Speak the session, sign the note.
Talk through the appointment the way you’d describe it to a colleague, and ClinicNote writes it up as a progress note in your clinic’s own format — filling in only what you actually said, and leaving the rest blank for you to complete. Nothing enters the record until you’ve read it and signed.
Spoken session → written progress note · For anyone who writes patient notes
Talk instead of type
After an appointment, describe what happened out loud — what you assessed, what you did, how the patient presented. ClinicNote records it and writes it up, so the note gets written while it’s fresh instead of piling up for the end of the day.
A progress note in your own format
The result is a progress note laid out in your clinic’s own template, ready to read and sign. Not a wall of transcript: the right information in the right fields.
Only what you said, nothing you didn’t
ClinicNote fills a field only if you actually said it. If you didn’t mention consent, or a pain score, that field stays blank — because a note is a legal record, and an invented detail is worse than a missing one.
Until you sign, the note carries a prominent DRAFT watermark, so an unsigned note can never be mistaken for a finished one. When you sign, you confirm the entries, your registration number is applied to the record, and the watermark lifts.
Four fields left blank — on purpose.
How the sign-off works.
Consent — you didn’t state it this session, and a prior consent is not this session’s consent. Red-flag screening — the checks for serious warning signs weren’t mentioned, and silence in a recording is not evidence that screening happened. Pain score — “night pain has settled” is a report, not a rating, so the field stays empty. Times — nobody said them.
The Assessment field is filled, but it carries a note: no diagnosis was stated in this recording. ClinicNote hasn’t inferred one, and hasn’t brought forward the diagnosis from visit two.
It writes what was said — and only that
- It won’t diagnose, grade, or interpret. ClinicNote transcribes what you said and formats it into your template. The clinical judgement stays yours.
- It won’t carry anything forward from a past note — not a diagnosis, not consent. A consent recorded at visit two is not consent for this session, and a diagnosis that appears because software remembered it is a diagnosis nobody made today.
- It won’t turn “a fortnight” into a date. Your practice system holds the real dates — a note that guesses one and contradicts your schedule is worse than the words you actually said.
- It won’t enter anything into the record. Approving writes an audit entry against your registration number; the note goes nowhere until then.