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⚠ Do not enter real client identifiers (full name, DOB, address, phone, email, MRN, SSN). All processing happens in your browser locally, but anyone with access to your screen could see what you type. Use initials and an age range. For real client SOAP notes, use MentalNote. It's HIPAA-compliant, with a BAA included on every plan (accepted in the app before your first session).
Document specific impairment in occupational, social, academic, self-care, or family domains. Required for medical necessity. Generic phrases like "impacting daily life" usually fail payer audit.

Write Better Notes, Faster

AI clinical notes in your browser or in Microsoft Word. HIPAA-compliant, with a BAA included on every plan. Free plan: 5 web-app scribe sessions a month, no credit card.

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Prefer Microsoft Word? Get the free Word add-in. Installs from Microsoft AppSource.

Watch the 44-second walkthrough

A walkthrough of the free MentalNote SOAP Note Builder for a telehealth therapy session, using a fictional client: presenting concern with initials only, observed affect, interventions, response, functional impairment, risk screening and plan. The builder lays it out as a SOAP draft and leaves the clinical assessment for you to write. It is meant for de-identified drafts. Video page

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