AI medical scribe for Australian clinicians — Consultation notes, plans and letters, drafted for you.
Focus on patient care, not paperwork
Audio deleted once processed · AI runs in Australia · you finalise every note
Sound familiar?
What gets in the way for medical practitioners.
Documentation Overload
Spending hours after clinic finishing notes and referral letters.
Referral Letters
Writing repetitive letters to specialists and allied health providers.
Complex Consultations
Capturing all details of complex presentations while engaging with the patient.
Medico-Legal Risks
Ensuring documentation is comprehensive and accurate for medico-legal protection.
How it works
From the session to a finished note, in four steps.
Rather see it first? Try the two-minute demo.
- 01 Choose how you’re working
In the room with your patient, by telehealth, dictating afterwards, or uploading a recording.
- 02 Record
No transcript scrolls on screen, so your attention stays where it should. The audio is deleted once it is processed. If it can’t upload, it stays on your device to retry.
- 03 Pick your note
Choose one of the templates for medical practitioners below, or your own. One recording can make several notes.
- 04 Check and finalise
Edit anything, then finalise it. If you use Halaxy, Cliniko or Nookal, push it to the file in a tap.
Templates
The template library, filtered for medical practitioners.
Pick one to see its sections, or browse every template. You can also build your own, with your headings and detail level.
Showing 12 of 69 templates for medical practitioners
- Clinical NotesSOAP NoteThe most widely used clinical note format across medicine and allied health. Captures the client's self-report (S), your observations and findings (O), your…
- Clinical NotesSession NoteGeneral-purpose session documentation suitable for a wide range of clinical and allied health encounters, including therapy sessions and treatment sessions.
- Clinical NotesInitial AssessmentComprehensive intake assessment covering presenting concerns, history, risk, and treatment goals.
- Clinical NotesConsultation NoteDocumentation for specialist consultations, second opinions, and inter-professional referrals.
- Clinical NotesPsychiatric Admission NoteComprehensive admission note for inpatient psychiatry, mental health units, and acute crisis services. Covers presenting illness, psychiatric and medical…
- Clinical NotesTelehealth ConsultationDocumentation format adapted for telehealth and phone consultations. Captures the technology used, identity verification, environment safety, consent for…
- Clinical NotesCrisis Intervention RecordDetailed record of an acute crisis contact — what triggered the presentation, the de-escalation approach used, risk assessed at the time, and the safety plan…
- Clinical NotesComp. Suicide Risk AssessmentDetailed suicide risk formulation covering ideation, intent, plan, and protective factors.
- Clinical NotesPalliative Care ConsultationHolistic care note for palliative patients addressing physical, emotional, and spiritual needs.
- Clinical NotesAOD Comprehensive AssessmentAlcohol and Other Drugs assessment covering substance use history, dependence, and impacts.
- Clinical NotesPain Management AssessmentBiopsychosocial pain assessment covering pain history, character and intensity, functional interference, mood and sleep impact, treatment history, and coping…
- Clinical NotesNeuroaffirming Session NoteSession documentation for neurodiversity-affirming therapy, capturing sensory state, energy levels, masking load, and progress framed as self-understanding and…
Show all 69 templates
- Clinical NotesChild Therapy Session Note (Comprehensive)Comprehensive child therapy note with detailed developmental, behavioural, and family observations for complex cases.
- Clinical NotesPsychiatric Medication ReviewStructured note for psychiatric medication reviews covering current medications, side effects, efficacy, and changes.
- Clinical NotesMental Status Examination (MSE)Standalone Mental Status Examination covering appearance, behaviour, speech, mood and affect, thought form and content, perception, cognition, and…
- MBS MedicareGP Chronic Condition Management Plan (965)GP Chronic Condition Management Plan (MBS item 965) for patients with chronic and complex conditions. Documents the diagnoses, agreed goals, patient and GP…
- MBS MedicareHealth Assessment 75+ (705)Annual Health Assessment for patients aged 75 and over (MBS item 705 — the 45-to-<60-minute duration tier of the GP long health assessment series, applicable…
- MBS MedicareGP MHTP Review (Items 23 / 36 / 44 — AN.0.56 timing)GP Mental Health Treatment Plan review under the time-tiered attendance items (23 Level B, 36 Level C, 44 Level D). The legacy dedicated review item 2712 was…
- MBS MedicarePsychiatry Initial Consultation (291/296)Initial psychiatric assessment for new outpatients. Use MBS item 296 for a comprehensive new-patient consultation or 291 for a GP-managed patient assessment…
- MBS MedicarePsychiatry Ongoing Consultation (300-308)Ongoing psychiatric review consultation, billed by duration across MBS items 300–308. Captures interval history, MSE, response to medication and/or…
- NDISAccess Request ReportSupporting evidence report for NDIS access requests, documenting disability and functional impact.
- Therapy ModalitiesCBT Session NoteCognitive Behavioural Therapy session note with thought records, behavioural experiments, and homework.
- Therapy ModalitiesDBT Session NoteDialectical Behaviour Therapy session note covering mindfulness, distress tolerance, emotion regulation, and interpersonal skills.
- Therapy ModalitiesCBT-I Session NoteCBT for Insomnia session note covering sleep hygiene, stimulus control, and sleep restriction.
- Therapy ModalitiesPsychodynamic PsychotherapyPsychodynamic session note exploring unconscious processes, transference, and defense mechanisms.
- Therapy ModalitiesMotivational InterviewingMotivational Interviewing note tracking change talk, sustain talk, and readiness for change.
- Therapy ModalitiesInterpersonal Therapy (IPT)Interpersonal Psychotherapy note focusing on grief, role disputes, role transitions, or interpersonal deficits.
- Therapy ModalitiesEating Disorder Session NoteStructured session note for eating disorder treatment covering food behaviours, body image, medical monitoring, and therapeutic interventions.
- Documents & LettersProfessional Letter / CorrespondenceUnified professional letter template for referrals, GP correspondence, school letters, employer letters, and provider emails. The AI adapts content and…
- Documents & LettersProgress / Insurance ReportFormal progress report for referrers, insurers, or funding bodies. Includes optional insurance-specific sections for clinical necessity, ICD codes, and claim…
- Documents & LettersDischarge SummaryDischarge summary closing out an episode of care. Captures presenting concerns, treatment delivered, outcomes and current functioning, risk status…
- Documents & LettersTreatment Plan SummaryFormal treatment plan document covering diagnoses, biopsychosocial formulation, treatment goals (with measurable indicators), proposed interventions, expected…
- Documents & LettersMedical / WorkCover CertificateCertificate of capacity for fitness for work, study, or WorkCover purposes. Includes optional workers compensation fields for claim number, mechanism of…
- Documents & LettersMedico-Legal ReportIndependent medico-legal report for court, tribunal, insurer, or workers-compensation purposes. Structured around the referrer's questions: history…
- Documents & LettersClinical Supervision RecordRecord of clinical supervision session documenting case review, skill development, and self-care.
- Documents & LettersPeer Supervision RecordRecord of peer consultation or group supervision sessions — capturing the cases discussed (de-identified), reflections and feedback received, learning points…
- Documents & LettersCritical Incident ReportFormal reporting of a serious incident, responding actions, and organisational notification.
- Documents & LettersLetter of Support for AccommodationsNeuroaffirming letter framing accommodations as environmental modifications, referencing the Disability Discrimination Act 1992.
- Documents & LettersNeuroaffirming School Support LetterStrengths-based letter for schools describing how a student learns best, classroom adjustments, and communication preferences organised by context.
- Documents & LettersGP Letter (Brief / First Session)Brief letter to referring GP following initial consultation, confirming attendance, presenting concerns, and initial plan.
- Documents & LettersDiagnosis Confirmation LetterFormal letter confirming a clinical diagnosis for GP, school, employer, or other agencies requiring documentation.
- Documents & LettersDisability Support Pension (DSP) Supporting LetterSupporting letter for Centrelink Disability Support Pension applications documenting diagnosis, functional impact, treatment history, and prognosis.
- MDT / HospitalMDT Meeting MinutesMulti-disciplinary team meeting minutes documenting case discussions, decisions, and action items.
- MDT / HospitalCase Conference NoteStructured case conference note for multi-provider meetings about an individual client. Captures attendees and roles, the case formulation discussed, agreed…
- MDT / HospitalWard Round NoteInpatient ward round entry capturing interval progress since the last review, current MSE/clinical status, observations and investigations, medication changes…
- MDT / HospitalConsultation-Liaison NoteConsultation-liaison note for psychiatry or psychology services in a general hospital. Documents the referring team's question, relevant medical context…
- MDT / HospitalDischarge Planning NoteMulti-disciplinary discharge planning documentation for inpatient-to-community transitions.
- MDT / HospitalCare Coordination NoteCare coordination contact log for activities outside direct client sessions — phone calls with other providers, advocacy, referrals, transitions, and…
- MDT / HospitalISBAR Clinical HandoverAustralian national standard clinical handover format (ACSQHC) for shift changes, unit transfers, and clinician escalation.
- MDT / HospitalFamily Meeting NoteDocumentation for family meetings involving consent for information sharing, shared decision-making, and family dynamics observations.
- MDT / HospitalCMHT Review NoteCommunity mental health team review using recovery-oriented framework, including legal status, structured risk assessment, and step-up/step-down decisions.
- MDT / HospitalRehabilitation Team Meeting NoteStructured rehabilitation MDT meeting documentation with functional outcome measures (FIM/Barthel), discipline-specific updates, and discharge planning.
- MDT / HospitalPerinatal MDT ReviewPerinatal mental health team review covering maternal mental health, mother-infant relationship, EPDS scores, and child safety considerations.
- MDT / HospitalPain Service MDT NotePersistent pain MDT documentation with biopsychosocial formulation, functional goals, and medication rationalisation.
- Assessment ReportsADHD Assessment SummaryStructured summary report for ADHD diagnostic assessments including rating scales and clinical interview.
- Assessment ReportsAutism Assessment SummaryStructured summary report for autism diagnostic assessments including ADOS/ADI observations.
- Assessment ReportsDevelopmental AssessmentDevelopmental assessment report covering key domains for early childhood and paediatric settings.
- Assessment ReportsCognitive AssessmentNeuropsychological or cognitive assessment report documenting intellectual and cognitive functioning.
- Assessment ReportsSafety PlanStanley-Brown style safety plan for clients at risk of suicide or acute crisis. Documents personal warning signs, internal coping strategies, social…
- Assessment ReportsCapacity AssessmentAssessment of decision-making capacity regarding finances, lifestyle, or medical treatment.
- Assessment ReportsForensic Risk AssessmentForensic psychological risk assessment for court, parole, or correctional referrers. Covers presenting offence, history (criminogenic and clinical), structured…
- Assessment ReportsNeuroaffirming Diagnostic Report (Autism/ADHD)Strengths-based neurodevelopmental assessment report using neuroaffirming language aligned with APS position statements and Autism CRC guidelines.
- Assessment ReportsLate-Identified Adult Autism ReportNeuroaffirming assessment report for late-identified autistic adults, addressing masking, compensation, burnout history, and post-diagnostic identity support.
- Assessment ReportsDevelopmental History Interview (Parent/Caregiver)Comprehensive developmental history interview guide for gathering information from parents or caregivers prior to child assessment.
- Assessment ReportsADHD Clinical Interview with Parent/CarerStructured parent/carer interview for ADHD assessment covering DSM-5 symptom domains, onset, pervasiveness, and functional impact.
- Assessment ReportsAutism Clinical Interview with Parent/CarerStructured parent/carer interview for autism assessment covering social communication, restricted/repetitive behaviours, sensory profile, and developmental…
- Assessment ReportsChild/Adolescent Intake Assessment (with Parent/Carer)General intake assessment for children and adolescents covering presenting concerns, developmental history, family context, and treatment planning — suitable…
- Assessment ReportsAdult ADHD Clinical InterviewStructured clinical interview for adult ADHD assessment covering childhood onset, current symptom presentation, functional impact, and differential…
- Assessment ReportsAutism Clinical Interview for Adult DiagnosisStructured clinical interview for adult autism assessment covering social communication, restricted/repetitive behaviours, sensory profile, masking, and…
Also included
More for medical practitioners.
Quick Dictation
Dictate a summary after each patient. AI generates a structured note instantly.
Ambient Recording
Record the consultation and let AI extract the clinical details automatically.
SOAP Notes
Standardised SOAP notes, drafted in seconds and ready for your clinical software.
Instant Referrals
Generate specialist and allied health referrals with one click.
Medical Certificates
Create medical certificates and work capacity documents quickly.
Privacy
Built for patient records.
- Audio deletedonce processed; if it can’t upload, it stays on your device to retry
- AI runs in Australiaand your records are stored here
- You choosehow long transcripts are kept, from 1 day to 1 year
- You decideevery note is a draft until you finalise it
Questions
What medical practitioners ask before they start.
Is it secure?
Yes. Patient health and personal information is stored in Australia, encrypted in transit and at rest, under the Australian Privacy Principles. Audio is deleted immediately once it's processed successfully. If a recording can't upload, it stays on your own device so you can retry. If it uploads but can't be processed, it's held securely in Australia for up to 48 hours so you can retry, then deleted.
Can I dictate complex cases?
Yes. It recognises medical terminology and handles complex histories and multiple comorbidities. Check each note before you finalise it.
Does it integrate with my software?
You can copy notes into your clinical software in one step.
Is it suitable for specialists?
Yes. Consultants and specialists use Grounded Scribe for letters and detailed summaries.
Related professions
Try it on your next session.
Start free, or try Pro for 14 days. No card needed.
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