Help Center Getting started

Write and sign a visit note

Write the visit note (or let Echo draft it), then sign it.

You need a saved signature before you can sign notes: see Set up your practice (Doctor Signature).

Human practice

  1. In the menu, open Clinical, then Appointments.

    On a phone On a phone, tap the menu button (three lines) at the top left first.

    Phone screenshot for step 1
    Screenshot for step 1: In the menu, open Clinical, then Appointments.
  2. On the patient's appointment, press Create Note.

    Screenshot for step 2: On the patient's appointment, press Create Note.
  3. The note opens for that patient and visit. Under General Info, check the Patient, Date and Visit Type.

    Screenshot for step 3: The note opens for that patient and visit. Under General Info, check the Patient, Date and Visit Type.
  4. To let Echo, the ambient AI scribe, draft the note, press Start Visit when the visit begins (allow the microphone when your browser asks). Echo listens while you work; use Pause Listening for private moments. Press End Visit when you are done: Echo writes its draft into the note sections. Echo uses AI credits (the price per minute is shown on the Echo card).

    Screenshot for step 4: To let Echo, the ambient AI scribe, draft the note, press Start Visit when the visit begins (allow the microphone when your browser asks). Echo listen
  5. Read and edit every section before you sign: use the tabs Subjective, Exam, Structural Findings, Objective, Assessment, Plan, Treatments, Exercises and Recommendations. You can also write the whole note yourself without Echo.

    Screenshot for step 5: Read and edit every section before you sign: use the tabs Subjective, Exam, Structural Findings, Objective, Assessment, Plan, Treatments, Exercises an
  6. When the note is right, press Sign & Create: ChiroApp signs the note with your saved signature and opens a New Invoice for the visit (see Invoices and payments). Save & close keeps the note unsigned so you can finish it later (an unsigned note is also saved automatically as you type); Sign & Send signs it and emails it to the client.

    Screenshot for step 6: When the note is right, press Sign & Create: ChiroApp signs the note with your saved signature and opens a New Invoice for the visit (see [[invoices-a
  7. The note is now in Clinical > Notes, marked Signed. Use View to read it or Share to share it.

    Screenshot for step 7: The note is now in Clinical > Notes, marked Signed. Use View to read it or Share to share it.

Animal practice

  1. In the menu, open Clinical, then Appointments.

    On a phone On a phone, tap the menu button (three lines) at the top left first.

    Phone screenshot for step 1
    Screenshot for step 1: In the menu, open Clinical, then Appointments.
  2. On the patient's appointment, press Create Note.

    Screenshot for step 2: On the patient's appointment, press Create Note.
  3. The note opens for that patient and visit. Under General Info, check the Patient, Date and Visit Type.

    Screenshot for step 3: The note opens for that patient and visit. Under General Info, check the Patient, Date and Visit Type.
  4. To let Echo, the ambient AI scribe, draft the note, press Start Visit when the visit begins (allow the microphone when your browser asks). Echo listens while you work; use Pause Listening for private moments. Press End Visit when you are done: Echo writes its draft into the note sections. Echo uses AI credits (the price per minute is shown on the Echo card).

    Screenshot for step 4: To let Echo, the ambient AI scribe, draft the note, press Start Visit when the visit begins (allow the microphone when your browser asks). Echo listen
  5. Read and edit every section before you sign: use the tabs Subjective, Exam, Structural Findings, Objective, Assessment, Plan, Treatments, Exercises and Recommendations. You can also write the whole note yourself without Echo.

    Screenshot for step 5: Read and edit every section before you sign: use the tabs Subjective, Exam, Structural Findings, Objective, Assessment, Plan, Treatments, Exercises an
  6. When the note is right, press Sign & Create: ChiroApp signs the note with your saved signature and opens a New Invoice for the visit (see Invoices and payments). Save & close keeps the note unsigned so you can finish it later (an unsigned note is also saved automatically as you type); Sign & Send signs it and emails it to the client.

    Screenshot for step 6: When the note is right, press Sign & Create: ChiroApp signs the note with your saved signature and opens a New Invoice for the visit (see [[invoices-a
  7. The note is now in Clinical > Notes, marked Signed. Use View to read it or Share to share it.

    Screenshot for step 7: The note is now in Clinical > Notes, marked Signed. Use View to read it or Share to share it.

All help articles