Clinical Note Writing App

Offline note builder Optional AI enhancement Teaching-focused

Welcome

This app helps students and clinicians organize note content using structured prompts, quick-select tools, and a live note preview. It can generate notes in a rules-based offline format or produce an AI-enhanced version when connected.

Important: This app is for education, supervision, prototyping, and structured documentation support. It should be used as a note-writing aid rather than a standalone clinical decision tool.

Session Information

Client name / initials Date of service Session type Service setting Duration Diagnosis / focus (optional)

Structured Note Inputs

Use short bullet-point style entries. The app will organize them into a fuller note.

S — Subjective

Presenting concern / reason for session Client report / symptom updates Stressors / relevant context

O — Objective

Observed behavior / presentation Mental status / objective observations Interventions used in session

A — Assessment

Clinical impression Progress toward goals / response to treatment Risk / barriers / strengths

P — Plan

Next steps / next session focus Homework / between-session practice Referrals / coordination / follow-up

D — Data

Client report / important session content Observed behavior / mental status Interventions used / therapist actions

A — Assessment

Clinical impression / formulation Progress / barriers / strengths Risk assessment

P — Plan

Next session focus Referrals / coordination / homework Additional plan details

Quick Picks

Quick picks will populate the correct section automatically

Click items to add them into the correct structured note section.

General Session Picks

Risk / Safety

Interventions

Progress

Plan

Session MSE Checklist

Click items by category. They will populate the Mental Status area for SOAP or the Data / Behavior area for DAP.

Appearance

Behavior / Psychomotor

Speech

Mood / Affect

Thought Process / Content

Orientation / Cognition

Insight / Judgment

Common Clinical Phrase Bank

Click any phrase and it will auto-populate the matching section field

Use these note-ready phrases to help students practice language for each section. Toggle a phrase on to add it, or click it again to remove it.

SOAP Subjective

SOAP Objective

SOAP Assessment

SOAP Plan

DAP Data

DAP Assessment

DAP Plan

Generated Note

No note generated yet

Teaching Tips and Note Quality Guidance

No quality review has been run yet.

SOAP reminders

Subjective is what the client says. Objective is what you observe or do. Assessment is your clinical interpretation. Plan is what happens next.

DAP reminders

Data includes what happened in session. Assessment is your clinical synthesis. Plan is the next therapeutic direction.

Good note habits

Be specific, behaviorally grounded, concise, and careful not to overstate risk or diagnosis beyond the available data.