AI scribes transcribe session notes while adhering to HIPAA compliance standards for protected health information. Maintaining client confidentiality remains your responsibility as the therapist, just as with traditional note-taking methods.

When you dictate structured notes covering assessment, interventions, and treatment progress, those elements are captured in a format suitable for insurance documentation. You retain control over editing the final notes before submission to ensure they meet specific insurance requirements.

Copy and paste your completed clinical notes from the AI scribe into your practice management system or EHR. This transfer method works with therapy-specific platforms including TherapyNotes, SimplePractice, and other common systems used in mental health practice.

AI scribes transcribe therapeutic terminology including CBT, psychodynamic, family systems, ACT, and other modality-specific language used in your sessions. The terminology appears in your notes exactly as you speak it during the session.

The presence of an AI scribe should be disclosed to clients as part of informed consent at the beginning of treatment. Many therapists find that after a brief adjustment period, the transcription process becomes unobtrusive to the therapeutic process.

Document group therapy by clearly identifying which client is speaking as you provide your observations and interventions. For confidentiality reasons, consider using client identifiers rather than full names when dictating notes about specific contributions from group members.