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Using Clinical Scribe

Clinical Scribe allows you to capture the content of a client session or dictation and turn that content into documentation.

About Clinical Scribe

HIPAA-compliant and AI-powered, Clinical Scribe is integrated with your forms and allows you to dictate your notes or, even better, capture a live client session while you focus on your client (in-person or via telehealth). Clinical Scribe will complete your note and let you review, approve, or make updates if you'd like.

Locating the Clinical Scribe Button on a Form

When logged into the Staff Portal, you will see the Clinical Scribe button in the bottom right corner of Patient Forms and Progress Notes configured for Clinical Scribe. The Clinical Scribe button will look like this: .

Capturing a Session or Dictation

Click the Clinical Scribe button.
Select the Appropriate tab.
- Use the Live Session tab to record the Session (check the Telehealth box if the session is telehealth).
- Use the Dictation tab for dictation.
Select the language that will be spoken.
Click the Start button to capture the session or dictation.
Click the End button to end when the session or dictation is complete.
Click the Generate Fields button to complete your documentation automatically.
Once you save your form to the client’s record, the other AI-captured details of your session or dictation are disassociated from your client’s record.

Edit Generated Fields

After Clinical Scribe completes your documentation and before you save the record, you can leverage Clinical Scribe to make edits. Once you save your form to the client’s record, the other AI-captured details of your session or dictation are disassociated from your client’s record.

Clinical Scribe Regenerate Button: If you would like Clinical Scribe to make another attempt to complete all the fields, you can use the Regenerate button. Then save your form.
Clinical Scribe Edit with AI Button: This button will open a Modify Document screen with a Talk to AI button. This will allow you to type or speak directly to Clinical Scribe and detail the specific changes you would like to make. After entering your change requests, click the Confirm button and your edits will be applied. Then save your form.

Note: Some Mac devices require the MacOS Capture App for live sessions over Telehealth. Previously, some MacOS systems Apple Silicon and Intel Based Macs) would disable computer audio capture when screen sharing was activated. To prevent this, install the Clinical Notes AI Capture App (requires MacOS 13 or later) and allow Screen & System Audio Recording in MacOS settings.

More About Clinical Scribe

Getting Started With Clinical Scribe - Powered by AI

Activating Clinical Scribe on Forms