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Clinical 7 sections

Psychiatric Admission Note

Comprehensive admission note for inpatient psychiatry, mental health units, and acute crisis services. Covers presenting illness, psychiatric and medical history, MSE, risk assessment, formulation, provisional diagnosis, and an initial management plan. Built for the structure ward teams and registrars expect on first contact.

Generate this note from a recording or dictationFree — 10 sessions per month, no credit card required.

Psychiatric Admission Note

  1. 1
    Presenting Problem
  2. 2
    Psychiatric History
  3. 3
    Medical History
  4. 4
    Mental State Examination
  5. 5
    Risk Assessment
  6. 6
    Formulation
  7. 7
    Management Plan
  • Template structure

    The Psychiatric Admission Note template captures these sections automatically from your recording.

    1. Presenting Problem
    2. Psychiatric History
    3. Medical History
    4. Mental State Examination
    5. Risk Assessment
    6. Formulation
    7. Management Plan

    Comparing this format to others? See SOAP, DAP, BIRP, and PROC compared.

  • Built for

    • Psychiatrist
    • Mental Health Nurse
    • Psychologist
    • Clinical Psychologist
    • Registered Nurse
    • Clinical Nurse Specialist
    • Social Worker
    • Nurse Practitioner

How it works

  1. 01 Record or dictate the session

    In-person, telehealth, or hybrid. Audio is deleted immediately once it's processed. If it can't upload, it stays on your own device so you can retry; if it uploads but can't be processed, it's held in Australia for up to 48 hours, then deleted.

  2. 02 Pick the Psychiatric Admission Note template

    Or make it your default template so future recordings use it automatically.

  3. 03 Review and finalise

    Your note is generated in the structure above. Edit anything you want — your practice, your voice — then save to the client record.

No credit card required

Try the Psychiatric Admission Note template free

The free plan includes 10 sessions a month. See the pricing page for current plans.