Video tutorial · Templates · 10 min

Template Management

Create, customize, and manage clinical documentation templates to streamline your workflow and reporting.

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Intermediate · 10 min · Try it with the guided tour · All tutorials

What this video covers

The narration of the video, chapter by chapter. Any draft shown is a starting point that the clinician reviews and edits before it is used.

Welcome

Welcome to Templates. Templates define the structure of your reports — the sections and instructions the AI follows — so every report comes out in your exact style. Let us create one.

Create a template

Click New Template. Give it a clear name, then describe the structure in the content box: list your section headings, and add instructions in brackets to guide the AI. For example, a heading called Assessment followed by bracketed instructions telling the AI what to write there.

for example lets say we want to create a template for progress notes. we would create a template with the following structure:

``` Presenting Concern [Summarize the client's main reason for the visit in two or three sentences.]

Mental Status [Describe appearance, mood, affect, and thought process.]

Assessment [Provide a concise clinical assessment and any diagnoses.]

Plan [List next steps, interventions, and the follow-up interval.] ```

Save the template

When you are happy with it, click Create Template. It is saved to your library and a green confirmation lets you know it worked. You can keep up to twenty custom templates.

Generate a template from a document with AI

If you do not want to write one from scratch, you can use Upload Template. AI will read the document, extract the structure, and build a matching template for you to review and refine.

Edit and manage

Every template is listed here with its version. Open one to edit its name or content — your changes are saved instantly — and you can delete templates you no longer use, individually or in bulk.

Using templates everywhere

Once created, your templates appear in the Report Template dropdown on the Smart Draft page, and are applied when generating reports from Draft page. You can always come back here to edit their structure and instructions.

Wrap up

That is Templates: build your structure once, by hand or with AI, and every report you generate matches your reporting style automatically.

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.

Get started

Try it yourself.

Start with the free trial, no credit card required. Upgrade whenever you are ready.