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Clinical notes

A note is a legal record, not a text box.

DAP, SOAP, BIRP, and custom templates that sign and lock. Corrections become tracked amendments, never silent edits — so the chart holds up long after the session.

Sign & lock · tracked amendments · supervisor co-sign

Progress note · DAP Signed & locked
Data. Sleep improved to six hours most nights. Anxiety 6/10, down from 8/10.
Assessment. Consistent with GAD, responding to exposure work.
Plan. Continue weekly. Script practice twice this week.
Version history
Signed by Dana Ochoa, LCSWAug 12
Amendment — clarified the between-session planAug 14

Draft, sign, lock, amend

The lifecycle of a defensible note.

Every note moves through the same clear path, so what's on the chart always reflects who wrote it, who signed it, and what changed after.

01

Draft

Write in your template — or start from an AI draft — and edit freely while it's open.

02

Sign

A licensed provider signs to finalize; associates route to a supervisor to co-sign.

03

Lock

The signed note becomes immutable. Nothing bills or discloses from an unsigned note.

04

Amend

Corrections attach as dated addenda; the original stays intact with full history.

Your structure, your language

Templates you shape, not a form you fight.

Start from a standard format or build your own. Notes come back pre-filled from the session and the intake forms, so you edit the clinical judgment instead of retyping the context.

DAP SOAP BIRP Intake & assessment Treatment plan Custom

Built around the record

Kept separate, kept safe.

Psychotherapy notes segregated

Process notes are stored and permissioned apart from the billable record and excluded from standard disclosures.

Co-sign for supervision

Associate and pre-licensed notes aren't final until the supervising clinician co-signs — tracked on the record.

Audited and yours

Every view, edit, and signature is logged. Records follow retention rules and export on your schedule.

FAQ

Notes, answered.

DAP, SOAP, and BIRP out of the box, plus intake and custom templates you build yourself. Each template is yours to shape — Front Desk does not force a rigid form designed by someone else.

Yes. A note is a draft until a licensed provider signs it; once signed it is locked and cannot be silently edited. Nothing bills or enters the legal record until that signature happens.

Corrections are amendments, not edits. The original signed note stays intact, and each addendum is stamped with the author and date, so the record keeps a version history an auditor can follow.

A licensed provider signs to finalize. Notes written by associates or pre-licensed clinicians are not final until the supervising clinician co-signs, and both signatures are recorded on the note.

Yes. Process and psychotherapy notes are stored and permissioned separately from the billable record and excluded from standard disclosures — the way HIPAA treats them — so they are not swept into a records request by default.

Yes. Every view, edit, signature, and amendment is logged with the user and timestamp, so you always have a defensible record of who touched a note and when.

Documentation that holds up.

See how a note drafts, signs, locks, and amends end to end — in a thirty-minute demo, or start your free trial.