Clinical
Build the note your accreditor already expects.
Most systems give you their note types and wish you luck. ProbityCare lets you build your own — field by field — then locks the version so every clinician charts the same way.
No developer required. Clinical leadership builds and publishes the form.
The builder
What you drag on the left is what a payer reads on the right.
Clinical leadership assembles the note from field types — no ticket, no vendor, no release cycle. The published form is what every clinician sees the next time they open that note type.
Presenting concern
Reported two days of increased cravings following a conflict at work, without use.
Interventions used
Motivational interviewing · Urge surfing · Relapse prevention planning
ASAM dimension 5
Rated 2 — moderate risk, managed with outpatient support.
Versioning
Change the form without rewriting history.
When you publish a new version, notes signed on the old one keep rendering exactly as they were signed. An auditor reading a note from two years ago sees the form that was in force that day.
Initial IOP note, six fields.
Jan 2025Dimension scoring added after a payer request.
Aug 2025Supervisor co-sign required for associate clinicians.
Feb 2026Response field made required after an internal review.
Jun 2026Accreditation
Chart the way you're surveyed, not the way a vendor guessed.
CARF and Joint Commission reviewers look for specific elements in specific note types. Putting them in the form is more reliable than putting them in a training memo and hoping.
Works with
It runs on the same record as the rest of the platform.
Clinical
Treatment plans
Goals, objectives, and interventions live on the chart, not in a document someone re-types every review.
Read more →Clinical
Group notes & rosters
Group is where PHP and IOP programs spend most of their clinical hours and most of their documentation time.
Read more →Audit & compliance
Documentation clock
Every encounter starts a clock at your policy — 24, 48, or 72 hours.
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