The sensory assessment, the goals you set with the family and their consent, Note Dr writes the full, watertight record, ready to approve.
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Note Dr listens to the session as it happens. While you observe the child at play, run your assessment, reason aloud and agree goals with the parent, it writes the record in the background, so your hands stay with the child and your attention stays in the room, not on the keyboard.
Parental responsibility and consent recorded
Who attended, that they hold parental responsibility and the consent they gave for hands-on assessment, captured as you work, not reconstructed later.
Occupational reasoning on record
The sensory and motor findings, the impact on the child's occupations and the reasoning behind your working picture, captured as you think it through aloud.
Client-centred goals and outcomes captured
The goals you agreed with the child and family and the validated measure you took, such as the COPM, the very elements OT audits show go missing most.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, the occupational profile, your reasoning, client-centred goals, consent and outcomes, where published standards and audits show conventional occupational therapy records routinely fall short.
Standards and audits referenced: the HCPC standards of proficiency and the RCOT professional standards and Keeping records guidance, with a documentation audit of 320 records (Gibson et al, British Journal of Occupational Therapy, 2004).
Ask what you assessed last time, the goals you agreed with the family, or what the parent consented to, answered in seconds from the child's own record.
Walk into the review already knowing the story, without trawling the notes.
When a child's presentation calls for it, Note Dr surfaces the published guidance paediatric occupational therapists work to, from the HCPC and RCOT record-keeping standards to COPM outcome guidance and NICE advice on autism and developmental coordination, with the source shown. It never tells you how to treat your patient; that judgement stays with you.
Want me to surface any guidance for this? You could ask:
Why paediatric occupational therapists trust Note Dr with a record that stands up to scrutiny.
★★★★★
My reasoning is finally on record
I always reasoned out loud through a sensory and motor assessment, but half of it never made the note. Now the Sensory Profile findings, the impact on the child's occupations and why I set the plan I did is right there. I edit and approve in under a minute.
★★★★★
Client-centred goals, never skipped
The child's views and the COPM goals were always first to slip when clinic ran late. Note Dr captures the goal the family and I agree and the baseline scores every time, so my notes finally show what the child set out to achieve.
★★★★★
The child gets my full attention
Observing a six-year-old at play and typing never worked. Now I assess, I reason aloud, I talk to the parent, and the record writes itself in the background. The child and the family get a clinician, not someone half-watching a screen.
★★★★★
School and EHCP reports, sorted
My functional picture, the strategies and the outcomes the school needs are drafted from the session itself. The EHCP advice reads consistently every time, and consent to share is recorded right there in the note.
★★★★★
Safeguarding-aware notes, by default
Factual, contemporaneous records across the whole team, with the child's views, consent and outcomes on every episode, and non-attendance logged. Our last HCPC and RCOT standards audit was the smoothest we've run, the notes already told the whole story.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
Across a full children's caseload, assessments, intervention and school reports, every record now reads to the same standard, with the occupational profile, the client-centred goals and the COPM scores that used to vanish when I was busy. My notes finally match the work I actually do.
Marek SPaediatric occupational therapist
Note Dr is an ambient AI scribe designed around paediatric occupational therapy, not a general medical tool. It drafts the occupational profile, sensory and fine-motor assessment, client-centred goals and school or EHCP advice from your session, structured to HCPC and RCOT record-keeping standards. Transcription runs on your device; you review and approve every note before saving.
Transcription happens on your device, not in the cloud, and Note Dr drafts the note for you to review and approve before anything is saved, so you stay in control of a child's record. It captures who attended, that they hold parental responsibility, and the consent or assent given, so the basis for consent is always clear. Any safeguarding judgement stays entirely with you.
As you call out the occupational profile, fine-motor and bilateral findings and sensory responses from tools like the Movement ABC and Sensory Profile, Note Dr records your assessment and the reasoning behind your working picture. It is captured contemporaneously and structured the way you write paediatric OT notes, ready for you to review and approve.
Note Dr captures who attended, that they hold parental responsibility and the consent they gave for hands-on assessment, as you work. The child's assent, and any Gillick-competence discussion for an older child, is documented too, so the basis for consent is always clear in the contemporaneous record. You review every note.
Yes. Note Dr can draft the functional picture, recommended strategies and outcomes a school or EHCP needs assessment relies on, in your service layout. Consent to share the report with the school and local authority is recorded in the note. You review and approve every report before it leaves you.
Yes. As you agree the child's and family's priorities and score a measure such as the COPM or Goal Attainment Scaling, Note Dr records the goals and baseline in your structured note, ready to repeat at review. After a lively child session, it is the family's own goal wording and their COPM ratings that fade first, while the motor and sensory findings stick. You review before saving.
Note Dr writes a clear, factual, contemporaneous account of what was seen, said and done, including the child's own words, non-attendance and any injury history, the kind of objective record safeguarding decisions rely on. You review every note, and any safeguarding judgement or referral stays entirely with you.