Clinical documentation for New York psychologists and therapists
For clinicians in New York City and across the state, in private practice, licensed clinics and hospital-affiliated programs: My Clinical Writer drafts notes, treatment plans and evaluations from your recording, typed points or documents, and you review and finish every one.
Free trial, no credit card required.
New York's documentation load
New York has one of the densest mental health workforces in the country, and one of the most varied. A psychologist might see private-pay clients in a Manhattan office, work a few days in an outpatient clinic in the Bronx or Brooklyn, and write evaluations for court or schools on the side. LCSWs and LMHCs staff community programs, hospital clinics and agencies across the five boroughs, Long Island and upstate. Clients speak dozens of languages, and many sessions now happen by video.
Each setting brings its own forms. Licensed clinics follow state program rules and agency policies for assessments, treatment plans and plan reviews. Hospital-affiliated programs have their own EHR templates. Private practitioners answer to payers and to their own standard of care. The result is a lot of writing, much of it done after hours.
My Clinical Writer does the first draft. You keep the clinical decisions, the edits and the signature.
How it works
Record or type
Record the session or a spoken summary, or type brief points on the subway home.
Upload
Add referral letters, prior evaluations, intake forms or handwritten pages for longer reports.
Draft
The AI drafts the note, plan or report in the custom template you built for that setting.
Finish
Review and edit, then copy to your clinic's EHR or save as a Word document.
New York rules to build into your templates
These are general pointers, not legal advice. Check the current text with your licensing office, program or compliance team.
- Professional licensing. Psychologists, LCSWs, LMSWs, LMHCs and LMFTs are licensed through the New York State Education Department's Office of the Professions. Its rules on professional conduct include keeping records that accurately reflect the evaluation and treatment of each client, and retaining them for a minimum period, with longer periods for minors.
- Licensed clinic programs. Outpatient clinics licensed by the Office of Mental Health follow program regulations, commonly referred to as Part 599, along with agency policy, for what assessments, treatment plans, plan reviews and progress notes must contain and when they are due. If you work in such a clinic, set up a template for each required document so every draft has the expected sections.
- Confidentiality. New York's mental hygiene law adds confidentiality rules for clinical records in addition to HIPAA. Your program's privacy officer is the right person to ask about disclosures.
- Payers. New York Medicaid managed care plans and commercial insurers set their own documentation expectations for medical necessity and progress. See insurance-ready therapy notes for what reviewers usually look for.
Writing for many settings without starting over
Because templates are yours, one account can hold a clinic progress note layout, a private-practice SOAP note, a psychological evaluation and a treatment plan. Choose the right template before you draft, and the output follows its sections and instructions. If an agency changes a form, update the template once.
New to structured notes? Start with our guides to SOAP notes and the psychiatric evaluation template.
The AI drafts. You decide.
My Clinical Writer writes a first draft from what you record, type or upload. You review it, edit anything that does not match your clinical judgment, and only then sign or export it. The assessment, the diagnosis and the plan are always yours, and you remain responsible for the final record.
Patient data is protected as described on our security and HIPAA page: 256-bit encryption in transit and at rest, role-based access, audit trails, and a Business Associate Agreement that every account accepts at registration.
Questions, answered.
Is My Clinical Writer certified as compliant with OMH clinic regulations?
No. My Clinical Writer is a drafting tool and makes no claim to certify compliance with any state program rule. If you work in a licensed clinic, build the elements your program requires into your templates, and your clinic remains responsible for its records.
Can I use it in a busy Manhattan private practice with back-to-back sessions?
Yes. Record a short spoken summary between sessions, or type a few points, and the draft is ready to review when you have a moment. You approve every note before it goes into your record.
Does it handle sessions in languages other than English?
You can provide session material in other languages and ask for the note in English. Review translated content carefully and record interpreter use if your organization requires it.
Can I write treatment plans and evaluations too?
Yes. Create custom templates for treatment plans, intakes, psychological evaluations and progress notes. The AI drafts in your layout; you set goals, write the clinical judgments and sign off.
Is client information secure?
My Clinical Writer is HIPAA and PHIPA compliant, with 256-bit encryption in transit and at rest, access controls and audit trails. Every account accepts our Business Associate Agreement at registration. See the security page.
Try it on your next note.
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