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AI clinical notes for therapists

Be fully in the session.Leave with the note written.

Tidemend turns a session recording, a quick dictation or a few typed bullets into a clear progress note in your format and your voice. When you’re ready, run the rest of the practice here too.

  • Recordings deleted by default
  • Two-step sign-in
  • 14 note formats

Talk it through for two minutes after the session, and the draft note is ready in under one.

A therapist in a calm office closing her laptop after a session
A therapist smiling during a video session at his desk

SOAP note drafted

Ready to review · 0:52

Compliance check passed

Invoice paid · $160

Less paperwork, whichever way you start.

Use Tidemend just for notes next to the system you already have, or bring your whole practice over when you're ready.
A clinician's hands on a laptop beside a handwritten notebookNotes only

Keep your EHR. Let Tidemend write the notes.

Record, dictate or type, review the draft, then copy it into the system you already use.

  • Works alongside any EHR
  • Your format, modality and voice
  • You review and sign every note
How AI notes work
Three clinicians from a group practice chatting over coffeeWhole practice

Run the practice from one calm place.

Calendar, client portal, forms, billing, claims, video and team roles, right next to the notes.

  • Solo or group practices
  • Clients book and pay online
  • Import your caseload from a CSV
See practice features

How it works

From the last minute of the session to a signed note.

Four steps, most of which happen while you're refilling your tea.
Illustration of a Tidemend SOAP progress note draft with a compliance score of 94, a recording indicator and a linked treatment-plan goal.
  1. Step 1: Capture

    Record in the room or in a built-in video session, upload audio, dictate a summary, or type a few bullets.
  2. Step 2: Transcribe

    Recordings become a transcript with speaker labels, so the draft knows who said what.
  3. Step 3: Draft

    A progress note appears in the format you chose, in your modality's language and your preferred voice and length.
  4. Step 4: Check, sign, copy

    Edit anything, run the pre-signature check, sign to lock, then copy into any EHR or download.

Session capture

Five ways in, whatever kind of day it's been.

Some sessions are right for recording. Some aren't. Tidemend drafts just as well from a two-minute dictation or a handful of shorthand bullets.
More on session capture

Record in the room

Start recording from your browser at the beginning of an in-person session. Nothing to install.

Telehealth video

Meet in Tidemend's built-in video room and record straight into the note, or capture audio from a call on another platform.

Upload a recording

Recorded somewhere else? Upload the audio file and Tidemend transcribes it with speaker labels.

Dictate a summary

Talk through the session for a minute or two afterwards. No session recording needed.

Type a few bullets

Shorthand like “panic x2, paced breathing, HW thought log” is enough to start a well-formed note.

Consent comes first

Recording is always optional and always with your client's agreement. Audio is deleted after the note by default.

Note formats

14 formats on day one, and room for your own.

Pick a format per client or per session. Or build a template from 37 ready-made sections, add smart sections with your own instructions, or generate one from an example note so drafts read like you wrote them.

Compare all note formats

Compliance & the golden thread

Every note keeps the thread from diagnosis to plan to session.

Reviewers look for the line that connects a diagnosis to a treatment-plan goal to the work done in each session. Tidemend links each note to the goals it addressed, then reads it over before you sign.
  1. DiagnosisF41.0 on the chart
  2. Plan goalFewer panic episodes
  3. Session noteAddresses goal 1
  4. CheckedThen signed

What the pre-signature check looks for

  • Required sections completed
  • Risk assessment documented
  • Specific interventions named
  • Client response and progress
  • Plan and next steps
  • Linked to treatment-plan goals
  • Diagnosis on file
  • Medical necessity supported
  • Session time matches CPT code

It points out gaps; it doesn’t guarantee an audit outcome. How the check works

Illustration of the pre-signature compliance check: eight checks pass and one suggests linking a treatment-plan goal.
Illustration of the AI assistant preparing a session brief from the client's chart and recent notes.

AI assistant

The paperwork around the notes, drafted from your own records.

The assistant works from the client's chart, treatment plan and recent notes, so letters and summaries start with the specifics already in place.
  • Session prep

    Where you left off, homework given and the goals in focus, before the client arrives.

  • Progress summary

    Change across a stretch of sessions, for supervision, reviews or your own reflection.

  • Discharge summary

    Course of treatment, goals met and recommendations, drafted from the chart.

  • Referral letter

    A concise letter with the relevant history and the reason for referral.

  • Medical-necessity letter

    Symptoms, functional impact and rationale for continued care, in plain clinical language.

  • Bullets to note

    Paste the fragments from a busy day and get a structured note back.

Meet the assistant

Session insights

Notice the shape of a session, not only its content.

Recorded sessions come with a few gentle reflections alongside the note.
  • Talk-time ratio. How the hour was shared between you and your client.
  • Mood map. How the emotional tone moved from start to finish. A reflection aid, not a clinical measure.
  • Recurring themes. What your client kept coming back to during the session.
  • Client recap. A warm, plain-language summary you can review, then copy or print for your client.

Explore session insights

Illustration of session insights: a talk-time ratio of 34% clinician to 66% client, a mood map rising toward the end of the session, and recurring themes.
Illustration of a plain-language client recap the clinician can review and share.

Practice management

Run your whole practice from the same quiet place.

The calendar, the client's paperwork and the bill all sit next to the note, so a session is booked, held, written up and paid for without switching apps.
All practice features

Insurance runs through a mock clearinghouse until a Stedi account is connected, and reminders wait in an in-app outbox until email and text sending are connected. Each feature page spells out what needs setting up.

Privacy & safeguards

Careful defaults for what's said in the room.

Keep only what's needed, record who touched what, and let clinicians take their records with them.
  • Audit log

    Every view, edit, signature, export and AI generation on clinical records is logged.

  • Recordings deleted by default

    Audio is removed once the note is generated, unless you choose to keep it.

  • Encryption in transit

    Production deployments are served over HTTPS between browser and server.

  • Access controls

    Hashed passwords, records scoped to their owner, and separate portal logins for clients.

  • Signed notes are locked

    Once you sign, the note can't be quietly changed.

  • Export any time

    Download your clients, sessions, notes and plans whenever you need them.

Illustration of the audit log listing views, drafts, signatures, a deleted recording and a data export.

Built with HIPAA requirements in mind

This is a demo build: please use sample data only. Using Tidemend with real client information requires a production hosting setup and a signed Business Associate Agreement. How Tidemend handles data

Time back

What would you do with your evenings?

Move the sliders to match your week. The arithmetic is simple; the difference it makes usually isn't.
22 sessions
16 min
5 min

Time you could get back each week

4.0hrs

About 186 hours over a 46-week working year.

An illustration using your own numbers, not a promise. Review time varies with the session, the format and how much you edit.

Questions

Good questions, plain answers.

Something else on your mind? The security page and pricing cover the rest.
Do I have to record my sessions?
No. Many clinicians prefer to dictate a short summary after the session or type a few bullet points, and Tidemend drafts from those. Recording is one option among several, and only ever with your client's consent.
How does telehealth work?
Tidemend has built-in, browser-based video. Clients join from a one-click link without an account, and with consent you can record the call straight into the note. If you prefer another video platform, Tidemend can capture that call’s audio from your browser instead. More on telehealth video.
Which note formats are included?
14 formats are built in, including SOAP, DAP, BIRP, GIRP, PIRP, SIRP, PIE, narrative, EMDR, psychiatric follow-up, intake, MSE, couples and family notes. You can also build your own templates. Browse every format.
Does Tidemend sign notes for me?
Never. Tidemend writes a draft. You review it, edit anything you like, run the compliance check and sign it yourself. You remain the author and are responsible for what you sign.
What happens to session recordings?
By default, the recording is deleted once the note has been generated. You can choose to keep recordings in your settings if your practice needs to.
Does it work with my EHR?
If you're a solo clinician, you may be able to run your practice in Tidemend itself, with scheduling, a client portal, billing and claims built in. If you keep another EHR, copy the finished note and paste it in, or download it as a document. There are no direct EHR integrations.
Is Tidemend HIPAA compliant?
Tidemend is built with HIPAA requirements in mind: an audit log, deletion of recordings by default, encryption in transit and data export. Compliance also depends on how it's hosted and on a signed Business Associate Agreement. This is a demo build, so please don’t enter real client data. Read more about security.
Can Tidemend handle scheduling and billing?
Yes. There’s a calendar with reminders, a client portal for booking, forms, messages and payments, invoices and superbills, and insurance claims. Claims go to payers through Stedi once a clearinghouse account is connected; until then a mock lets you try every step. See the practice features.

Close the laptop when the last session ends.

Start with typed or dictated notes for free. Bring recording, custom templates and treatment plans in when you're ready.

A therapist leaving her office in the evening light, smiling