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HIPAA & CLINICAL DOCUMENTATION

AI clinical notes with privacy at the center

Therapy notes can contain sensitive health information. AutoNotes supports privacy-conscious documentation workflows, with security and compliance information available through its Trust Center.

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Clinical Documentation Privacy-conscious workflow
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CLINICAL NOTE Individual Therapy Session
Draft
Format: SOAP Session: 50 min
SUBJECTIVE

Client discussed recent stressors and reported using coping strategies between sessions.

ASSESSMENT

Client demonstrates growing awareness of triggers and continued engagement in treatment.

Clinician review Review and edit before finalizing
Pending
Security-focused
Privacy-conscious
Clinician-reviewed
Fictional example for illustration only

Documentation efficiency should not mean guessing about privacy

01

Understand where information goes

Review AutoNotes' published privacy, security, and subprocessor information before entering protected health information.

02

Use appropriate agreements

Organizations subject to HIPAA should determine whether a Business Associate Agreement is required and ensure the appropriate agreement is in place before using a vendor with PHI.

03

Keep clinicians in control

AI-generated drafts should be checked and approved by a qualified clinician before inclusion in a patient record.

04

Establish a safe workflow

Follow your organization's policies for patient consent, recording, access controls, retention, and handling of clinical information.

What makes AI note taking HIPAA compliant?

HIPAA compliance depends on the full workflow—not just an AI feature label. Relevant questions include permitted uses and disclosures, business associate arrangements, safeguards, access, retention, and how the organization actually operates the tool.

HIPAA Workflow Evaluation AI documentation readiness checklist
6 Areas
Evaluation progress 0 of 6 reviewed
Evaluation aid only — not a HIPAA compliance determination.

CONNECTED CLINICAL WORKFLOWS

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Trust and clinical responsibility

AutoNotes is designed for behavioral health documentation workflows. Clinicians remain responsible for reviewing, correcting, and approving generated content before it enters the clinical record. For details on privacy practices, security, and applicable agreements, visit the Trust Center. Confirm plan-specific availability on the Pricing page.

FAQ

Frequently asked questions

More questions? Contact our team or visit the Help Center.

Are all AI note generators HIPAA compliant?

No. The appropriate assessment depends on the vendor, contractual arrangements, security practices, and the healthcare organization's own use of the tool.

Do therapists need a BAA for AI notes?

When a vendor acts as a business associate and handles PHI on behalf of a covered entity, a BAA is generally required. Organizations should confirm their specific obligations.

Can I paste patient details into any AI chatbot?

Do not enter PHI into a service unless your organization has evaluated and authorized that workflow, including required contractual and security safeguards.

Where can I review AutoNotes' security information?

Start with the AutoNotes Trust Center and request any additional documentation your organization needs.