Medical SOAP note generator: AI SOAP notes for doctors
Facts checked on 15 October 2026.
MentalNote is a free AI medical SOAP note generator: record the visit in your browser, choose Medical SOAP, and get a draft with Chief Complaint, History of Present Illness, Review of Systems, Objective (vitals, exam and results), Assessment and Plan, ready to review. The free plan includes 5 scribe sessions a month; Premium is $99 a month for unlimited notes.
Physicians, nurse practitioners, physician assistants and allied health clinicians in solo and small practices spend hours a day on notes. MentalNote listens to the visit with the patient's consent and writes the SOAP note for you, in seconds after the visit ends. You review it, edit it and paste it into your EHR.
5 free scribe sessions a month. No credit card. BAA on every plan.
The short answer
- Record the visit in your browser, in the room or on a telehealth call in a browser tab, and get a draft when the visit ends.
- Choose the Medical SOAP format. Its sections are Chief Complaint, History of Present Illness, Review of Systems, Objective (vitals, exam and results), Assessment and Plan.
- It is told not to fill gaps. The app instructs the AI to write "Not documented." for anything the visit did not cover, and not to add a normal finding, a number, a diagnosis or a code you did not state. Check every draft.
- Start free: 5 scribe sessions a month, no time limit, no credit card. Premium is $99 a month or $990 a year.
- MentalNote is HIPAA-compliant, with a BAA included on every plan.
Who it is for
Solo clinicians and small practices that want to sign up today, pay a published price and start without a sales call or an IT project. Premium is for solo clinicians. Practices can apply for the Practice Pilot.
What the generator writes
| Section | What goes in it |
|---|---|
| Chief Complaint | The reason for the visit, in a line. |
| History of Present Illness | Onset, course, symptoms, adherence and pertinent negatives the patient reported. |
| Review of Systems | Only the systems you actually reviewed, by system. |
| Objective | Vitals, exam findings and results, each kept exactly as stated. |
| Assessment | A numbered problem list, with status as you stated it. |
| Plan | Medications (name, dose, frequency), tests, referrals, follow-up and return precautions. |
Who uses the Medical SOAP generator
- Primary care, family medicine and urgent care visits: chronic disease follow-ups, acute problems and medication changes.
- Nurse practitioners and physician assistants: acute and follow-up visits, including point-of-care results and prescriptions.
- Physical, occupational and speech therapists, chiropractors and dietitians: measures, scores and minutes kept as stated.
- Any clinician who wants a published price, a BAA on every plan and no sales call.
Specialty guides: primary care and family medicine, nurse practitioners, physical therapists, occupational therapists, speech-language pathologists, chiropractors and dietitians.
Medical SOAP note example
A human-written, shortened illustration based on a fictional session (no real patient). It is not verbatim app output, and your drafts will vary with what is said.
Fictional example: A hypertension follow-up with a cough
Chief Complaint
Hypertension follow-up and a dry cough.
History of Present Illness
3-month hypertension follow-up. Takes lisinopril 10 mg daily; reports missing about 2 doses a week. Home blood pressure readings mostly 140s/90s.
Dry cough for 10 days after a cold. No fever, no shortness of breath, no chest pain. Nonsmoker.
Review of Systems
Constitutional: no fever. Respiratory: dry cough, no shortness of breath. Cardiovascular: no chest pain.
Objective
Vitals: BP 146/92, HR 78, temp 98.4 F, SpO2 98% on room air, BMI 31.
Exam: lungs clear to auscultation bilaterally, no wheeze. Heart regular rate and rhythm, no murmur. No ankle edema.
Results: Not documented.
Assessment
1. Hypertension, not at goal, likely partly adherence.
2. Cough, post-viral.
Plan
1. Increase lisinopril to 20 mg daily. Recheck BMP in 2 weeks. Return in 4 weeks with home BP log.
2. Honey and fluids. Return sooner if fever or shortness of breath.
The fictional case gives no test results, so Results says "Not documented." instead of a guess.
What it will not do
These are instructions the app gives the AI for every Medical SOAP note. They are meant to reduce errors, but they are not a guarantee. Review every line.
| What can go wrong | What MentalNote instructs the AI to do |
|---|---|
| A normal exam you never did ("lungs clear") | Never record a normal or negative finding that was not stated, and never write "review of systems otherwise negative" unless you said so. |
| A vital sign, dose or result that was never said | Use only what the visit contains, and record vitals, scores and doses exactly as stated. |
| A number the AI worked out | Never calculate, round or convert a number, such as a percentage, a BMI or billing units. |
| A diagnosis or code the AI guessed | Give no diagnosis, diagnostic code or billing code (such as ICD-10 or CPT) unless you stated it in the visit. |
| A gap filled with typical content | Write "Not documented." for anything the visit did not cover. |
Also good to know:
- You review every draft. MentalNote writes a draft. You check it, edit it and decide what goes in the record.
- One medical format. Medical SOAP is a general format for medical visits. There are no specialty-specific medical templates.
- Web app only for medical notes. Medical SOAP is in the web app at app.mentalnote.ai. The optional Word add-in is built for therapy notes.
- No direct EHR write-back. Copy or export the reviewed note into your EHR.
How it works
- Confirm you have your patient's consent. The web app asks you to confirm it before every recording.
- Record in the browser, in the room or on a telehealth call in another tab.
- When the visit ends, choose Medical SOAP as the note format and get the draft.
- Review and edit every line, then copy or export it into your EHR.
Writing therapy notes instead? Use the AI SOAP note generator for therapists, or the DAP and BIRP note generators.
What it costs
| Plan | Price | What you get |
|---|---|---|
| Free | $0, no time limit | 5 web-app scribe sessions a month. No credit card. |
| Premium | $99 a month, or $990 a year ($82.50 a month) | Unlimited note generation, browser app and Word add-in. |
| Practice Pilot | Apply | A guided evaluation for practices. |
No sales call needed: sign up and choose a plan yourself. MentalNote is HIPAA-compliant, with a BAA included on every plan. You accept the BAA in the app before your first session.
Frequently asked questions
Is the medical SOAP note generator free?
Yes. The free plan includes 5 scribe sessions a month, with no time limit and no credit card. Premium is $99 a month or $990 a year for unlimited notes.
What sections does a medical SOAP note have?
MentalNote's Medical SOAP format has Chief Complaint, History of Present Illness, Review of Systems, Objective (vitals, exam and results), Assessment as a numbered problem list, and Plan.
How is a medical SOAP note different from a therapy SOAP note?
A therapy SOAP note has four sections focused on the session. A medical SOAP note adds a chief complaint, HPI and review of systems, and the Objective section holds vitals, exam findings and results.
Does it add ICD-10 or CPT codes?
No. The app instructs the AI not to add a diagnosis, diagnostic code or billing code unless you stated it in the visit. You add codes yourself.
Is MentalNote HIPAA compliant?
MentalNote is HIPAA-compliant, with a BAA included on every plan. You accept it in the app before your first session.
Does it connect to my EHR?
Not directly. Copy or export the reviewed note into your EHR or practice management system.
Generate your first medical SOAP note free
Start free: 5 scribe sessions a month, no credit card, BAA included.
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A clinician must review every AI draft. MentalNote does not give medical advice or make diagnoses. Spotted something out of date? Email support@mentalnote.ai and we will fix it.