About NoteBirch
Therapists did not go into this field to write documentation at ten at night. The documentation is not optional, so the goal here is to make it fast.
The problem is not writing ability
Every therapist we heard from already knew what happened in the session. The problem was translation — turning a session into the specific structure a payer expects, every time, for every client, without a template that fits. One occupational therapist timed a four-minute session note at eleven minutes and twenty-three seconds and calculated that it adds up to ninety minutes to two hours a day.
What actually fixes it
Not a better blank page, and not a recording device. What fixes it is asking the eight questions an experienced clinician would ask — the ones that actually change the wording — and then having the note assemble itself. Most therapists who have been practicing for years carry that question list in their heads. This puts it into a form.
Why there is no recording
A large share of therapists we heard from will not record sessions, for reasons of client trust, ethics, and employer policy. Tools that require recording exclude them entirely. We took the other path: you already know what happened, so we ask, and you answer in about sixty seconds.
Built to be checked
Nothing you type leaves your browser. There is no server-side processing and no stored notes. If you want to verify that, it is a testable property of the tool rather than a claim in a policy document.