- S — Subjective
- Parent reports increased frustration during handwriting practice at home and asked about school-based OT.
- O — Objective
- Client completed 10 minutes of resistive putty activity followed by a tracing task. Required 2 verbal cues and 1 physical prompt to maintain engagement. Immature tripod grasp with 3 hand switches.
- A — Assessment
- Consistent with delayed fine motor grasp development for age. Sensory preparation appears to support sustained attention to tabletop tasks.
- P — Plan
- Continue tripod grasp facilitation with sensory preparation preceding tabletop tasks. Provide parent education for home carryover. Reassess in 3 sessions.
Finish the note. Then go home.
A complete, insurance-ready session record in under three minutes — written from a sixty-second checklist, never from a recording.
No card · No recording · Nothing you type leaves this browser
Everything you write after the session
Pick the document you owe. Each one asks only the questions that change what comes out.
SOAP Note
Write a complete SOAP note for OT, PT, SLP or ABA in under three minutes.
Progress Note
Write a progress note that shows measurable change against the plan of care.
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..
DAP Note
Write a DAP note in minutes.
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..
Family-Friendly Recap
Turn a clinical session into a short, plain-language recap for parents and caregivers.
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 record 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.
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.
PHYSICALPhysical Therapists
PT documentation is judged on measurable change and explicit skilled need. Both are handled by how the form asks its questions.
SPEECH-LANGUAGESpeech-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.
BEHAVIORBehavior 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, no account. Five complete notes a month.
Draft a note free