Notes drafted for you to sign
With the patient's consent, Althio drafts the note in SOAP, DAP, BIRP or your own template, tied to the care plan's goals and measures. You review, edit and sign.
Progress note · DAP
Data. Patient reports three nights of 4–5 hours' sleep and cancelling two social plans. Used grounding five times between sessions.
Assessment. Increased low mood (PHQ-9 14, from 11) with avoidance. Thursday episode reviewed; safety plan in place.
Plan. Sleep routine, behavioural activation. Check-ins continue; review in one week.
Care fills the hour. Notes fill the evening.
Notes written after every session eat into breaks and evenings, and notes written late lose detail. Clinicians should finish the day with the day's notes done.
Three steps, from setup to the session
The patient consents
Althio drafts a note only with the patient's agreement.
The note drafts during the session
In your template, linked to the week's brief and the care plan.
You review and sign
Edit what you need. Nothing is final without your signature.
What is included
Your template
SOAP, DAP, BIRP or your own format.
Ready when the session ends
The draft is waiting when the patient leaves.
Tied to the plan
The note draws on the brief and links to the care plan's goals and measures.
Edit, then sign
You change what you need before anything is final.
Alongside your EHR
Your record and billing stay in the system you use.
Consent first
No draft is made without the patient's agreement.
What it does and what it does not do
What it does
- Drafts the note in your template
- Links the note to the brief and care plan
- Waits for your edit and signature
What it does not do
- Sign or file a note for you
- Draft without the patient's consent
- Replace your clinical record
Protected like the rest of the record
Everything Althio holds is covered by HIPAA and by the business associate agreement Althio signs with every practice. Access is limited to the treating team, and every access is logged.
Is anything added to the record without me?
No. You review, edit and sign every note. Nothing reaches the record without you.
Related parts of the platform
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