Clinical Documentation & EMR

Fully customize your own document templates or use one of our pre-made templates to quickly and efficiently prepare reports, tables and other clinical notes. Our digital note-taking system is secure and easy to access on any device.

Daily Note Entry

  • Use standard SOAP note formats or create your own templates
  • Easily bring-forward and modify previous daily notes and charges
  • Build and categorize macros containing commonly used phrases to build your documents
  • Obtain parent signatures electronically in pediatric settings
  • Complete your daily notes quickly and efficiently
Digital Note Taking
Customizable Charts

Document Management

  • Prepare evaluations, re-evaluations and discharge reports with pre-loaded templates
  • Import/scan any type of document directly into the client record

Client Forms

  • Create online and completely secure client intake forms
  • Customize surveys and questionnaires
Client Forms
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Body Charts

  • Use templated body charts to record pain nature, levels and details

Device Compatibility

  • Mobile-friendly
  • Writing and viewing capabilities on smartphones, laptops and tablets
Device Compatibility
Goal Tracking

Goal Tracking

  • Track goal progress and analyze clinical test results and trends

Record-Keeping Alerts

  • Get alerted on missing daily notes
  • Add alerts regarding crucial patient health information
  • Incomplete patient data alerts
Record-Keeping Alerts
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More Clinical Documentation Features

  • Integrate PracticePerfect data with any MS-Word document to create form letters
  • Fax clinical document directly to key contacts
  • Automate Medicare MIPS reporting tasks
  • Export and send documents easily and securely
 
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