Your assessment, your reasoning, the goals you agreed and the outcomes you measured, Note Dr writes the full, watertight record, ready to approve.
Get Note Dr free→Trusted from independent clinics to elite performance teams
Note Dr listens to the session as it happens. While you take the history, examine and reason aloud, it writes the record in the background, so your hands stay on the patient and your eyes stay off the keyboard.
Clinical reasoning on record
The working diagnosis and the reasoning behind it, captured as you think it through aloud, not reconstructed later.
Consent for hands-on treatment
What you explained, what you were going to do and what the patient agreed to, recorded the moment you gain consent.
Goals and outcome measures captured
The SMART goals you set and the validated measures you took, 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, assessment, reasoning, goals, consent and outcomes, where published audits show conventional physiotherapy records routinely fall short.
Audits referenced: Turner et al (Physiotherapy Theory and Practice, 1999), Sumner et al (Physiotherapy, 2000), O'Donovan et al (Physiotherapy Canada, 2017) and Paim et al (Disability and Rehabilitation, 2022).
Ask what you assessed last time, the goals you set, or what the patient consented to, answered in seconds from their own record.
Walk into the review already knowing the story, without trawling the notes.
When a presentation calls for it, Note Dr surfaces the published guidance physiotherapists work to, from the CSP record-keeping and outcome-measure guidance to NICE low back pain and sciatica advice and MSK red-flag screening, with the source shown. It never tells you how to treat your patient; that judgement stays with you.
Want me to surface any guidance for this? You could ask:
Why physiotherapists trust Note Dr with a record that stands up to scrutiny.
★★★★★
My reasoning is finally on record
I always reasoned out loud during an assessment, but half of it never made the note. Now the working diagnosis and why I ruled out the serious stuff is right there. I edit and approve in under a minute.
★★★★★
Goals and outcomes, never skipped
Goals and outcome measures were always the first things to slip when clinic ran late. Note Dr captures the SMART goals and the baseline measure every time, so my notes finally show what I set out to achieve.
★★★★★
Hands stay on the patient
I'm not breaking off mid-assessment to type any more. I treat, I reason aloud, and the record writes itself in the background. The patient gets a clinician, not someone half-watching a screen.
★★★★★
Consent, on every hands-on note
Recording consent for manual therapy used to be the box I forgot when busy. Now what I explained and what the patient agreed to is in every single note, which is exactly where my biggest exposure was.
★★★★★
Calmest audit we've had
Contemporaneous records across the whole team, with goals, consent and outcome measures on every episode. Our last CSP-standards audit was the smoothest we've run, the notes already told the whole story.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
Across a full caseload, new assessments, reviews and discharges, every record now reads to the same standard, with the goals, reasoning and outcome measures that used to vanish when I was busy. My notes finally match the work I actually do.
Charlotte AGeneral physiotherapist
Yes — provided every note is checked and approved by the treating physiotherapist, who remains accountable for the record under HCPC standards and CSP record-keeping guidance. Note Dr drafts the note from the consultation — subjective history, objective findings, reasoning, goals and consent — and nothing is saved until you have reviewed, edited and approved it. The clinical judgement stays yours.
Yes — you should tell the patient an AI scribe is helping to document the session and gain their agreement before you begin, just as you would gain consent for assessment or hands-on treatment. A brief explanation at the start of the appointment is usually enough. With Note Dr, transcription happens on your device, and the drafted note is reviewed and approved by you before it becomes the record.
Yes — Note Dr drafts the full SOAP structure as you work: subjective history, objective findings such as range of movement, strength and special tests, your assessment and working diagnosis, and the plan with agreed goals and consent. It also drafts initial assessments, progress reviews, discharge summaries or your own template. You review and approve every draft before saving.
Look for a scribe built around physiotherapy records rather than general dictation: it should capture the subjective and objective examination, outcome measures, SMART goals and consent for hands-on treatment, draft in SOAP or your own template, and keep transcription on your device. You review and approve every note — the record stays the physiotherapist's responsibility.
Yes. As you agree SMART goals and take a validated measure such as the Oswestry Disability Index or a numerical pain rating, Note Dr records them in your structured note, ready to repeat at review. Agreed in passing between exercises and hands-on work, a goal's wording and its starting score are quick to fade once you write up the list from memory. You review and approve before saving.
As you explain what you are going to do and the patient agrees, Note Dr captures the consent discussion in the note: what you explained, the hands-on assessment or treatment proposed and that the patient consented. It is recorded the moment you gain consent, so your records reflect the conversation.
Yes. Note Dr sits beside whatever practice software you already run. You paste or export the finished note straight into Cliniko, TM3, WriteUpp or your own records, with no integration project and nothing to rip out and replace. It is a scribe, not a replacement for your system.