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Notes in your format, not ours.

SOAP, DAP, BIRP and intake histories are built in. Everything else is yours to write — the sections you actually use, in your order, with your own rules about what to include and what to leave out. This page is the full guide: how to build one, what each box does, and how the same system writes your referral letters.

Three steps, about two minutes

You never write a prompt, and you never edit anything that looks like configuration.

Step 1

Describe it in one sentence

Dashboard → Your templates → New template. Write what you want the way you would say it to a colleague, then press Draft it. That is the whole input.

"A SOAP note for GP consults, with a red flags section and a safety-netting line at the end."

Step 2

Edit what comes back

You get a real section list — each with a heading, what belongs in it, and when to leave it out. Rename headings, reword rules, delete sections you do not use, add ones that were missed. Or skip the draft entirely and build the sections by hand.

Nothing saves until you press Save. A draft nobody has read is not a template.

Step 3

Pick it when you start a session

Your templates appear beside SOAP, DAP, BIRP and History on the Start Session screen, and in the upload window. Choose one and that consultation’s note comes out in your structure.

Coding, differentials, drug interaction and allergy checks and the audit pass all still run.

What each box actually does

A section has four boxes. Three of them shape what gets written. The fourth is the one that is never written at all.

Heading

What gets printed at the top of the section.

Write: Write it as you say it — "Risk & Safety Plan", "Parent / Carer Report", "Functional Impact".

Why it matters: This is what you and anyone reading the record sees. It is also how the section is addressed everywhere else in the product, so keep each one distinct.

What goes in it

One sentence describing the content, written as an instruction.

Write: "Current medication with dose and frequency, and whether the patient reports taking it as prescribed."

Why it matters: Vague headings produce vague sections. A heading alone leaves the system guessing what "Background" is supposed to mean in your practice.

Rule

When to include the section, and when to leave it blank.

Write: "Only include if explicitly discussed. Leave blank otherwise — never infer."

Why it matters: The most valuable box, and the one most people skip. It is what stops a section being filled with what is usually true of a diagnosis instead of what was actually said.

Fixed text

Text reproduced exactly, word for word, every single time.

Write: A practice address, a standard consent line, a medico-legal footer, a billing disclaimer.

Why it matters: This one is not written by the AI at all — it is stamped into the note afterwards in code. Reproducing a string unchanged is the one thing a language model should never be trusted with, and these are exactly the strings that must not change.

A worked example

Four sections from a GP consult template, exactly as they are entered.

1Presenting Complaint
What goes in it
Why the patient came today, in their own words where possible.
Rule
Always include.
2Red Flags
What goes in it
Any symptom or finding raised today that warrants urgent assessment.
Rule
Only include if a red flag was actually raised. Leave blank otherwise — never list what was ruled out.
3Safety Netting
What goes in it
What the patient was told to watch for and when to seek help.
Rule
Only include if safety netting was discussed.
4Practice Footer
Fixed text
Riverside Medical Centre · 12 Mill Lane · 0161 000 0000

Section 2 stays empty on a visit where no red flag came up — that is what its rule is for. Section 4 prints identically every time, because it is stamped in rather than written.

Notes and documents are different things

You choose which one a template is when you create it. It decides where the template shows up and when it runs.

Note

Goes into the patient’s record.

Where: Appears as a note format on the Start Session screen and in the upload window.

When: Generated automatically at the end of every consultation you pick it for.

Structured psychiatric intakePaediatric follow-upPhysiotherapy reviewAntenatal visit

Document

Written from a finished note, for someone outside the practice.

Where: The "Letters & documents" panel at the end of a session, and on any past session in History.

When: On request — most consultations never need one.

Referral letterDischarge summaryFitness-to-work certificatePatient explainer

Documents are written from your approved note, never from the raw audio. The note is the version you read and signed off; the transcript is not. Something said in the room and then corrected must not be able to reach a letter that leaves your practice.

What works, and what trips people up

Do

  • Keep it to the sections you genuinely use — most doctors settle on between two and eight.
  • Give every section a rule that says what to do when nothing was discussed.
  • Use Fixed text for anything that must never be reworded.
  • Start from a draft and edit it — it is faster than typing sections from scratch.

Avoid

  • Don’t add a section for patient name, age or gender — that is already handled.
  • Don’t save a referral letter as a "note" — it would replace your consultation note.
  • Don’t leave the rule blank on a section that is often not discussed.
  • Don’t write headings as machine names — "presenting_complaint" is printed exactly like that.

Shared across your practice

Colleagues in the same practice see and can use the same templates. One agreed format, not one per doctor.

Editing never rewrites history

Notes already written with a template keep the structure they were written with. Changing it only affects sessions from that point on.

Up to 25 sections

More than that and a note stops being readable. Most doctors settle on between two and eight.

Custom templates are included on Standard and Premium. See plans

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