Clinical Documentation

SOAP notes with supervisor co-signing, treatment plans with measurable goals, and intake forms clients complete before they arrive.

Notes structured for myofunctional work

SOAP notes tied to the appointment, with a supervisor co-signing workflow for practices that train clinicians or operate under supervision requirements. Notes live in the client chart next to the plan, the photos, and the outcomes they describe.

Treatment plans with goals you can measure

Build treatment plans with explicit goals and record outcome measurements over time, so progress is documented rather than remembered. When a client graduates, the record shows the arc — which is exactly what a referring provider wants to see.

Progress photos on the chart, not on a phone

A real photo library rather than an attachment list — nested folders, drag and drop, a details panel — and you can capture during a telehealth visit straight onto that client’s chart. The step that normally gets skipped, getting the image off the device and into the record, stops existing. A before and after a client can actually see is one of the most persuasive things in this work.

Intake handled before the first appointment

Send intake forms from the platform and clients complete them from their own device, with branching logic so they only answer what applies to them and autosave so nothing is lost partway. The first session starts with information instead of paperwork.

What you get
SOAP notes with supervisor co-signing
Treatment plans with goals and outcome measurements
Intake forms with branching logic and autosave
Baseline, progress, and discharge photos in the chart
A course of care billed as a package, counting only therapy visits
A warning when a plan’s remaining sessions run low
Progress photos in nested folders, captured from a telehealth session
Printable progress summaries for referral providers
Full documentation history in one client record

See it with your own caseload in mind

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