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Clinical documentation
Clinical notes and records built for behavioral health
A single, longitudinal client record — intake through discharge — with note templates written for mental and behavioral health documentation, not adapted from a general medical chart.
What's in the record
- Intake notesBiopsychosocial history, presenting problem, and risk screening. Details
- Treatment plansGoals and objectives linked to diagnosis and review dates. Details
- Progress notesSession notes that carry the active treatment plan forward. Details
- SOAP, DAP & BIRP formatsPick a practice-wide standard or let clinicians choose. Details
- Psychotherapy notesKept separate from the medical record with distinct access controls. Details
- Psychological evaluationsTesting and report-writing for comprehensive assessments. Details
Built for compliance
Every note is timestamped, versioned, and attributable to the signing clinician, with co-signature workflows for supervisees and associates working toward licensure.
Faster charting
Smart defaults pull client demographics, diagnosis, and prior session content into each new note, so clinicians spend less time typing and more time with clients.
Start documenting in minutes
Import your existing client list and start your first note today.