CLINICAL DOCUMENTATION

Good afternoon, Jessica.

TODAY'S FOCUS

Make the note clear.
Keep the evidence visible.

Create documentation from clinician-entered facts, then review it before finalizing.

✦Evidence
first
Drafts0stored on this device
Finalized0clinician locked
Review statusLocalclinician review required

Recent notes

No saved notes yet. Your drafts will appear here.

Documentation guardrails

  • Use only documented session information.
  • Review every statement before finalizing.
  • Keep client reports distinct from observations.
  • Never let a template imply unperformed care.

NOTE STUDIO

Compose with a visible evidence trail.

Not saved
Template
Phrase Vault

Dictation uses your browser’s speech-recognition capability when available. Audio is not recorded by this app.

Editable clinical draft

Generated only from your entered text and selections.

Evidence review

Clinician review required
  • Enter session evidence to begin a review.

CLIENT DIRECTORY

Local, fictional client records.

SESSIONS

Keep note context connected.

TREATMENT PLANS

Track clinician-entered goals and next reviews.

TEMPLATES

Start from a structure, never assumed facts.

PREFERRED EXPORT FORMAT

Use your own Word or Google Docs layout.

Upload a .docx file exported from Word or Google Docs. Put {{NOTE}} where this app should place the finished note.

No export format selected.

DOCUMENTS

Drafts and finalized notes.

PHRASE VAULT

Quick phrases require contextual review.

CLINICAL REVIEW

Transparent, rules-based documentation checks.

What this build can review

  • Missing note sections and empty evidence.
  • Risk, diagnosis, and mental-status shorthand requiring confirmation.
  • Progress language that needs session support.
  • Finalization status and local version history.

Drafting status

Draft assembly runs locally from entered notes. Review every statement before finalizing.

SETTINGS

Workspace preferences.

DAP EXPORT DETAILS

Practice and electronic signature

No custom logo uploaded. The Thrivewell wordmark will be used.

Local workspace folder

No local workspace folder selected.

Your selected folder becomes the local workspace location for this app. It stores workspace data plus a separate folder for each client. Browser folder permission can be changed or revoked at any time.

Add a fictional client

Use a pseudonym in development.