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How do I create a blank note?

Updated over a week ago

If you prefer not to use AI-generated notes or if AI notes are unavailable for a session, you can create and write a note manually using a blank note. This gives you full control over the note’s content while still allowing you to sign, save, and store it securely in the patient’s chart.

When should I use a blank note?

You may want to write a blank note when:

  • You choose not to use AI-assisted documentation

  • Transcription consent was not provided for a session

  • You need to write a non-billable or chart-only note

  • You want to document information outside of a standard session (e.g., care coordination, follow-ups, administrative notes)

How do I create a blank note?

  1. Navigate to the Notes section from the left sidebar

  2. Select the relevant patient

  3. Click Create Note

  4. Choose the option to start with a blank note

  5. A manual editor will open where you can begin writing your note

Writing your note

  • You can freely type and structure your note in the editor

  • If you have note preferences set (such as SOAP or BIRP format), you can follow those templates manually

  • You may include clinical observations, interventions, assessments, and plans as needed

Blank notes are fully editable and are not restricted by AI formatting or content rules.

Saving a note as a draft

  • At any point while writing, you can click Save as Draft

  • Draft notes are not finalized and can be edited later

  • Drafts remain private and are not considered signed clinical documentation

How do I sign a manually written note?

Once your note is complete:

  1. Click the Add Sign button

  2. Choose how you want to sign:

    • Type your name

    • Draw a digital signature

  3. Confirm the checkbox stating that:

    The note accurately reflects the session and clinical service provided

  4. Click Save

After signing, the note is considered finalized and signed.

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