AI SOAP Notes for Telehealth Sessions

Document your virtual therapy visits in seconds - without recording the session. SOAP Note Buddy generates professional clinical notes from your evaluation data, perfect for PT, OT, SLP, mental health, and nursing telehealth visits.

Try Free for 3 Days
  • No recording required
  • HIPAA compliant
  • $49/month
HIPAA Compliant
No Recording Needed
Works With Any EHR
Cancel Anytime

Why Recording-Free Telehealth Documentation Matters

Most AI scribes require you to record patient conversations. This creates problems for telehealth: technical issues with audio capture, patient consent concerns, and awkward "I'm recording this" disclaimers. SOAP Note Buddy takes a different approach - we generate notes from your clinical input, not from recordings.

Recording-Based AI Scribes

  • Require patient consent for audio recording
  • Technical issues with video call audio capture
  • Background noise affects transcription quality
  • Privacy concerns with storing session recordings
  • Awkward "I'm recording this" conversations

SOAP Note Buddy

  • No recording of any kind - ever
  • Works seamlessly with any video platform
  • No audio quality concerns
  • PHI auto-scrubbed before processing
  • Natural telehealth sessions, no disclaimers
Perfect for Multi-Platform Telehealth

Zoom, Doxy.me, Microsoft Teams, Google Meet, your EHR's built-in video - SOAP Note Buddy works with any platform because we don't need to capture audio. Document the same way regardless of which video tool you use.

How Telehealth Documentation Works

1

Set Up Your Patient

Before your telehealth session, add the patient's evaluation summary - diagnosis, goals, relevant history. This is stored locally on your device, never on our servers.

2

Conduct Your Virtual Visit

Focus on your patient during the telehealth session. Take brief notes if needed. No need to worry about recording or transcription - just provide care naturally.

3

Add Today's Session Notes

After the session, add a quick summary of what you observed and addressed. Key findings, patient response, any changes to status.

4

Generate Complete Documentation

Open your EHR and click generate. SOAP Note Buddy creates comprehensive, personalized notes based on your patient data and session summary, filling every field automatically.

Features for Telehealth Clinicians

Works With Any Video Platform

Zoom, Doxy.me, Teams, Google Meet, or your EHR's built-in video. Because we don't record, your documentation workflow is the same regardless of platform.

All Disciplines Supported

Physical therapy, occupational therapy, speech therapy, mental health, nursing - SOAP Note Buddy adapts to your specialty's documentation requirements.

HIPAA Compliant

PHI is automatically removed before AI processing. Patient names, DOBs, and identifiers never leave your device. We offer a BAA for compliance.

Document Faster

Complete telehealth documentation in 2-3 minutes instead of 15-20. More time for patients, less time typing between sessions.

Telehealth-Specific Language

Notes automatically include appropriate telehealth modifiers - "via synchronous video," patient environment observations, and virtual visit appropriate assessments.

Track Progress Across Sessions

Each note builds on the previous visit. The AI understands your patient's journey and documents progress appropriately for ongoing telehealth care.

Telehealth SOAP Note Examples

Physical Therapy - Virtual Follow-Up

Scenario: 45-year-old patient 6 weeks post-ACL reconstruction. Telehealth follow-up for home exercise program progression and range of motion assessment.

S - Subjective

Patient reports good compliance with home exercise program since last telehealth visit. States knee feels "stronger" and swelling has decreased. Rates pain 2/10 with exercises, down from 4/10 last session. Denies any locking, giving way, or new symptoms. Patient was observed via synchronous video from home, positioned in well-lit living room with adequate space for movement demonstration.

O - Objective

Via Video Assessment: Patient demonstrated active knee flexion to approximately 115 degrees (improved from 100 degrees last session) and full extension. Gait observed with appropriate heel-toe pattern, no visible limp. Patient performed mini-squats x10 with good form and no visible compensation. Single leg balance held 20 seconds without support.
Home Exercise Performance: Demonstrated quad sets, SLR, and heel slides with correct technique. Resistance band exercises for hip strengthening performed with green band as prescribed.

A - Assessment

Patient demonstrating continued progress with post-ACL reconstruction rehabilitation via telehealth. ROM improving, pain decreasing, and functional movements showing good quality. Patient appropriate for telehealth delivery of care - able to demonstrate exercises clearly and follow verbal/visual cues effectively. Progressing toward goal of full ROM and return to sport activities.

P - Plan

Progress HEP to include step-ups and lateral band walks. Increase resistance band to blue for hip exercises. Continue telehealth follow-up in 1 week. Will transition to in-person visit for manual assessment and agility progression at next appointment. Patient educated on proper progression and signs/symptoms requiring immediate contact. Patient verbalized understanding.

Mental Health - Teletherapy Session

Scenario: Individual therapy session via video for anxiety and depression management. 4th session in treatment series.

S - Subjective

Patient reports improvement in anxiety symptoms since implementing grounding techniques discussed last session. States "I used the 5-4-3-2-1 technique twice this week and it really helped." Reports sleep improved from 4-5 hours to 6-7 hours per night. Denies suicidal or homicidal ideation. Patient appeared engaged via synchronous video session from private room in home.

O - Objective

Mental Status via Video: Patient well-groomed, appropriate dress. Affect brighter than previous session. Speech normal rate and rhythm. Thought process linear and goal-directed. Eye contact appropriate for video format. No psychomotor agitation or retardation observed.
Assessments: PHQ-9 score 12 (moderate depression, decreased from 16 at intake). GAD-7 score 10 (moderate anxiety, decreased from 14 at intake).

A - Assessment

Patient demonstrating measurable improvement in both depression and anxiety symptoms. Responding well to CBT techniques delivered via telehealth. Coping skills being implemented effectively between sessions. Therapeutic rapport maintained via video format. Patient appropriate for continued telehealth delivery of services.

P - Plan

Continue weekly individual therapy via telehealth. Introduce cognitive restructuring techniques for negative thought patterns. Assign thought record homework for next session. Continue current coping strategies. Will reassess PHQ-9 and GAD-7 at next session. Crisis resources reviewed and patient has crisis line number accessible.

These examples were generated by SOAP Note Buddy in under 10 seconds each.

Works for All Telehealth Disciplines

Whether you're a physical therapist doing virtual follow-ups, a mental health counselor providing teletherapy, or a speech therapist conducting remote sessions, SOAP Note Buddy adapts to your documentation needs.

Physical Therapy

Virtual exercise instruction, home program follow-ups, movement assessments via video, telehealth-appropriate functional testing.

Occupational Therapy

Home environment assessments, virtual ADL training, caregiver education, ergonomic consultations via telehealth.

Speech Therapy

Language therapy sessions, voice therapy, cognitive-communication treatment, telepractice for articulation and fluency.

Mental Health

Individual therapy, couples counseling, psychiatric follow-ups, group therapy documentation for teletherapy sessions.

Simple, Affordable Pricing

No contracts. No setup fees. Cancel anytime.

Monthly Price $49/month
Free Trial 3 days
EHR Support Any web-based
Credit Card Required Yes, for trial
Compare to Recording-Based AI Scribes

Most ambient AI scribes that require recording cost $99-$299/month. SOAP Note Buddy is $49/month, works without any recording, and doesn't depend on audio quality. Save money while avoiding the technical hassles of telehealth audio capture.

Ready for Easier Telehealth Documentation?

Join clinicians who document virtual visits in minutes, not hours. No recording required.

Start Your Free Trial

Telehealth Documentation FAQ

Does SOAP Note Buddy record my telehealth sessions?

Recording is optional. SOAP Note Buddy offers two approaches: (1) Text-based workflow where you provide clinical context and the AI generates notes without any recording, or (2) Voice recording via our iOS/Android apps if you prefer to capture session details verbally. Unlike competitors that ONLY work with recordings, we give you flexibility - great for telehealth where you may not want to deal with recording consent or audio quality issues.

How is this different from ambient AI scribes?

Ambient AI scribes record your conversation and transcribe it. This creates problems for telehealth: audio capture issues, patient consent requirements, and dependency on audio quality. SOAP Note Buddy generates notes from your clinical data, so it works perfectly for telehealth without any of these complications.

Does it work with Zoom, Doxy.me, and other video platforms?

Yes! Because we don't need to capture audio, SOAP Note Buddy works with any video platform - Zoom, Doxy.me, Microsoft Teams, Google Meet, your EHR's built-in video, or any other telehealth solution you use.

Will the notes include telehealth-specific documentation?

Yes. SOAP Note Buddy understands telehealth context and includes appropriate language like "via synchronous video," virtual assessment descriptions, and telehealth-appropriate objective findings.

Is it HIPAA compliant for telehealth?

Yes. PHI is automatically scrubbed before any AI processing. Patient names, DOBs, and other identifiers are removed locally on your device. We're HIPAA compliant and offer a Business Associate Agreement (BAA).

Can I use it for both telehealth and in-person visits?

Absolutely! SOAP Note Buddy works the same way for both. The documentation workflow is identical whether you're seeing patients via video or in person.

What if my internet connection is unstable during telehealth?

Since SOAP Note Buddy doesn't record your session, internet stability during the visit doesn't affect your documentation. As long as you can access your EHR afterward, you can generate your notes normally.

Is there a free trial?

Yes! 3-day free trial. A credit card is required but you won't be charged if you cancel within 3 days. No pressure, no sales calls.