Clinician-led tools for payer-ready documentation—and continuity that shows what's working
Draft and organize core clinical documentation, reduce payer friction with guardrails, and connect your record across time. Combine your session work with client-permissioned self-report inputs to visualize trends, monitor outcomes, and learn which interventions align with improvement—without relying on session recordings.
HIPAA-aligned • No session recording by default • Data never shared or sold
Progress Notes
Progress Notes
Draft clear, payer-ready notes faster with clinician-led structure and edits—so your documentation stays accurate, defensible, and in your voice.
- SOAP, DAP, BIRP, and flexible structures
- Clinician-in-control drafting and formatting assistance
- Links to goals, interventions, risks/flags, and outcomes
- Copy/export workflows for your documentation needs
Intake & Assessments
Intake & Assessments
Build intake and assessment workflows that stay consistent across clients, are easy to review, and connect directly into the longitudinal clinical record.
- Therapist-led or client-completed (permissioned)
- Structured sections + flexible narrative capture where needed
- Review-first workflow before finalizing
- Assessment data stays connected to plans and notes
Treatment Plans & Goals
Treatment Plans & Goals
Create living treatment plans that connect goals, objectives, interventions, and review cadence—so progress is easier to evaluate and defend.
- Goals and objectives linked to interventions
- Version history and review reminders
- Continuity across sessions—plans stay "in the loop"
- Designed to support payer and audit expectations
Clinical & Discharge Summaries
Clinical & Discharge Summaries
Generate clear summaries for coordination, referrals, or discharge—grounded in your existing record, reviewed by the clinician, and easy to refine.
- Synthesize across assessments, plans, and notes
- Clinician review and editing step
- Copy/export for coordination and documentation
- Traceable context and timeline-aware summaries
Payer-Ready Guardrails
Payer-Ready Guardrails
Reduce audit friction with documentation guardrails that help catch missing elements and strengthen clarity—without changing how you practice.
- Missing-element checks and consistency cues
- Medical-necessity oriented prompts where relevant
- Structure support for common payer expectations
- Designed to help you write notes you can stand behind
Client Data Stream
Client Data Stream
Bring client-permissioned self-report into the record: check-ins, journaling, tags, homework updates, and between-session context—organized for clinical use.
- Permissioned client inputs routed into the record
- Flexible: structured tags + unstructured notes
- Designed to support session prep and continuity
- Traceable to sources and timestamps
Therapist-Led Measures
Therapist-Led Measures
Run PHQ-9, GAD-7, and custom measures as part of care. Assign cadence, review results, and keep measurement tied to goals, interventions, and clinical decisions.
- PHQ-9 / GAD-7 and configurable measure sets
- Therapist-controlled scheduling and review
- Results connect to trends, notes, and plan reviews
- Supports outcomes monitoring and documentation
Trends & Outcomes Dashboard
Trends & Outcomes Dashboard
Visualize symptoms and progress over time by combining therapist documentation with client-permissioned inputs. See change, stability, and patterns—grounded in the record.
- Measures, symptoms, and trends over time
- Connects to goals, interventions, and session notes
- Drill-down to sources and timestamps
- Designed for continuity and clinical review
Session Prep Brief
Session Prep Brief
Walk into each session with a concise, grounded brief: what changed since last time, open loops, client updates, measure shifts, and items to revisit.
- Highlights changes and key events since last session
- Open loops, homework follow-ups, and reminders
- Flags and clinically relevant signals for review
- Traceable links back to the record
What's Working Signals
What's Working Signals
Learn from your own work: see which interventions, homework, and behaviors align with improvement—grounded in timelines, measures, and the clinical record.
- Intervention-to-outcome alignment over time
- Patterns tied to sources (notes, measures, inputs)
- Highlights what appears helpful vs. stagnant
- Designed to support clinical judgment, not replace it
Clinical Workspace Search
Clinical Workspace Search
Find, locate, and draft within your workspace using the record as the source of truth—across notes, plans, summaries, measures, and client-permissioned inputs.
- Search across the longitudinal clinical record
- Locate timelines, themes, and prior interventions
- Grounded outputs tied to sources and timestamps
- Designed for speed without losing clinical control
Spend more time with clients — and less time on paperwork.
See how Golden Thread can transform your documentation workflow.