Every patient in Clinic Scribe has a single record that holds their clinical context and their full history with you. It starts from almost nothing, a name and date of birth, and fills in over time, partly from what you add and partly from the sessions themselves.
What a patient record holds
| Section | What it tracks |
|---|---|
| Medications | Name, dosage, and frequency |
| Allergies | Substance and reaction |
| Conditions | Chronic conditions |
| Referrals | Specialty, doctor, date, status, and notes |
| Surgeries | Procedure, date, facility, and outcome |
| Hospitalizations | Facility, date, reason, and outcome |
Visit history
The record lists every session with its date, type (in-person, telehealth, or dictation), duration, and the note format used, and each row opens the full note. After the first note, the record also shows an automatically written summary of the most recent visit, so you get the gist without opening anything.
Working from the record
- Start a session directly from a patient, already linked.
- Link a patient to a session later if you started without one.
- Search and filter your patient list by name.
- Ask the AI about the patient's history from the record or the Quick Bar; see chart review with the patient chat.
Frequently asked questions
What information does a Clinic Scribe patient record hold?
Each record holds medications (name, dosage, frequency), allergies, chronic conditions, referrals, surgeries, and hospitalizations, plus the full visit history. You only need a name and date of birth to create one; the rest fills in over time.
Do I have to create a patient before recording?
No. You can start a session without a patient and link one afterward. This means a walk-in never blocks you from recording.
Does the record summarize past visits?
Yes. After the first note, the record shows an automatically written summary of the most recent visit, and the visit history lists every session with its date, type, duration, and note format.