We need a free option that is friendly to allied health, too, not just doctor's notes.

Something that can be used by therapists seeing clients on a regular basis, as some of the SOAP note features are clearly made for doctors and are inadequate and inappropriate for therapists, i.e., frequently referring to the medical dx instead of the therapy modalities, a focus on diagnosis and prescribed treatment (doctor) rather than describing the treatment that we are doing together (allied health), and the note needs to be a format that will allow for continuity for weekly/fortnightly/etc. sessions. I've pasted the SP (speech pathology) note template that would likely work well for other allied health professions, too.

Context:

[document the setting of the therapy session, including the physical location, individuals present during the session, the client's general demeanour or state, any relevant updates or reports from previous sessions, and any questions or comments raised by the client or caregivers. Describe the patient's behaviour, focus, and attitude. Also, describe the overarching reason for the client receiving speech pathology services and the specific type of service being provided.] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)

Targets of Treatment:

[list the specific therapeutic goals that were the focus of the current session's activities. Additionally, include any goals that have been addressed in prior sessions but are still relevant to the client's ongoing progress.] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)

Activities:

[describe the specific activities or tasks performed during the therapy session and the rationale behind their selection. Detail the client's accuracy during these activities, the types of cues provided (e.g., verbal, visual, gestural), the level of prompting required (e.g., minimal, moderate, maximal), the therapeutic methods employed (e.g., PROMPT, AAC, modelling, shaping), the strategies utilized by the clinician or client, and the client's overall response to the activities.] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)

Summary:

[summarize the client's progress observed during the session, providing an interpretation of the implications of this progress for their overall therapy-related development.] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)

Plan:

[outline any homework assignments or practice activities given to the client or caregivers to complete before the next session. Identify potential new or continuing goals to be targeted in future sessions. Describe the planned activities for the upcoming therapy session and any administrative or clinical actions that need to be completed by the clinician.] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.)

(Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information included in your note. Use Australian English. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.) the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)