An AI medical scribe for physical medicine and rehabilitation
Rehabilitation notes are about function and goals rather than diagnosis alone: what the patient can do today, what they want to do, and what therapy, equipment or support will close the gap. ClearPass transcribes the consultation, including family and therapists in the room, and drafts an English note you can review and share with the team.
What a rehabilitation note needs
- Diagnosis and date of onset: stroke, brain injury, spinal cord injury, amputation, joint replacement, chronic pain.
- Function by domain: mobility and transfers, walking distance and aids, stairs, self-care, continence, communication, cognition, swallowing.
- Standardised measures you use: Barthel, FIM, modified Rankin, timed up and go, 6-minute walk, pain scores.
- Tone and spasticity with a scale (modified Ashworth) and the muscles affected, contractures, pressure areas.
- Goals agreed with the patient and family, in their words and as measurable targets.
- Therapy plan: discipline, frequency, duration, and who delivers it; equipment and orthotics.
- Home situation, carers, return to work or driving.
Example: outpatient stroke review
A Follow-up note, Detailed. Invented patient; wife present.
Left MCA infarct 4 months ago. Right hemiparesis, mild expressive dysphasia. Function: walks indoors with a quad stick, 50 m before resting. Needs help with stairs. Independent with feeding, needs help with buttons. Continent. Patient's goal: walk to the local shop (about 300 m). Wife's concern: two near-falls at home. Exam: modified Ashworth 2 at right elbow flexors and 1+ at right plantarflexors. Right ankle dorsiflexion to neutral only. Power right hip flexion 4/5. Timed up and go 24 s. Plan: physiotherapy twice weekly for 8 weeks focused on gait and balance. Assess for ankle-foot orthosis. Botulinum toxin to right elbow flexors discussed. Home safety assessment by occupational therapy. Speech therapy to continue.
Goals in the patient's own words, separated from the family's concerns, are easier to capture from a transcript than from memory.
Rehabilitation templates
The Rehabilitation & Therapy group includes guided templates for speech and language therapy, occupational therapy, MSK physiotherapy, neuro-rehabilitation after stroke or brain injury, cardiac rehabilitation, pulmonary rehabilitation, hand therapy, paediatric developmental therapy, vestibular rehabilitation, chronic pain rehabilitation, prosthetics and orthotics, and post-amputation rehabilitation.
Therapists can use ClearPass too; see the physiotherapy page for session notes.
Letters and approvals
Rehabilitation depends on funding for therapy blocks, orthotics, wheelchairs and home adaptations. The physiotherapy prior authorization page covers what a request should show: baseline function, measurable goals, and progress since the last block. The prior authorization letter mode drafts the request from your note.
From the same visit you can write a medical report for an employer or benefits assessment, a referral letter to a spasticity or prosthetics service, and patient instructions for a home exercise programme.
Team meetings and goal reviews
Multidisciplinary goal-setting meetings produce long, shared discussions. Transcribing them, with consent from those present, gives you a draft summary of each discipline's update and the agreed goals, which you then edit into the team note.
Keep the structure the same every time, for example by discipline and then by goal, so progress is easy to compare across meetings.
Reviewing a rehabilitation draft
- Side of the weakness, spasticity and any orthosis.
- Scores and timed tests, and which one is today versus the last visit.
- Walking distance and aid, stated as observed or as reported.
- Goals, kept in the patient's words.
- Who said what, when family and therapists contributed.
What ClearPass does not do
- It does not replace your judgement. Every note is an AI draft that you review and correct before it is used.
- It is not a medical device and does not make clinical decisions. It is a documentation aid.
- It does not connect to your EMR. The note is copy-ready text that pastes into any system.
Privacy
Clinical note content is not stored on ClearPass servers: it is processed to write the note, then discarded. Consultation audio is transcribed and discarded, never stored. Your note history stays in your browser, on your device, and you choose how long it is kept. Common identifiers are removed from typed and transcribed text before it reaches the AI; that is a best-effort safeguard, so leave names, ID numbers and file numbers out where you can. Processing goes through the AI providers named in our Privacy Policy, which sets out exactly what each one receives and how long it keeps it. ClearPass does not sign HIPAA business associate agreements today.
Questions
Can therapists and family speak during the visit?
Yes. Speakers are separated, so contributions from family and therapists are distinguished in the transcript. Check attribution in the note.
Can it show progress between visits?
Each note is written from one visit. Say the previous values aloud, or use the Ask box to add them, and the note can show the comparison.
Does it score the Barthel or FIM for me?
No. It documents the scores you state.
Is there a structure for goal-based notes?
Use My own structure, for example Function, Goals, Barriers, Therapy plan, Equipment, Review, and reuse it for every visit.
What does ClearPass cost?
The 7-day trial is free, needs no card and simply ends after 7 days, with no automatic charge. After that there is one plan: $78 a month or $858 a year, with every visit transcribed.
Try it on your next clinic day
The full product for 7 days, with no card and no automatic charge. Then $78 a month or $858 a year. Pricing details.
Start free — 7 days, no card