NoteBirch Start free

Get your evenings back.

Complete, insurance-ready session notes in under three minutes — built for OTs, PTs, SLPs, and BCBAs who bill insurance.

Draft a note free See all tools
No card. No recording. Nothing you type is kept.
Before — 10:40pm
3yo F, FM + handwriting goals
putty 10m then tracing
distracted halfway, 2 verbal cues + 1 physical
grip still immature, switched hands 3x
sensory prep helped attention a lot actually
mom asked abt school OT, said I'd follow up
grip goal: tripod, currently quadrupod?
reassess 3 sessions
next: progressive resistance, keep sensory first
(parent wants home ideas, gave 2, she wrote them down)
tolerance good, no distress, enjoyed putty
After — 3 min
S — SubjectiveClient presented with reported difficulty sustaining grasp during tabletop tasks at home. Parent reports increased frustration during handwriting practice and requests strategies for carryover. O — ObjectiveClient completed 10 minutes of resistive putty activity followed by a tracing task. Required 2 verbal cues and 1 physical prompt to maintain engagement. Demonstrated immature tripod grasp with 3 hand switches during the tracing task. A — AssessmentPerformance consistent with delayed fine motor grasp development for age. Sensory preparation appears to support sustained attention to tabletop tasks. Client remains appropriate for skilled occupational therapy. P — PlanContinue tripod grasp facilitation with sensory preparation preceding tabletop tasks. Provide parent education for home carryover. Reassess grasp pattern in 3 sessions.
Nothing leaves your browser · No recording · Insurance, Medicare, Medicaid and school formats · OT · PT · SLP · BCBA How compliance works
Tool library

Everything you write after the session

Pick the document you owe. Each one asks only the questions that change the output.

SOAP Note

Write a complete SOAP note for OT, PT, SLP or ABA in under three minutes.

OTPTSLP

Progress Note

Write a progress note that shows measurable change against the plan of care.

OTPTSLP

Treatment Plan

Build a treatment plan with measurable long-term and short-term goals, intervention selection, measurement method, and a plan-of-care timeline a payer can authorize..

OTPTSLP

Medical Necessity Letter

Write the letter payers ask for when they push back on coverage: skilled need, functional limitation, expected progress, and the authorization you are requesting..

OTPTSLP

DAP Note

Write a DAP note in minutes.

BCBASLPOT

Family-Friendly Recap

Turn a clinical session into a short, plain-language recap for parents and caregivers.

OTPTSLP

All 14 tools →

Why not a recording tool

You already know what happened in the session

A large share of therapists will not record sessions — because of client trust, ethics, or because their employer prohibits it. Tools that require recording exclude those clinicians entirely, and they add a business associate relationship you did not ask for.

NoteBirch takes the other path. You answer about eight questions in roughly sixty seconds, and the note assembles itself in your browser. There is no audio, no upload, and no server that ever sees your session.

The trade-off is honest: this is not a tool that listens for you. It is a tool that knows which questions to ask, because those questions come from how documentation actually gets reviewed.

By profession

Built per discipline, not generic

Occupational Therapists

OT notes live or die on the assistance level. This is built around that, plus the intervention vocabulary your payer recognizes.

Physical Therapists

PT documentation is judged on measurable change and explicit skilled need. Both are handled by how the form asks its questions.

Speech-Language Pathologists

SLP notes span more settings than almost any other discipline — clinic, school, home health, and skilled nursing all have different requirements. The form adapts to the setting you pick.

Behavior Analysts

ABA documentation is audited more closely than almost any other therapy service. Every note here is built around the variables those audits check.

Write your next note in three minutes.

Free to try, no card. Five complete notes a month on the free plan.

Draft a note free