Your assessment, the outcome measures and the consent and chaperone offer for internal examination, Note Dr writes the record, ready to approve.
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Note Dr listens to the appointment as it happens. While you take the history, explain the examination, gain consent and assess, it writes the record in the background, so the consent conversation and the chaperone offer reach the note exactly as they happened.
Consent for intimate examination
What you explained, that the patient could stop at any time, and that consent was gained, recorded the moment you gain it, before any internal examination.
The chaperone offer, documented
That a chaperone was offered, and whether it was accepted or declined, captured every time, the single element these complaints most often turn on.
Outcome measures and goals captured
The validated measure you took, such as the ICIQ, and the goals you agreed, the elements audits show fall away most across an episode of care.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, assessment, consent, the chaperone offer, outcome measures and goals, 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, whether a chaperone was offered, 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 pelvic health physiotherapists work to, from the POGP and CSP guidance on intimate examination and chaperones to NICE guidance on urinary incontinence and pelvic organ prolapse, 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 pelvic health physiotherapists trust Note Dr with a record that stands up to scrutiny.
★★★★★
Consent is on every intimate exam
Documenting consent for an internal examination was the box I'd reconstruct from memory after a busy clinic. Now what I explained and that the patient agreed is in the note before I examine. That is exactly where my exposure was.
★★★★★
The chaperone offer, never missed
Whether I offered a chaperone, and what the patient decided, is recorded every single time now. It used to be the first thing to slip when I was running late, and it's the one thing a complaint always asks about.
★★★★★
Outcome measures, finally consistent
ICIQ at baseline and repeated at review, every patient, captured as I take it. My notes finally show the change I'm achieving rather than a vague 'improved'. Reviews take seconds and read properly.
★★★★★
My hands stay on the assessment
I'm not breaking off a sensitive examination to type. I explain, I gain consent, I assess, and the record writes itself in the background. The patient gets my full attention at a moment that really needs it.
★★★★★
Calmest service audit we've had
Consent, the chaperone offer and outcome measures on every record across the team. Our last CSP-standards audit was the smoothest we've run, the intimate-examination documentation we always worried about was simply there.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
Across a full pelvic health caseload, assessments, reviews and discharges, the consent for internal examination and the chaperone offer are on every record, alongside the outcome measures and goals that used to vanish when I was busy. My notes finally match the careful work I actually do.
Charlotte EPelvic health physiotherapist
As you explain the internal examination and the patient agrees, Note Dr records the consent in the note: what you explained, that the patient could stop at any time and that consent was gained before you proceeded. It is captured the moment you gain consent, so the record reflects the conversation. You review and approve.
Note Dr is designed to sit quietly alongside a sensitive appointment: transcription happens on your device, you tell the patient it is being used, and either of you can pause it at any point. It drafts the record, including that you gained consent and offered a chaperone, and you review and approve every note. Clinical judgement stays entirely with you.
Yes. As you offer a chaperone and the patient accepts or declines, Note Dr captures the offer and the patient's decision in the note, at the time you make it. The chaperone offer is the single element these complaints most often turn on, so it reaches every relevant record, ready for you to approve.
Yes. As you call out the modified Oxford scale grade, endurance, co-contraction and any prolapse staging such as POP-Q, Note Dr records your objective examination and your reasoning toward a working diagnosis. Your pelvic floor findings are captured contemporaneously, not reconstructed from memory after the clinic.
Yes. As you take a validated measure such as the ICIQ-UI Short Form, a bladder diary summary or POP-Q staging, Note Dr records it in your structured note, ready to repeat at review. An exact score is easy to lose once you write the record up between patients, and a review then has no baseline to measure progress against. You review and approve before saving.
Yes. Note Dr drafts antenatal and postnatal records the way pelvic health physiotherapists work, including an external-only assessment where that is the patient's preference, documented as such. As you cover pelvic floor muscle training, pelvic girdle pain advice, birth preparation or perineal care, it captures each element in a structured note, and you review and approve before saving.
Note Dr does not connect to your practice management system or patient record by design; it drafts the note and you paste or export the approved record into whichever system you use. That keeps the sensitive consultation on your device and puts you in control of exactly what reaches the record. Nothing is filed to the patient record without your review.