Occupational Therapy Notes, Structured Around Function.
Occupational therapy documentation is about occupation and function — ADLs, IADLs, cognition, environment, participation. ClinixSummary's dedicated OT console turns your spoken assessment into structured, goal-oriented notes that capture functional performance the way OTs reason about it.
Function-First Structure
ADL and IADL performance, assistance levels, cognitive and perceptual findings, and environmental factors are captured as structured findings — not buried in free text.
Goal-Oriented Plans
Client-centred goals, graded interventions, equipment recommendations and home programmes are documented in the occupation-focused language your profession expects.
Assessment Tools Recognised
Standardised measures — COPM, MoCA, FIM-style scoring and more — are recognised from your narration and recorded with their scores and interpretation.
Across Settings
Hand therapy, neuro rehab, paediatrics, mental health or community practice: the console adapts its structure to the setting you describe.
What a generated OT note includes
Occupational profile and reason for referral
Functional performance: ADLs, IADLs, assistance levels and safety
Cognitive, perceptual and psychosocial observations
Standardised assessment scores and interpretation
Client-centred goals and graded intervention plan
Equipment, adaptations, home programme and follow-up
Occupational therapy documentation, answered
Is this a general scribe with OT labels?
No — it is a dedicated occupational therapy console. It structures notes around occupation and function: performance in daily activities, assistance levels, participation and environment, with the clinical reasoning OTs actually use.
Can it document standardised assessments?
Yes. Mention the tool and scores in your narration — COPM, MoCA and similar — and they are recorded with scores, context and interpretation in the structured note.
Does it support paediatric and neuro settings?
Yes. The console adapts to the setting you describe — paediatrics, neurological rehabilitation, hand therapy, mental health or community practice — and structures the note accordingly.
What about referral letters and patient materials?
Selected modules generate professional referral letters, plain-language patient handouts, follow-up plans and coding suggestions alongside the clinical note.