Scope is 100% free for US + CA healthcare professionals.

Stay present with your patients

Document complex psychiatric evaluations while maintaining therapeutic rapport.

HIPAA compliantSOC 2 compliant
AnneLisaDavid
1k+

from 1k+ happy clinicians

See Scope in action

Experience how Scope streamlines clinical documentation

DRDaniel Reyes
SOAP Note
Scope is listening...

Your note will appear here when the visit ends

Transcript
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Patient13:42

So we're keeping the sertraline at the same dose for now?

Clinician13:48

Yes, fifty milligrams daily, and it's clearly working, so we won't change anything.

Patient13:57

And the trouble falling asleep, will that get better too?

Clinician14:04

It often does. We'll work on sleep habits and check in again soon.

Recording · 14:30

Built for Psychiatry

Scope helps psychiatrists maintain therapeutic presence during sessions while capturing comprehensive mental status exams, treatment plans, and progress notes that meet documentation requirements.

Mental status exam documentation

Automatically capture appearance, behavior, mood, affect, thought process, and cognition from your clinical conversation.

Safety assessment & risk documentation

Comprehensive suicide/homicide risk assessments with detailed safety planning and crisis resource documentation.

Medication management notes

Track medication trials, side effects, efficacy, and adjustments with automated documentation of rationale and monitoring.

Therapy progress notes

Document psychotherapy sessions with interventions used, patient progress, and treatment plan updates, all automated.

Templates built for Psychiatry

Browse all templates
Templateprogress note
Chief Concern
Interval History
Objective
Mental Status Examination
Featured template44,658 uses

Psychiatry Medication Management Follow-Up Note

A concise medication management follow-up template for established psychiatric patients. Covers interval symptom review, targeted MSE, medication effectiveness and tolerability, explicit risk assessment, and an actionable treatment plan with monitoring requirements.

Psychiatry
Templateclinical note
Subjective
Objective
Assessment & Plan
Featured template17,676 uses

SOAP Note (Therapy)

SOAP format adapted for mental health therapy sessions

Psychiatry
Templateprogress note
Reason / Participants
Summary and Actions
Plan / Next Steps
Featured template6,099 uses

Care Coordination/Case Management Note

A streamlined template for care coordinators, social workers, and care navigators to document coordination activities including outreach, referral tracking, and resource linkage. Emphasizes closed-loop follow-through with clear accountability for next steps.

Psychiatry
Templateclinical note
Data
Assessment
Plan
Featured template5,815 uses

DAP Note (Therapy)

Data, Assessment, Plan format for therapy sessions

Psychiatry
Templatediagnostic evaluation note
Chief Concern
History of Present Illness
Past Psychiatric History
Substance Use History
Featured template4,440 uses

Adult Psychiatric Diagnostic Evaluation

A comprehensive initial psychiatric evaluation template for adults aligned with CPT 90792, integrating biopsychosocial assessment with medical services documentation. Emphasizes structured suicide risk assessment per Joint Commission requirements and problem-oriented treatment planning.

Psychiatry
Templateclinical note
Behavior
Intervention
Response
Plan
Featured template3,032 uses

BIRP Note (Therapy)

Behavior, Intervention, Response, Plan format for therapy

Psychiatry
Templateadmission note
Inpatient Psychiatry Admission Note
Chief Complaint
Reason for Admission
History of Present Illness
Featured template1,141 uses

Inpatient Psychiatry Admission Note

Comprehensive inpatient psychiatry admission note aligned with Joint Commission and CMS requirements. Emphasizes explicit risk-level documentation with mitigation plan, medication reconciliation status, legal status, and problem-based treatment planning with required patient strengths documentation.

Psychiatry
Templateprogress note
E/M / Medical Component
Psychotherapy Component
Time / Coding Support
Featured template1,056 uses

E/M/Psychotherapy Combined Visit Note

A psychiatric visit note template for combined E/M and psychotherapy services, structured to clearly separate medical evaluation from therapy documentation. Supports compliant billing of psychotherapy add-on codes with explicit time documentation and MDM-based E/M coding.

Psychiatry
Templateprogress note
Header
Subjective
Objective
Mental Status Exam
Featured template954 uses

Inpatient Psychiatry Daily Progress Note

A concise daily progress note template for inpatient psychiatry that covers interval history, mental status exam, structured risk assessment, and problem-oriented planning. Designed to meet Joint Commission safety documentation requirements and support efficient daily rounding.

Psychiatry
Templatediagnostic evaluation note
Participants and Information Sources
Consent and Legal Status
Reason for Referral and Chief Complaint
History of Present Illness
Featured template781 uses

Child & Adolescent Psychiatric Diagnostic Evaluation Note

Comprehensive initial psychiatric evaluation template for children and adolescents, structured around multi-informant assessment with dedicated sections for developmental history, school functioning, family systems, and structured safety assessment per AACAP guidance.

Psychiatry
Templateprogress note
Chief Complaint / History
Mental Status Examination
Risk Assessment
Assessment
Featured template674 uses

Telepsychiatry Visit Note (Audio/Video)

A streamlined telepsychiatry template for audio-video or audio-only encounters, capturing telehealth-specific safety elements (patient location, emergency contact, disconnection plan) alongside core psychiatric documentation including structured Mental Status Exam and Risk Assessment.

Psychiatry
Templatedischarge summary
Reason for Hospitalization
Diagnoses at Discharge
Clinical Formulation
Hospital Course
Featured template269 uses

Inpatient Behavioral Health Discharge Summary

A comprehensive discharge summary template for inpatient psychiatric admissions, aligned with CMS and Joint Commission requirements. Emphasizes structured risk assessment, safety planning documentation, medication reconciliation with rationale, and concrete aftercare with crisis pathways.

Psychiatry
Templateprogress note
Chief Concern
Interval History
Objective
Mental Status Examination
Featured template44,658 uses

Psychiatry Medication Management Follow-Up Note

A concise medication management follow-up template for established psychiatric patients. Covers interval symptom review, targeted MSE, medication effectiveness and tolerability, explicit risk assessment, and an actionable treatment plan with monitoring requirements.

Psychiatry
Templateclinical note
Subjective
Objective
Assessment & Plan
Featured template17,676 uses

SOAP Note (Therapy)

SOAP format adapted for mental health therapy sessions

Psychiatry
Templateprogress note
Reason / Participants
Summary and Actions
Plan / Next Steps
Featured template6,099 uses

Care Coordination/Case Management Note

A streamlined template for care coordinators, social workers, and care navigators to document coordination activities including outreach, referral tracking, and resource linkage. Emphasizes closed-loop follow-through with clear accountability for next steps.

Psychiatry
Templateclinical note
Data
Assessment
Plan
Featured template5,815 uses

DAP Note (Therapy)

Data, Assessment, Plan format for therapy sessions

Psychiatry
Templatediagnostic evaluation note
Chief Concern
History of Present Illness
Past Psychiatric History
Substance Use History
Featured template4,440 uses

Adult Psychiatric Diagnostic Evaluation

A comprehensive initial psychiatric evaluation template for adults aligned with CPT 90792, integrating biopsychosocial assessment with medical services documentation. Emphasizes structured suicide risk assessment per Joint Commission requirements and problem-oriented treatment planning.

Psychiatry
Templateclinical note
Behavior
Intervention
Response
Plan
Featured template3,032 uses

BIRP Note (Therapy)

Behavior, Intervention, Response, Plan format for therapy

Psychiatry
Templateadmission note
Inpatient Psychiatry Admission Note
Chief Complaint
Reason for Admission
History of Present Illness
Featured template1,141 uses

Inpatient Psychiatry Admission Note

Comprehensive inpatient psychiatry admission note aligned with Joint Commission and CMS requirements. Emphasizes explicit risk-level documentation with mitigation plan, medication reconciliation status, legal status, and problem-based treatment planning with required patient strengths documentation.

Psychiatry
Templateprogress note
E/M / Medical Component
Psychotherapy Component
Time / Coding Support
Featured template1,056 uses

E/M/Psychotherapy Combined Visit Note

A psychiatric visit note template for combined E/M and psychotherapy services, structured to clearly separate medical evaluation from therapy documentation. Supports compliant billing of psychotherapy add-on codes with explicit time documentation and MDM-based E/M coding.

Psychiatry
Templateprogress note
Header
Subjective
Objective
Mental Status Exam
Featured template954 uses

Inpatient Psychiatry Daily Progress Note

A concise daily progress note template for inpatient psychiatry that covers interval history, mental status exam, structured risk assessment, and problem-oriented planning. Designed to meet Joint Commission safety documentation requirements and support efficient daily rounding.

Psychiatry
Templatediagnostic evaluation note
Participants and Information Sources
Consent and Legal Status
Reason for Referral and Chief Complaint
History of Present Illness
Featured template781 uses

Child & Adolescent Psychiatric Diagnostic Evaluation Note

Comprehensive initial psychiatric evaluation template for children and adolescents, structured around multi-informant assessment with dedicated sections for developmental history, school functioning, family systems, and structured safety assessment per AACAP guidance.

Psychiatry
Templateprogress note
Chief Complaint / History
Mental Status Examination
Risk Assessment
Assessment
Featured template674 uses

Telepsychiatry Visit Note (Audio/Video)

A streamlined telepsychiatry template for audio-video or audio-only encounters, capturing telehealth-specific safety elements (patient location, emergency contact, disconnection plan) alongside core psychiatric documentation including structured Mental Status Exam and Risk Assessment.

Psychiatry
Templatedischarge summary
Reason for Hospitalization
Diagnoses at Discharge
Clinical Formulation
Hospital Course
Featured template269 uses

Inpatient Behavioral Health Discharge Summary

A comprehensive discharge summary template for inpatient psychiatric admissions, aligned with CMS and Joint Commission requirements. Emphasizes structured risk assessment, safety planning documentation, medication reconciliation with rationale, and concrete aftercare with crisis pathways.

Psychiatry
Templateprogress note
Chief Concern
Interval History
Objective
Mental Status Examination
Featured template44,658 uses

Psychiatry Medication Management Follow-Up Note

A concise medication management follow-up template for established psychiatric patients. Covers interval symptom review, targeted MSE, medication effectiveness and tolerability, explicit risk assessment, and an actionable treatment plan with monitoring requirements.

Psychiatry
Templateclinical note
Subjective
Objective
Assessment & Plan
Featured template17,676 uses

SOAP Note (Therapy)

SOAP format adapted for mental health therapy sessions

Psychiatry
Templateprogress note
Reason / Participants
Summary and Actions
Plan / Next Steps
Featured template6,099 uses

Care Coordination/Case Management Note

A streamlined template for care coordinators, social workers, and care navigators to document coordination activities including outreach, referral tracking, and resource linkage. Emphasizes closed-loop follow-through with clear accountability for next steps.

Psychiatry
Templateclinical note
Data
Assessment
Plan
Featured template5,815 uses

DAP Note (Therapy)

Data, Assessment, Plan format for therapy sessions

Psychiatry
Templatediagnostic evaluation note
Chief Concern
History of Present Illness
Past Psychiatric History
Substance Use History
Featured template4,440 uses

Adult Psychiatric Diagnostic Evaluation

A comprehensive initial psychiatric evaluation template for adults aligned with CPT 90792, integrating biopsychosocial assessment with medical services documentation. Emphasizes structured suicide risk assessment per Joint Commission requirements and problem-oriented treatment planning.

Psychiatry
Templateclinical note
Behavior
Intervention
Response
Plan
Featured template3,032 uses

BIRP Note (Therapy)

Behavior, Intervention, Response, Plan format for therapy

Psychiatry
Templateadmission note
Inpatient Psychiatry Admission Note
Chief Complaint
Reason for Admission
History of Present Illness
Featured template1,141 uses

Inpatient Psychiatry Admission Note

Comprehensive inpatient psychiatry admission note aligned with Joint Commission and CMS requirements. Emphasizes explicit risk-level documentation with mitigation plan, medication reconciliation status, legal status, and problem-based treatment planning with required patient strengths documentation.

Psychiatry
Templateprogress note
E/M / Medical Component
Psychotherapy Component
Time / Coding Support
Featured template1,056 uses

E/M/Psychotherapy Combined Visit Note

A psychiatric visit note template for combined E/M and psychotherapy services, structured to clearly separate medical evaluation from therapy documentation. Supports compliant billing of psychotherapy add-on codes with explicit time documentation and MDM-based E/M coding.

Psychiatry
Templateprogress note
Header
Subjective
Objective
Mental Status Exam
Featured template954 uses

Inpatient Psychiatry Daily Progress Note

A concise daily progress note template for inpatient psychiatry that covers interval history, mental status exam, structured risk assessment, and problem-oriented planning. Designed to meet Joint Commission safety documentation requirements and support efficient daily rounding.

Psychiatry
Templatediagnostic evaluation note
Participants and Information Sources
Consent and Legal Status
Reason for Referral and Chief Complaint
History of Present Illness
Featured template781 uses

Child & Adolescent Psychiatric Diagnostic Evaluation Note

Comprehensive initial psychiatric evaluation template for children and adolescents, structured around multi-informant assessment with dedicated sections for developmental history, school functioning, family systems, and structured safety assessment per AACAP guidance.

Psychiatry
Templateprogress note
Chief Complaint / History
Mental Status Examination
Risk Assessment
Assessment
Featured template674 uses

Telepsychiatry Visit Note (Audio/Video)

A streamlined telepsychiatry template for audio-video or audio-only encounters, capturing telehealth-specific safety elements (patient location, emergency contact, disconnection plan) alongside core psychiatric documentation including structured Mental Status Exam and Risk Assessment.

Psychiatry
Templatedischarge summary
Reason for Hospitalization
Diagnoses at Discharge
Clinical Formulation
Hospital Course
Featured template269 uses

Inpatient Behavioral Health Discharge Summary

A comprehensive discharge summary template for inpatient psychiatric admissions, aligned with CMS and Joint Commission requirements. Emphasizes structured risk assessment, safety planning documentation, medication reconciliation with rationale, and concrete aftercare with crisis pathways.

Psychiatry

Why Psychiatrists choose Scope

More Time for What Matters

34 days

saved per year on documentation

No burnout

End late-night charting for good

Free to use

No catch, no credit card required

I can finally give my patients my full attention. Scope captures everything I need for compliance while letting me focus on the therapeutic relationship. It's been transformative.

Dr. Sarah Williams, MD

Psychiatry

90 min saved per day

Better therapeutic rapport

No after-hours charting

Every psychiatry practice

From solo practitioners to multi-physician groups, Scope scales to fit your psychiatry workflow perfectly.

Solo Psychiatry practices

Run your practice without the documentation burden. See more patients while maintaining work-life balance.

Start free today

Group psychiatry

Standardize documentation across your team. Reduce variability while maintaining each provider's unique voice.

Talk to our team

Rural & mobile care

Perfect for home visits, rural clinics, and mobile health. Works offline with seamless sync when you're back online.

Learn more

Get started with Scope today

Spend more time caring for patients, not charting. Scope captures your patient encounters in real time and quickly generates high-quality clinical notes – and it's completely free.

AnneLisaDavid
1k+

from 1k+ happy clinicians

Get started now