Trusted from independent practitioners to community services
The cognitive and perceptual findings, your reasoning and the COPM goals, Note Dr writes the full, watertight neuro record, ready to approve.
Get Note Dr free→Trusted from independent practitioners to community services
Note Dr listens to the session as it happens. While you watch the dressing task, observe the kitchen and reason aloud, it writes the record in the background, so your eyes stay on the client and off the keyboard.
Clinical reasoning on record
Your functional analysis and the rationale behind it, captured as you reason through cognition, perception and occupation aloud, not reconstructed later.
Capacity and consent recorded
What you explained, the equipment or strategy you proposed and what the client agreed to, with capacity noted where it is in question, recorded the moment you gain consent.
Goals and outcome measures captured
The client-centred goals you set and the validated measures you scored, such as the COPM, the very elements audits show go missing most.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, the occupational profile, reasoning, goals, consent and outcomes, where published standards and audits show conventional occupational therapy records routinely fall short.
Standards and audits referenced: the HCPC standards of proficiency and the RCOT professional standards and Keeping records guidance, with a documentation audit of 320 records (Gibson et al, British Journal of Occupational Therapy, 2004).
Ask what you scored last time, the goals you agreed, or what the client consented to, answered in seconds from their own record.
Walk into the review already knowing the functional story, without trawling the notes.
When a presentation calls for it, Note Dr surfaces the published guidance neurological occupational therapists work to, from the National Clinical Guideline for Stroke and NICE stroke rehabilitation advice to the RCOT professional standards and outcome-measure guidance, with the source shown. It never tells you how to treat your client; that judgement stays with you.
Want me to surface any guidance for this? You could ask:
Why neurological occupational therapists trust Note Dr with a record that stands up to scrutiny.
★★★★★
My reasoning is finally on record
I reason through cognition, perception and function out loud, but so much of it never reached the note. Now the analysis and why I chose a scanning strategy is right there. I edit and approve in under a minute.
★★★★★
The client's goals, never skipped
The client's own priorities were the first thing to slip when the ward got busy. Note Dr captures the COPM goals and the baseline scores every contact, so the record finally shows what the client set out to achieve.
★★★★★
The MDT reads one story
On a shared caseload, everyone needs the same picture. The goals, the cognitive findings and the plan now read consistently across the team, so handovers and case conferences are far easier to prepare.
★★★★★
Equipment and consent, on every note
Recording the equipment I recommended and the consent for a home visit was the bit I forgot when rushed. Now what I advised and what the client agreed to is in every note, which is exactly where my exposure sat.
★★★★★
The long episode holds together
A long rehab episode used to mean scattered notes. Now the occupational profile, goals and COPM scores track from assessment to discharge, and our last record-keeping audit was the calmest we have run.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
Across a long rehabilitation episode, assessment, intervention, home visit and discharge, every record now tracks the same occupational goals, reasoning and COPM scores that used to vanish when the ward was busy. The functional progress finally tells the whole story.
Iwan PNeurological occupational therapist
Yes — you should tell the client an AI scribe is being used and give them the chance to decline, just as you would for a student observer. In neurological work, where aphasia or cognitive impairment can affect understanding, explain it plainly and involve the carer where appropriate. Note Dr only listens during the session you start, and you review and approve every note.
Yes — the note is drafted from the whole session, not just the client's speech. Where aphasia, dysarthria or word-finding difficulty limits what the client can say, Note Dr still captures your observations, your reasoning aloud and contributions from family or carers, and drafts the record from all of it. You review the draft against what actually happened and approve it before it is saved.
Yes — Note Dr is designed for the settings neuro OTs actually work in, including home assessments and community visits. Transcription happens on your device, and the drafted note captures the access visit as it unfolds: layout and risks, the equipment you trialled, the safety advice you gave and what the client consented to. You review and approve the record before it is saved.
An AI scribe drafts the note; under HCPC and RCOT expectations the record remains yours, so you review, edit and approve every note before it is saved. Note Dr supports that discipline: it drafts the occupational profile, assessment findings, goals and consent contemporaneously from the session. Your clinical judgement is never replaced.
Yes. As you score a validated measure such as the Canadian Occupational Performance Measure, the MoCA or the Barthel Index, Note Dr records it in your structured note, ready to repeat at review. Scored aloud as you observe a dressing or kitchen task, these baseline figures are easy to lose once you write up, yet every later review leans on them. You approve every note before it is saved.
Yes. As you describe attention, visuospatial findings, sequencing difficulties or signs of visual inattention, and note a screen such as the MoCA, Note Dr records your cognitive and perceptual assessment in the structured note. It is captured as you reason, ready for you to review and approve before it reaches the record.
Yes. Note Dr writes consistent, structured records you can share with the wider MDT, capturing the occupational profile, goals, outcome measures and the agreed plan in the same format every contact. That makes handovers and case conferences easier to prepare. Every note is reviewed and approved by you before it reaches the record.