prepare application evidence: a focused resume, relevant coursework or experience, schedule availability, and examples of how you handle ambiguity and confidential information. Evaluate the employer's training and supervision. Ask who reviews early notes, how competency is assessed, which EHR actions are prohibited, and what happens when the scribe is unsure. Complete role-specific onboarding and maintain competency through feedback, audits, policy updates, and additional specialty training. ## Do you need a medical scribe certification or degree? A specific degree or certification is not universally required for every medical scribe job in the United States. Employer requirements vary. A hospital program may set a formal education threshold, while a practice or scribe company may hire for aptitude and train the candidate. A person who is already licensed or certified in another role still needs to work within that credential and the employer's scribe policy. A course can be useful when it teaches terminology, note structure, privacy, workflow boundaries, error recognition, and realistic practice with feedback. It is less useful when it promises that a certificate alone guarantees employment, clinical authority, or readiness for every specialty. Before enrolling, compare the curriculum with current local job postings and ask whether employers in your target market recognize the program. Ca --- # Medical Scribe Software Pricing: One Plan URL: https://clinicframe.com/pricing ClinicFrame medical scribe software costs $34.99 per month or $27.99 per month billed annually. Start with a 7-day free trial. BAA included. Medical Scribe Software Pricing: One Plan | ClinicFrame Pricing ## Medical scribe software pricing Start with a 7-day free trial. Then keep the complete ClinicFrame scribe for $34.99 per month, or $27.99 per month billed annually. Monthly Yearly Save 20% ## Free 7-day trial $ 0 /month 7 days free · no card Unlimited visits & transcriptions SOAP / DAP / BIRP note generation Custom note templates Patient records & history AI chat on notes & patients HIPAA-ready infrastructure Support Try it for free No credit card required. ## Starter Monthly $ 34.99 /month per user, billed monthly Unlimited visits & transcriptions SOAP / DAP / BIRP note generation Custom note templates Patient records & history AI chat on notes & patients HIPAA-ready infrastructure Support CompliantChatGPT user? Get an extra discount Starter 25% Pro 35% Full 50% $34.99/month $ 26.24 /month per user, billed monthly Discount applies for your first 3 months, then $34.99/month. The current beta includes unlimited usage. We will notify you before a future usage policy affects your account. Get Starter Plan No hidden fees. Cancel anytime. ## Not ready to try it yet? Talk to us first. Someone from our team will contact you. Email* Message* Send message FAQs ## Frequently Asked Questions ## How does ClinicFrame billing work? ClinicFrame is billed per user. Choose $34.99 per month or $335.88 per year, equal to $27.99 per month. The annual plan saves 20% compared with monthly billing. ## Can I cancel anytime? Yes. The monthly plan has no long-term contract. Cancel before your next renewal to stop future subscription charges. ## Is ClinicFrame HIPAA compliant? Do you sign a BAA? Yes. ClinicFrame runs on HIPAA-compliant infrastructure. A Business Associate Agreement is included with every account, including the free trial. ## What happens when the beta ends? The current beta plan includes unlimited sessions. We will notify you before any future usage policy affects your account. ## Does the ClinicFrame plan include the AI scribe? Yes. The ClinicFrame plan includes the AI medical scribe, SOAP, DAP, and BIRP notes, custom templates, patient records, and the current beta usage allowance. CompliantChatGPT has a separate subscription. ## How does this compare with the cost of a human medical scribe? ClinicFrame costs $419.88 per user each year on monthly billing or $335.88 on annual billing. Our medical scribe cost guide compares software, virtual services, and employed scribes. ## Is there a free trial? Yes. Every new account starts with a 7-day free trial with no credit card required. Continue for $34.99 per month or $27.99 per month billed annually. --- # Legal, Privacy & Terms of Service URL: https://clinicframe.com/privacy-policy ClinicFrame's privacy policy covers what personal data we collect, how it's used, and how PHI stays protected under HIPAA, separate from marketing tools. ## 1. Introduction This Privacy Policy describes how Light-it Inc. (“Light-it,” “we,” “us,” or “our”) collects, uses, discloses, and protects personal information collected through the ClinicFrame website, registration flows, login flows, app download flows, forms, cookies, analytics tools, marketing communications, and support channels. This Privacy Policy applies to information collected through clinicframe.com and related webpages, contact forms, registration flows, trial flows, login pages, app download flows, marketing communications, newsletters, and website support channels. Customer Content submitted within the ClinicFrame platform, including prompts, clinical notes, audio recordings, transcripts, outputs, and Protected Health Information (“PHI”), is governed by our Terms of Service and, where applicable, a Business Associate Agreement (“BAA”). ## 2. Who We Are ClinicFrame is a clinical intelligence platform provided by Light-it Inc. ClinicFrame includes AI-powered tools for healthcare documentation, pre-visit preparation, real-time transcription, and post-visit workflows, including its ambient AI medical scribe that listens to patient-physician encounters and generates structured clinical notes automatically. For privacy questions or requests, you may contact us at: legal@lightit.io ## 3. Information We Collect We collect personal information when you interact with our website, submit a form, create an account, start a trial, log in, download or access the ClinicFrame app, contact us, subscribe to communications, or interact with our marketing and support tools. ## 4. Information You Provide Directly We may collect information that you provide directly to us, including: - Name; - Email address; - Company, clinic, or organization name; - Role or job title; - Registration information; - Information submitted through website contact forms; - Information submitted through support or chat channels; - Newsletter or marketing preferences; - Billing and payment information, such as name and email address associated with a payment transaction; and - Any other information you choose to provide. Information submitted through website contact forms may be sent by email to the ClinicFrame team and may be used to send newsletters, product updates, and marketing communications. ‍ 2.2 Registration, Trial, Login, and App Access Information When you register for ClinicFrame, start a trial, log in, or access the app, we may collect information such as: name; - Email address; - Organization or clinic information; - Account or user identifiers; - Registration date; - Login information; - Authentication method; - Plan or subscription interest; and - Related account information. ‍ The website and app allow users to sign up or log in using: - Email and password; - Google Sign-In; - Apple Sign-In; and - SSO, where available. We may use information collected through new user registrations to build and maintain our user database and to send newsletters, product updates, and email marketing campaigns. ‍ 2.3 Clinical Content and Patient Encounter Data When Authorized Users use ClinicFrame's clinical documentation features, the platform may process audio recordings, transcriptions, clinical notes, and other Customer Content, which may include PHI. This information is governed by our Terms of Service and, where applicable, a BAA, and is not used for marketing, advertising, or AI model training purposes. ‍ 2.4 Website, Device, and Usage Information When you visit our website or interact with our online services, we and our service providers may automatically collect information such as: - IP address; - Browser type; - Device information; - Operating system; - Referring URLs; - Pages viewed; - Links clicked; - Interactions with the website; - Timestamps; - Cookie identifiers; - Pixel identifiers; - Approximate location derived from IP address; - Other technical or usage information. ‍ 2.5 Communications and Support Information If you contact us or use our chat or support features, we may collect: - Contact information; - Content of your message; - Support request details; - Chat history; - Troubleshooting information; and - Attachments or screenshots you choose to provide. ‍ We use Intercom to provide website chat and support functionality. ## 5. Cookies, Pixels, Analytics, and Similar Technologies We and our service providers use cookies, pixels, tags, scripts, and similar technologies to operate the website, understand website usage, improve performance, provide support, prevent abuse, measure marketing performance, and conduct advertising and marketing activities. ‍ Our website uses the following tools: - Google Analytics; - Google Tag Manager; - HubSpot; - Meta Pixel; - reCAPTCHA; and - Intercom ‍ These tools may collect information such as IP address, browser type, device information, pages visited, links clicked, cookie IDs, pixel IDs, interaction data, and other online identifiers. We use: - Google Analytics and Google Tag Manager for analytics, measurement, and website performance. - HubSpot for email marketing, newsletters, and marketing campaigns. - Meta Pixel to measure, optimize, and run advertising campaigns on Meta platforms, including Facebook and Instagram. - reCAPTCHA to help protect the website from spam, abuse, and automated activity. - Intercom to provide website chat and support functionality. ‍ These advertising and analytics tools are used exclusively on our public website and marketing pages. They are not used within the ClinicFrame platform and do not access, process, or receive Customer Content, including clinical notes, audio recordings, transcripts, or PHI. We do not use Customer Content submitted within the ClinicFrame platform, including audio recordings, transcripts, clinical notes, or PHI, to train, develop, or improve any AI model, whether our own or any third party’s. All integrations with AI providers and speech-to-text providers are configured under terms that expressly exclude the use of Customer Content for model training. We do not sell personal information collected through our website or services to third parties. You may be able to control cookies through your browser settings. Disabling cookies may affect the functionality of the website or certain features. ## 6. How We Use Personal Information We may use personal information for the following purposes: - To operate, maintain, and improve the website and platform - To process registrations, trial requests, login requests, and account-related requests - To provide access to the app and related download flows - To respond to inquiries submitted through the website - To provide support and respond to chat messages - To send newsletters, product updates, and marketing communications;to manage email marketing campaigns - To analyze website traffic and usage;to measure the performance of our website and campaigns - To run, measure, and optimize advertising campaigns, including campaigns on Meta platforms - To create aggregated or de-identified information for analytics, reporting, website improvement, marketing measurement, and business purposes - To protect against spam, abuse, fraud, and security risks;to comply with legal obligations - To enforce our agreements and policies - To protect our rights, users, customers, and services. ## 7. Marketing Communications We may use personal information collected through registrations, contact forms, and website interactions to send newsletters, product updates, promotional emails, and other marketing communications. You may opt out of marketing emails at any time by using the unsubscribe link included in those emails or by contacting us at legal@lightit.io. Even if you opt out of marketing communications, we may still send non-marketing communications, such as transactional, administrative, security, legal, or service-related messages. Marketing communications are based on account-level or website interaction information, such as name, email address, organization, registration information, and product interest. We do not use PHI or Customer Content submitted within the ClinicFrame platform to create, target, or personalize marketing emails. ## 8. How We Disclose Personal Information We may disclose personal information to the following categories of recipients: 6.1 Service Providers ‍ We may disclose information to vendors and service providers that help us operate our website, manage registrations, support login and authentication, provide support, run analytics, send email campaigns, protect against abuse, and support our business operations.These providers may include tools such as Google Analytics, Google Tag Manager, HubSpot, Meta Pixel, reCAPTCHA, Intercom, and authentication providers such as Google Sign-In and Apple Sign-In where used.Payment processing is handled by Stripe, Inc. Payment card data is transmitted directly to Stripe and is not stored by Light-it. Stripe’s processing of payment information is governed by Stripe’s own privacy policy, available at stripe.com/privacy.Speech-to-text processing and AI model generation of clinical notes are performed by third-party providers operating under BAAs with Light-it. These providers process Customer Content, including PHI, solely to provide the service and are prohibited from using such content for their own purposes, including model training.We do not sell personal information to third parties. 6.2 Marketing and Advertising Partners ‍ We may disclose website activity, online identifiers, cookie information, pixel information, and similar data to analytics, marketing, and advertising partners.This includes disclosures to Meta through Meta Pixel for purposes of measuring, optimizing, and running advertising campaigns on Meta platforms, including Facebook and Instagram.Depending on your location and applicable law, certain disclosures may be considered targeted advertising or similar regulated advertising activity.These advertising and analytics disclosures apply only to information collected through our public website and marketing pages. Customer Content submitted within the ClinicFrame platform — including audio recordings, transcripts, clinical notes, outputs, and PHI — is not disclosed to Meta, advertising networks, or any marketing or analytics partner for advertising or marketing purposes. ‍ 6.3 Aggregate or De-Identified Information We may use aggregated or de-identified information for analytics, reporting, website improvement, marketing measurement, and business purposes, provided such information cannot reasonably be used to identify you.This Privacy Policy does not restrict our use or disclosure of aggregated or de-identified information that cannot reasonably be used to identify an individual. 6.4 Legal and Compliance ‍ We may disclose information where we believe disclosure is necessary or appropriate to:comply with applicable law;respond to legal process;cooperate with regulators or law enforcement;enforce our agreements and policies;protect our rights, privacy, safety, or property;protect users, customers, or others; orinvestigate or prevent fraud, abuse, security incidents, or unlawful activity. ‍ 6.5 Business Transfers ‍ We may disclose or transfer information in connection with an actual or potential merger, acquisition, financing, restructuring, sale of assets, bankruptcy, or similar corporate transaction. ## 9. Retention We retain personal information for as long as reasonably necessary for the purposes described in this Privacy Policy, including to operate the website, manage registrations, support login and authentication, send marketing communications, provide support, comply with legal obligations, resolve disputes, enforce agreements, and maintain security. Retention periods may vary depending on the type of information, the purpose for which it was collected, legal requirements, and our business needs. We may retain registration, marketing, support, an --- # Medical Speech to Text | Dictate Anywhere URL: https://clinicframe.com/product/dictate-anywhere Use medical speech to text with the ClinicFrame desktop app. Hold your key, dictate, and paste text into a selected EHR field or patient portal message. --- # Medical Dictation and Speech Recognition URL: https://clinicframe.com/product/dictation Use medical dictation and speech recognition to draft clinical notes from your narration. Review the result in SOAP, DAP, BIRP, or your own format. --- # Clinical Note Templates: SOAP, DAP, BIRP URL: https://clinicframe.com/product/note-templates Customize clinical note templates in ClinicFrame. Choose SOAP, DAP, or BIRP, or define sections and instructions for your practice. --- # AI Medical Transcription for Clinical Visits URL: https://clinicframe.com/product/transcription Use AI medical transcription for in-person and telehealth visits. ClinicFrame drafts a clinical note from the transcript for you to review. --- # ClinicFrame Product Guides | Resource Center URL: https://clinicframe.com/resource-center How to use ClinicFrame: setup, recording sessions, custom note templates, patient records, and how session audio and PHI are handled. ## Browse the guides Short, practical articles written from how the product actually works. Start here: ## Getting Started Getting Started with ClinicFrame Installing the Desktop App on Mac and Windows ## Sessions & Recording In-Person, Telehealth, and Dictation Sessions Using the Quick Bar During Consultations Automatic Google Meet and Zoom Detection Fixing Recording Permissions on macOS ## Notes & Templates What Is the Enhanced Note? Creating Custom Note Templates Editing, Copying, and Exporting Notes ## Patients Managing Patient Records and Visit History Chart Review with the Patient Chat Walking Into the Visit Prepared ## Privacy & Security How ClinicFrame Handles Audio, Transcripts, and PHI ## Looking for something else? Note formats, comparisons and what a medical scribe costs are covered on the ClinicFrame blog . More guides are on the way. If there is a question you want answered here, tell us through the in-app chat. --- # AI Scribe Audio Privacy & PHI URL: https://clinicframe.com/resource-center/audio-privacy The audio of your visits is never stored: it is processed in real time and discarded. What ClinicFrame keeps, where notes live, and how PHI is protected. The most common question clinicians ask about any AI scribe is what happens to the recording. For ClinicFrame the answer is short: the audio of a visit is processed in real time to produce the transcript and then discarded. It is never stored on our servers. The only artifacts we keep are the text of the transcript and the notes you approve. ## What is stored, and what is not? Data Kept? Detail Visit audio No Processed live, then discarded; never stored on our servers Transcript text Yes Stored securely, linked to the session Notes Yes The notes you generate and approve Patient records Yes Medications, allergies, conditions, referrals, and history you add Deleted notes are recoverable rather than permanently erased, and every session keeps an audit trail of changes. ## How do HIPAA and your BAA apply? ClinicFrame runs on HIPAA-compliant infrastructure, and a signed Business Associate Agreement is included with every account, on every plan, not gated behind an enterprise tier. Patient content is never used to train AI models, ours or anyone else's: the transcription and AI providers operate under agreements that expressly exclude it. For the deeper compliance question, see is an AI medical scribe HIPAA compliant . The full legal detail lives in our Privacy Policy . ## What is good practice for patient consent? Inform your patient that the visit is being documented with an AI scribe and obtain their consent, following the regulations that apply in your state. The scribe stays in the background, but consent is a conversation worth having; see patient consent for AI scribes . The short version: audio in, text out, nothing else retained. If you have a specific compliance question, ask us through the in-app chat. --- # Creating Custom Note Templates URL: https://clinicframe.com/resource-center/custom-note-templates Build note templates that match your specialty and workflow: ordered sections with per-section AI instructions, a default format, and output in English or Spanish. A custom template tells ClinicFrame exactly how to structure your notes: which sections to write, in what order, and what each one should contain. Once you save it, you can apply it to any session, set it as your default, and regenerate past sessions with it. It is how you get the AI to write in your format instead of a generic one. ## How do you create a custom template? Open Note Templates and create a new template. Add your sections in the order you want them, for example History, Mental Status, Risk Assessment, Plan. Write a short instruction for each section, telling the AI what belongs there and in what tone. Save it. It now appears next to the built-in formats whenever you generate a note. The per-section instruction is the part that makes templates powerful. "Summarize the risk assessment in three sentences, flag any suicidal ideation explicitly" produces a very different section than a generic prompt, and it does so on every note. ## What are custom templates good for? Therapist note templates that follow your practice's documentation standard. Specialty structures the standard formats do not cover, like assessment-heavy intakes. Keeping wording and structure consistent across a group practice. ## Defaults, language, and your in-session notes Set a default note format so every session starts in your structure, and choose your output language: notes come out in English or Spanish regardless of what was spoken in the visit. Anything you jot in the Quick Bar during the session is also fed into generation, so a template plus a quick note steers the result precisely. Good to know: the built-in SOAP, DAP, and BIRP templates are read-only, so your baseline formats are always intact. Duplicate the idea into a custom template when you want to change it. --- # Editing, Copying, and Exporting Notes URL: https://clinicframe.com/resource-center/edit-export-notes Everything you can do with a finished note in ClinicFrame: rich-text editing with autosave, regenerating formats, copying into your EHR, and exporting to PDF. A generated note is a starting point, not a final word. ClinicFrame gives you a full set of tools to shape it, move it into your record, and keep it safe. Here is the complete picture. ## Editing Open any note and edit it directly in a rich-text editor: headings, bold, italics, underline, highlights, lists, alignment, links, and more. Changes save automatically as you type. The personal notes you captured during the session stay attached and editable too, so nothing you noted gets lost. ## Regenerating in another format Need the same session as a different note? Use New format to generate another note from the same transcript in SOAP, DAP, BIRP, or any custom template. Each session holds one note per format, so a new format never overwrites an existing note. ## Copying into your EHR Copy places the full formatted note on your clipboard, ready to paste into your EHR. Most clinicians complete this in seconds. There is no direct EHR integration today; the copy-paste flow is the supported path, and because it is just your clipboard, it works with every EHR without setup. Direct integration is on the roadmap. ## Exporting to PDF Export produces a PDF that includes the patient's name and date of birth, the session date, and the template used, formatted for records or referrals. ## Deleting, and getting it back Notes can be deleted with a confirmation step, and deletions are recoverable rather than permanent. Every session also keeps an audit trail of changes, so the history of a note is never a mystery. --- # What Is the Enhanced Note in ClinicFrame? URL: https://clinicframe.com/resource-center/enhanced-note The Enhanced note is ClinicFrame's AI-structured clinical note: it reads the encounter and chooses the right structure, no fixed template needed. The Enhanced note is a clinical note whose structure the AI chooses for each encounter. Instead of forcing every visit into the same template, it reads the transcript and organizes the note the way that specific encounter calls for. A medication follow-up, an intake, and a procedure visit each come out structured differently, because they are different. ## Why does the Enhanced Note exist? Fixed formats are excellent when your practice or payer requires one, and clumsy when they do not. A ten-minute follow-up does not need the full four-section scaffold of a new-patient workup. The Enhanced note removes that friction by matching the structure to the content, so the note reads the way you would have written it if you had the time. ## When should you use the Enhanced Note? The Enhanced note is the recommended starting point for most sessions and the default for new accounts. Reach for a fixed format instead when you have a documentation standard to meet: generate the note in SOAP, DAP, BIRP, or your own template. See which format to use and custom templates . ## How does the Enhanced Note behave? One Enhanced note per session, generated automatically when the session ends, typically within ten to twenty seconds. Your in-session notes from the Quick Bar are taken into account when it is written. You can still generate additional notes for the same session in other formats with New format. Everything is editable in a full editor before you copy it into your EHR or export it as a PDF. Rule of thumb: start with the Enhanced note; switch to a fixed format only when a standard requires it. --- # Getting Started with ClinicFrame AI Scribe URL: https://clinicframe.com/resource-center/getting-started A step-by-step guide to your first AI clinical note with ClinicFrame: install, add a patient, record, review, and export in about ten minutes. ClinicFrame is an ambient AI medical scribe that listens to a visit and writes the clinical note for you. This guide walks through your first note end to end: install the desktop app, add a patient, record a session, review the generated note, and move it into your record. Most clinicians complete their first note within ten minutes of signing up, with no EHR configuration and no training session. ## Before you begin ClinicFrame is a desktop application for Mac and Windows, not a browser tab or a meeting bot. That design is deliberate: running on your computer lets it capture in-person audio through the microphone and telehealth audio from the call itself, without anything joining the visit. Download it from the ClinicFrame page , sign in, and your 7-day free trial begins with every feature included and no credit card required. ## Step 1: Add a patient Open the Patients section and create a record. A first name, last name, and date of birth are all you need to start. You can fill in medications, allergies, conditions, referrals, surgeries, and hospitalizations whenever they come up, and the record keeps enriching itself from every session you run. Linking a patient is optional at the start of a session and can be done afterward, so a walk-in never blocks you from recording. ## Step 2: Start a session Click New Session, choose the session type, optionally select the patient, and press record. Speak naturally: the scribe transcribes in real time and labels who is speaking. There are three ways to capture a visit, and all three end in the same structured note: Setting How ClinicFrame captures it Best for In person Ambient capture through your computer's microphone Office visits, exams, rounds at a desk Telehealth System audio on your computer, no bot in the call Video visits on any platform Dictation You narrate, the scribe structures it Chart catch-up, quick follow-ups Sessions run up to two hours of net recording, with pause and resume at any point. Only one session is active at a time, so starting a new one saves and closes the current one automatically. ## Step 3: Review the generated note When you end the session, the note generates automatically, typically within ten to twenty seconds. By default you get the Enhanced note, which reads the encounter and chooses the clinically appropriate structure on its own. If your practice documents in a fixed format, you can generate the note in SOAP, DAP, BIRP, or a custom template instead. Every section is editable in a full rich-text editor, and anything you typed in the Quick Bar during the session is taken into account. ## Step 4: Save or export The note saves to the patient's record. From there you can copy the full formatted note into your EHR in seconds, or export it as a PDF that includes the patient's name and date of birth, the session date, and the template used. Need the same visit in another format? Use New format to regenerate it without recording again. The habit that matters most: review the note before it enters the record. AI-generated notes are an accurate starting point, and a quick read keeps clinical judgment where it belongs, with you. ## Where to go next In-person, telehealth, and dictation sessions , explained in depth. SOAP, DAP, and BIRP , and how to pick the right one. Evaluating AI medical scribe accuracy with your own visits. --- # Installing ClinicFrame on Mac and Windows URL: https://clinicframe.com/resource-center/install-desktop-app How to download, install, and sign in to the ClinicFrame desktop app on macOS and Windows, set up your microphone, and keep the app updated automatically. ClinicFrame runs as a native desktop app on macOS and Windows. Installing it takes a couple of minutes, and the app keeps itself up to date afterward so every clinician on your team runs the same version. Here is the full setup. ## Download and install Download the installer from the ClinicFrame page . On Mac: open the downloaded .dmg file and drag the ClinicFrame icon into your Applications folder, then open it from Applications. On Windows: run the setup file and follow the installer steps, then launch the app. ## Sign in You can sign in three ways: with your email and password, with Google, or with your CompliantChatGPT account if you already use it. If you prefer, the desktop app can hand sign-in off to your browser and bring you back automatically. Self-registration happens through the sign-up flow on the website; once your account exists, the desktop app signs you straight in. ## Set up and test your microphone The first time you open the app, it runs a microphone check with a live level meter. Grant the microphone permission when your operating system asks, then speak at a normal distance and confirm the level bars move. This ten-second check is the single best predictor of transcription quality, so it is worth doing before your first real visit. On macOS, telehealth and meeting detection rely on two additional permissions (System Audio Recording and Automation). You only need those if you do video visits or want automatic call detection; the full walkthrough is in fixing recording permissions on macOS . ## Automatic updates ClinicFrame updates itself. When a new version is available you will see a banner. Recommended updates can wait; required updates install before your next session so the whole team stays on a consistent, supported build. You never have to hunt for a download. Next: follow Getting Started to record your first session and generate a note. --- # Fixing Recording Permissions on macOS URL: https://clinicframe.com/resource-center/macos-permissions The three macOS permissions ClinicFrame uses, microphone, system audio, and automation, with the exact System Settings steps for each. Some ClinicFrame features depend on macOS permissions that the app cannot grant for you and, in some cases, cannot even detect. If a desktop feature seems silent, it is almost always one of three toggles in System Settings. Here is each one, what it enables, and the exact path. ## Why isn't the patient's voice captured in telehealth? In a video visit the patient's voice comes out of your speakers, so ClinicFrame needs the Screen and System Audio Recording permission to hear it. Open System Settings, then Privacy and Security, then Screen and System Audio Recording. Find ClinicFrame and turn on System Audio Recording. Quit and reopen the app so macOS applies the change. ## Why aren't meetings being detected? Automatic Meet detection reads which tab your browser is showing, which needs the Automation permission. Open System Settings, then Privacy and Security, then Automation. Find ClinicFrame and enable the toggle for your browser (Chrome, Arc, Safari, Edge, or Brave). If you dismissed the macOS prompt when it first appeared, the system will not ask again, so enabling it manually here is the only way. ## Why aren't you getting notifications? Pre-session reminders and meeting alerts use macOS notifications. Open System Settings, then Notifications. Find ClinicFrame and allow notifications. ## Quick reference If this is broken Enable this permission Patient's voice missing in telehealth Screen and System Audio Recording Meet or Zoom calls not detected Automation (for your browser) No reminders or alerts Notifications Your own voice missing in person Microphone --- # Automatic Google Meet and Zoom Detection URL: https://clinicframe.com/resource-center/meeting-detection ClinicFrame detects Google Meet and Zoom calls and offers to start a telehealth session, so no video visit goes undocumented. Setup included. One of the quiet ways visits go undocumented is simply forgetting to hit record. ClinicFrame closes that gap for telehealth: when you join a video call, it notices and offers to start a session for you. One click and the telehealth capture begins, recording the call audio on your computer with nothing joining the meeting. ## What meetings does ClinicFrame detect? Platform Where it works Trigger Google Meet Chrome, Arc, Safari, Edge, and Brave When the Meet tab is active in a supported browser Zoom Zoom desktop app Once you have actually joined the call Firefox is not supported for Meet detection. For Zoom, sitting in the waiting room does not trigger the prompt; you have to be in the call. ## How do you enable meeting detection on macOS? Meet detection needs one macOS permission, Automation, so the app can tell which tab your browser is showing. To turn it on: open System Settings, go to Privacy and Security, then Automation, find ClinicFrame, and enable the toggle for your browser. If you dismissed the original macOS prompt, the system will not ask again, so enabling it here manually is the only path. The full permissions guide is in fixing recording permissions on macOS . ## What happens after you accept? Starting from the prompt behaves like any telehealth session: the app captures system audio, transcribes both sides with speaker labels, and generates the note when you end the call. You can link a patient before or after, and everything else in the session works the same way. --- # Chart Review in Seconds with the Patient Chat URL: https://clinicframe.com/resource-center/patient-history-chat Ask the AI about a patient and get answers grounded in their record and session history. A chart review in seconds, before or during the visit. The patient chat answers questions about one specific patient using their record and session history as its only source. Ask when a medication changed or how sleep has evolved across sessions, and the answer comes from their chart, not from general medical knowledge. It turns a chart review that used to mean scrolling through past notes into a question you type in plain language. ## What does the patient chat draw on? The assistant is given the patient's full context: profile, medications, allergies, conditions, referrals, surgeries, hospitalizations, and the note sections from their recent visits. The most recent visits are included in full detail, and older ones are listed by date and type, so answers stay grounded in what actually happened without drowning in history. ## When is the patient chat most useful? Before the visit: a chart review in seconds instead of reading months of notes. During the visit: ask from the Quick Bar without leaving your telehealth window or EHR. Across sessions: patterns that span time, like a symptom trajectory or a medication history, surfaced in one answer. ## How does it stay grounded, and where is the line? The assistant is instructed to answer only from the patient's injected context, and it keeps the conversation history so you can ask follow-ups. It is a review and recall tool, not a decision maker: it helps you find and summarize what is in the chart faster, and clinical judgment stays with you. Try asking: "What has changed in this patient's medications over the last year?" or "Summarize the last three visits in two lines." --- # Managing Patient Records and Visit History URL: https://clinicframe.com/resource-center/patient-records The patient record in ClinicFrame: medications, allergies, conditions, referrals, surgeries, hospitalizations, and full visit history. Every patient in ClinicFrame has a single record that holds their clinical context and their full history with you. It starts from almost nothing, a name and date of birth, and fills in over time, partly from what you add and partly from the sessions themselves. ## What does a patient record hold? Section What it tracks Medications Name, dosage, and frequency Allergies Substance and reaction Conditions Chronic conditions Referrals Specialty, doctor, date, status, and notes Surgeries Procedure, date, facility, and outcome Hospitalizations Facility, date, reason, and outcome ## Visit history The record lists every session with its date, type (in-person, telehealth, or dictation), duration, and the note format used, and each row opens the full note. After the first note, the record also shows an automatically written summary of the most recent visit, so you get the gist without opening anything. ## How do you work from a patient record? Start a session directly from a patient, already linked. Link a patient to a session later if you started without one. Search and filter your patient list by name. Ask the AI about the patient's history from the record or the Quick Bar; see chart review with the patient chat . Note on privacy: patient records are part of your account's protected data, carry an audit trail, and deletions are recoverable. See how data is handled . --- # Walking Into the Visit Prepared URL: https://clinicframe.com/resource-center/pre-visit-preparation How ClinicFrame prepares your day: the weekly calendar, pre-session reminders, upcoming sessions on the home screen, and automatic last-visit summaries. Good documentation starts before the visit does. ClinicFrame gives you a running view of your day and the context to walk into each encounter already oriented, so you are never reconstructing a patient's story from scratch while they wait. ## Your day at a glance The home screen shows your upcoming sessions and your most recent ones, with live badges when an appointment is imminent or running late. The calendar lays out the week in columns, and any session can be scheduled ahead with a date, time, duration, and patient, so your documentation plan mirrors your actual schedule. ## Reminders that start the session for you About a minute before a scheduled session, ClinicFrame reminds you and offers to start recording, so a back-to-back day does not turn into a pile of undocumented visits. Reminders and their sounds are configurable per alert in Settings and from the Quick Bar. For telehealth, meeting detection adds a second safety net; see automatic Meet and Zoom detection . ## Context before you open the door Each patient's record shows an automatically written summary of their last visit, and their full history is one question away in the patient chat . Between the summary, the record, and the chat, a pre-visit chart review takes seconds rather than minutes. --- # Using the Quick Bar During Consultations URL: https://clinicframe.com/resource-center/quick-bar The Quick Bar is the floating companion of ClinicFrame: session controls, synced notes, patient context, and the AI chat, available over any app during a visit. The Quick Bar is a small, always-on-top panel that stays visible while a session is running, even when ClinicFrame is in the background. It exists so you never have to leave your patient, your EHR, or your telehealth window to control the session or check something. Think of it as the scribe's cockpit, one glance away at all times. ## What can you do from the Quick Bar? Control the session: pause, resume, or end it, with the live status and running duration always visible, plus a warning as the session nears its two-hour limit. Take notes: the Notes tab captures anything you type during the visit. It auto-saves, shows a synced indicator, and those notes are considered when the final note is written. Ask about the patient: the Chat tab is the patient history assistant, so you can pull a fact from the chart without switching windows. See patient context: the Patient tab shows the last visit date and its summary at a glance. Start sessions on cue: when the app detects a Google Meet or Zoom call, the Quick Bar offers to start recording. ## Why a floating bar instead of a full window? During a real visit your screen belongs to the patient chart, the video call, or the person in front of you. A full app window would force you to switch away; the Quick Bar keeps the essentials in a strip you can park anywhere. This is only possible because ClinicFrame is a desktop app running at the system level, not a browser tab confined to one window. ## Settings and housekeeping From the Quick Bar settings you can launch it on startup, turn pre-session reminders on or off, and control notifications. If it ever ends up off-screen or in the way, you can collapse it, refresh it, or reset its position. Tip: keep the Notes tab open during complex visits. A one-line note like "patient prefers generic" steers the final note without interrupting the conversation. --- # In-Person, Telehealth, and Dictation Sessions URL: https://clinicframe.com/resource-center/session-types How ClinicFrame captures each setting: ambient in-person, telehealth system audio with no bot in the call, and a medical dictation mode. ClinicFrame records a visit in three ways: ambient capture for in-person encounters, system-audio capture for telehealth calls, and dictation when you would rather narrate. All three feed the same pipeline, a live transcript with speaker labels followed by a structured clinical note, so the choice is about how the audio reaches the app, not about a different product for each setting. Setting How ClinicFrame captures it Best for In person Ambient capture through your computer's microphone Office visits, exams, rounds at a desk Telehealth System audio on your computer, no bot in the call Video visits on any platform Dictation You narrate, the scribe structures it Chart catch-up, quick follow-ups ## In-person visits: ambient capture For an in-person encounter, ClinicFrame uses your computer's microphone to listen to the conversation in the room. There is nothing to dictate and no commands to remember: you talk with your patient, and the transcript builds in the background while the app labels who is speaking. Accuracy in this mode depends most on the room, so a low-noise space and a quick mic check make a visible difference. See how to evaluate AI medical scribe accuracy . ## Telehealth: the call audio, with no bot in the meeting Telehealth is where the desktop design pays off. Because the patient's voice comes out of your speakers through the meeting app, ClinicFrame captures the system audio on your computer and transcribes both sides of the conversation. Nothing joins the meeting. Your patient sees you, not a recording participant, which matters for trust and for the awkwardness a visible bot introduces. It works with any telehealth platform, and the app can detect Google Meet and Zoom calls and offer to start a session automatically; see automatic Google Meet and Zoom detection . On macOS, telehealth capture needs the Screen and System Audio Recording permission. If the patient's voice is missing from the transcript, that permission is almost always the reason; the fix is in fixing recording permissions on macOS . ## Dictation: narrate when it suits you In dictation mode you describe the encounter in your own words and the scribe turns your narration into a structured note. It fits chart catch-up at the end of the day, short follow-ups, and clinicians who already think out loud. You still get a formatted note rather than a raw transcript. ## Limits and reliability, stated plainly Sessions run up to two hours of net recording (pauses do not count), with a warning before the limit. Pause and resume are available at any time, including resuming a session you had ended. If your connection drops, the session pauses on its own and protects the transcript, which syncs automatically once you are back online. Only one session is active at a time; starting a new one saves and closes the current one. --- # Article moved | How Accurate Is an AI Medical Scribe? URL: https://clinicframe.com/resource-center/transcription-accuracy This article now lives at /blog/ai-medical-scribe-accuracy. ## This article has moved Continue to How Accurate Is an AI Medical Scribe? --- # AI Medical Scribe Security & HIPAA Compliance URL: https://clinicframe.com/security ClinicFrame protects clinical documentation with HIPAA-compliant infrastructure, a BAA included with every account, encryption in transit and at rest, and visit audio that is processed and discarded. AI Medical Scribe Security & HIPAA Compliance | ClinicFrame Security and compliance ## Protect every clinical note ClinicFrame gives your practice the controls, agreements, and infrastructure required to use AI with protected health information. ## Visit audio is discarded ClinicFrame processes visit audio to create the transcript, then discards the audio. Your clinical documentation remains available in your account. ## Encryption in transit and at rest TLS protects data in transit. Encryption at rest protects stored transcripts, notes, and patient records. ## HIPAA compliant, BAA included A Business Associate Agreement is included with every account, including the free trial. Complete it before entering patient information. ## Role-based access Authentication and assigned permissions control which members of your practice can access clinical information. ## Patient content stays out of training ClinicFrame does not use patient content to train AI models. Our provider agreements carry the same restriction. ## Protected cloud infrastructure ClinicFrame runs clinical workloads on cloud infrastructure configured for HIPAA-regulated data. ## Access logging and monitoring ClinicFrame logs access to clinical data and monitors system activity for security events. ## Documented incident response Our incident response process covers investigation, containment, recovery, and required breach notifications. Health Clinical Intelligence Platform You care for them, we care for you. ## Not ready to try it yet? Talk to us first. Someone from our team will contact you. Email* Message* Send message FAQs ## Frequently Asked Questions ## Is ClinicFrame HIPAA compliant? Yes. ClinicFrame runs on HIPAA-compliant infrastructure. A Business Associate Agreement is included with every account, including the free trial. ## Do you store the audio from patient visits? No. ClinicFrame processes visit audio and discards it. Your account retains the transcript, notes, and patient information used in your documentation workflow. ## How is my data encrypted? ClinicFrame encrypts data in transit with TLS and encrypts stored data at rest. These controls protect transcripts, notes, and patient records throughout the documentation workflow. ## Who can access patient data in ClinicFrame? ClinicFrame requires authentication and applies role-based access controls. Authorized members of your practice can access information according to their assigned permissions. ## Does ClinicFrame train AI models on my patients' data? No. ClinicFrame does not use patient content to train AI models. Our agreements with transcription and AI providers exclude customer content from model training. ## What happens if there's a security incident? We maintain a documented incident response plan with breach notification aligned to HIPAA timelines. --- # Terms of Service URL: https://clinicframe.com/terms ClinicFrame's Terms of Service: the agreement covering use of our AI medical scribe, HIPAA and BAA obligations, subscriptions, data handling, and clinical review responsibilities. Please read these Terms of Service (“Terms”) carefully before accessing or using ClinicFrame (the “Service”). These Terms constitute a legally binding agreement between you or the organization you represent (“Customer,” “you,” or “your”) and Light-it Inc., a Florida corporation (“Light-it,” “we,” “us,” or “our”). By creating an account, clicking “I Agree,” starting a trial, purchasing a subscription, or otherwise accessing or using the Service, you represent that you have the authority to bind yourself and your organization to these Terms. The Service is an AI-powered ambient medical scribe and clinical documentation product operated by Light-it and made available through the ClinicFrame platform at clinicframe.com. ClinicFrame is Light-it’s clinical intelligence platform and product suite, which may include other products or services, such as CompliantChatGPT. These Terms apply specifically to the Service described herein and not to other ClinicFrame products or services unless otherwise stated. THE SERVICE IS INTENDED FOR PROFESSIONAL AND BUSINESS USE ONLY. IT IS NOT DESIGNED FOR PERSONAL, FAMILY, OR HOUSEHOLD PURPOSES, AND IT IS NOT INTENDED FOR USE BY PATIENTS OR CONSUMERS SEEKING MEDICAL ADVICE. ## 1. Definitions For purposes of these Terms: “AI Providers” means the third-party artificial intelligence model providers integrated with the Service, including providers maintained by Light-it under appropriate contractual safeguards and, where applicable, Business Associate Agreements. “Authorized User” means an individual employed by or contracted to Customer who is authorized by Customer to access and use the Service under Customer’s account. “BAA” means a Business Associate Agreement executed or made available between Light-it and Customer, as required under the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations (“HIPAA”). “ClinicFrame” means the clinical intelligence platform and product suite operated by Light-it through which the Service and other related products or services may be made available. “Customer Content” means all data, text, files, audio, transcripts, patient information, prompts, notes, instructions, and other materials submitted to, uploaded to, recorded through, processed by, or generated through the Service by Customer or its Authorized Users, including any PHI. “Documentation” means the user guides, help articles, product descriptions, and technical specifications made available by Light-it in connection with the Service. “Output” means any transcript, summary, SOAP note, clinical note, draft documentation, export, notification, suggestion, or other content generated by the Service based on Customer Content or patient-provider encounters. “PHI” means Protected Health Information as defined under HIPAA. “Plan” means the subscription tier selected by Customer. As of the Effective Date, the Service is offered under a Starter plan, unless otherwise stated on the applicable website, checkout page, order form, or written agreement with Light-it. “Service” means ClinicFrame, including all website pages, web application features, tools, software, documentation, support channels, and related services made available by Light-it in connection with ClinicFrame. “Transcription Providers” means third-party providers used by Light-it to convert audio into text, which may include AssemblyAI or similar providers. ## 2. Acceptance and Eligibility By accessing or using the Service, you represent and warrant that: (a) you are at least 18 years of age; (b) you have full legal authority to enter into these Terms on behalf of yourself and any organization you represent; (c) your use of the Service will comply with all applicable laws and regulations, including HIPAA where applicable; and (d) you are not located in a country subject to a U.S. government embargo or designated as a “terrorist supporting” country, and you are not listed on any U.S. government list of prohibited or restricted parties. The Service is intended for use by physicians, general practitioners, specialists, clinical teams, clinics, healthcare organizations, and other professional entities or professionals operating in a business or professional capacity. It is not designed for use by patients, consumers, or individuals seeking personal medical advice. Patients do not directly access or interact with the Service. Customer and its Authorized Users are solely responsible for how the Service is used in connection with patient encounters and clinical documentation workflows. ## 3. Account Registration and Security To access the Service, you must create an account and provide accurate, current, and complete information. The Service may allow users to sign up or log in using email and password or Google Sign-In. Each account is assigned to a single Authorized User and may not be shared or used by multiple individuals. Customer is responsible for: (a) maintaining the confidentiality of account credentials; (b) all activities that occur under Customer’s account; (c) promptly notifying Light-it at legal@lightit.io of any unauthorized use of Customer’s account or any other breach of security; and (d) ensuring that all Authorized Users comply with these Terms. Light-it reserves the right to suspend or terminate accounts where there is reason to believe that credentials have been compromised or that the account is being used in violation of these Terms. ## 4. Description of the Service ClinicFrame is an AI ambient medical scribe product designed to assist healthcare professionals with clinical documentation workflows. The Service may listen to patient-provider encounters in real time and generate draft documentation, including transcripts, summaries, SOAP notes, clinical notes, and related documentation outputs. The Service is intended to reduce administrative burden across clinical documentation workflows. It does not replace professional judgment, independent clinical review, or the responsibility of healthcare professionals for patient care, clinical documentation, billing, coding, compliance, or medical decision-making. THE SERVICE DOES NOT PROVIDE MEDICAL ADVICE, DIAGNOSIS, TREATMENT RECOMMENDATIONS, BILLING ADVICE, CODING COMPLIANCE ADVICE, OR PROFESSIONAL HEALTHCARE SERVICES. OUTPUTS GENERATED BY THE SERVICE ARE DRAFTS FOR PROFESSIONAL REVIEW AND SHOULD NOT BE USED AS A SUBSTITUTE FOR THE PROFESSIONAL JUDGMENT OF A LICENSED HEALTHCARE PROVIDER. Light-it reserves the right to modify, update, or discontinue any feature or component of the Service at any time, with or without notice, subject to the limitations set forth in these Terms. This includes the right to add, modify, or remove integrations with specific AI Providers, Transcription Providers, or other third-party providers without liability to Customer. If Light-it discontinues a provider integration, it will use commercially reasonable efforts to maintain equivalent functionality through alternative providers where appropriate. Certain new, optional, or materially expanded features may be subject to additional terms, usage limits, or fees disclosed to Customer before Customer elects to access or use such features. ## 5. Patient Consent, Recording, and Transcription To the extent Customer or its Authorized Users use the Service to record, listen to, transcribe, summarize, or otherwise process patient encounters or other conversations, Customer is solely responsible for providing all legally required notices and obtaining all required consents, authorizations, and permissions from patients, providers, staff, and any other participants. Customer is responsible for ensuring that its use of recording, transcription, ambient scribing, and related features complies with all applicable federal, state, local, healthcare, professional, privacy, and recording consent laws, including any laws requiring consent from one or more participants before recording or transcribing a conversation. Customer must not use the Service to record, transcribe, summarize, or process any encounter or conversation unless Customer has determined that doing so is lawful and appropriate. Light-it does not obtain patient consent on Customer’s behalf and is not responsible for Customer’s failure to provide required notices or obtain required consents, authorizations, or permissions. ## 6. Audio, Transcripts, Notes, and Retention The Service may process audio from patient-provider encounters to generate transcripts, summaries, SOAP notes, clinical notes, and related documentation outputs. Audio recordings are processed for the purpose of generating documentation outputs and are not stored by Light-it after processing. Transcripts, SOAP notes, clinical notes, and related Outputs are stored within the ClinicFrame platform and may be available through the user’s account or note history. Customer is solely responsible for reviewing and managing any transcripts, notes, exports, or other documentation outputs stored in or exported from the Service. Light-it may retain transcripts, SOAP notes, clinical notes, related Outputs, and other Customer Content as necessary to provide, operate, secure, support, and maintain the Service, comply with applicable law, resolve disputes, enforce agreements, and as otherwise permitted under these Terms and any applicable BAA. ## 7. Protected Health Information and BAA The Service is designed to support healthcare workflows and may be used to process PHI regulated by HIPAA. Where Customer’s use of the Service involves PHI and a Business Associate Agreement is required under HIPAA, Light-it will enter into a standard BAA with the applicable Customer. The BAA governs the parties’ respective obligations with respect to PHI and HIPAA compliance and may apply to free trials, paid subscriptions, and other uses of the Service where applicable. Customer is responsible for determining whether its use of the Service is subject to HIPAA or other healthcare privacy laws, and for ensuring that it has all required rights, notices, consents, authorizations, and legal bases to submit Customer Content, including PHI, to the Service. To the extent of any conflict between these Terms and the BAA with respect to PHI or HIPAA compliance obligations, the BAA will control. ## 8. Third-Party Providers and Data Handling The Service may rely on third-party providers, including cloud hosting providers, AI Providers, Transcription Providers, infrastructure providers, analytics providers, support tools, authentication providers, payment processors, and other vendors. ClinicFrame uses AssemblyAI or similar Transcription Providers to convert audio into text, and may use AI Providers such as OpenAI, Google, or other providers maintained under appropriate contractual safeguards to generate documentation outputs. Customer acknowledges that Customer Content may be processed by third-party providers as necessary to provide, operate, secure, support, and maintain the Service. Where required for HIPAA-regulated use, Light-it uses appropriate contractual safeguards with relevant providers, including BAAs where applicable. Light-it is not responsible for third-party services that are not controlled by Light-it, including third-party EHRs, practice management systems, external integrations, or third-party websites. ## 9. No Training on Customer Content Light-it does not use Customer Content, PHI, audio, transcripts, clinical notes, prompts, or Outputs to train its own AI models or those of any third party, and does not permit third-party AI Providers or Transcription Provide --- # ClinicFrame Web vs. Desktop App | Compare Features URL: https://clinicframe.com/web-vs-desktop-app Compare ClinicFrame Web and the desktop app. Use the browser on shared computers, or install the app for native audio, alerts, and Dictate Anywhere. Web or desktop ## The same ClinicFrame. Two ways to work. Open ClinicFrame Web on the computer in front of you. Install the desktop app on the computer that follows your clinical day. Open ClinicFrame Web Download the app One account keeps your patients, sessions, notes, and templates together. ClinicFrame Web Open web Your workspace, on any clinic computer. No installation Shared and rotating workstations ClinicFrame desktop Download app On your computer. Ready for your next visit. Native audio and notifications Your own workstation Choose for the computer in front of you ## Your account moves. Your setup can change. Both versions write the same clinical notes. The difference is how ClinicFrame fits into the computer you are using. No installation ## Use web when the computer changes Open the browser on a shared workstation, treatment room computer, or temporary desk. Your ClinicFrame account brings the clinical workspace with you. Sign in from an approved browser Run in-person and telehealth sessions Review the note before you leave Open ClinicFrame Web Recommended for daily use ## Use desktop on your own computer Keep ClinicFrame available throughout the day. The app captures system audio directly and alerts you when a supported meeting starts. Capture telehealth audio natively Start from meeting and calendar alerts Control sessions from the Quick Bar Download the app One clinical day ## Use each version where it earns its place. Your account stays consistent while the computer and the work around it change. 8:10 Web 8:10 Shared clinic workstation ## Open web and start the first visit You sign in without installing software. The patient record and your preferred note template are already there. Web 12:40 Different room, different computer ## Pick up the same patient history You open ClinicFrame Web on the available workstation. Past sessions stay attached to the same patient record. Web 15:00 Personal workstation ## Let the app catch the next call ClinicFrame detects a supported meeting and sends a native alert. You start the telehealth session from the notification. Desktop 17:20 EHR open on screen ## Keep ClinicFrame above the chart The Quick Bar stays within reach while you review the note or use Dictate Anywhere in the selected field. Desktop Feature comparison ## What changes between web and desktop? The core scribe follows your account. Desktop adds controls that depend on the operating system. Capability Web Desktop app Getting started Open it in the browser Install once on your computer Patient records and session history ✓ Included ✓ Included SOAP, DAP, BIRP, and custom templates ✓ Included ✓ Included In-person visits ✓ Uses your microphone ✓ Uses your microphone Telehealth visits ✓ Captures shared tab audio ✓ Captures system audio directly Meeting detection × Not available ✓ Detects supported calls Session notifications ✓ Available while the browser is open ✓ Native system notifications Quick Bar × Not available ✓ Controls the session above your active window Dictate Anywhere × Not available ✓ Pastes dictation into the selected field Best fit Shared and rotating workstations Your personal clinical workstation Use both ## Use web at the clinic and desktop on your own computer. Use web on the clinic computer. Use desktop on your own. ClinicFrame keeps the same patients, notes, templates, and session history under one account. One account, open in the browser and running on the desktop. Common questions ## Choose with the full picture. Do ClinicFrame Web and the desktop app use the same account? + Yes. Your patients, sessions, templates, and notes follow your ClinicFrame account. You can move between web and desktop without rebuilding your workspace. Can I transcribe telehealth visits in the browser? + Yes. ClinicFrame Web captures the audio from a shared browser tab. The desktop app captures system audio directly and removes the tab-sharing step. When should I choose ClinicFrame Web? + Use the web app on a shared or rotating workstation, or when you cannot install software. Sign in, finish the session, and sign out when you leave. Why install the desktop app on my own computer? + The desktop app adds native audio capture, meeting detection, system notifications, Quick Bar, and Dictate Anywhere. These features keep ClinicFrame close throughout your clinical day. Start where you work today ## Open the browser now. Install the app when the computer is yours. Shared or rotating computer Open ClinicFrame Web Personal clinical workstation Download the app More on the product Transcription · Dictation · Dictate Anywhere · Note templates