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How LocalScribe Works with Prompt

• By John Britton

If you use Prompt, LocalScribe is best thought of as a rehab drafting layer that can either follow a standard SOAP-style workflow or mirror your clinic’s existing Prompt structure more closely. Prompt is a rehab-focused platform for PT, OT, SLP, chiropractic, and pediatric therapy, with AI-powered documentation, unlimited templates, AI intake that populates notes, and strong plan-of-care workflows. That makes it more standardized than some highly modular platforms, but still customizable enough that many clinics will want a LocalScribe custom template for a closer match.

The main setup choice

If your clinic already has a clear internal Prompt documentation structure, mirror that structure in a LocalScribe custom template. If your workflow is mostly straightforward rehab SOAP documentation, a built-in LocalScribe SOAP-style template is a reasonable starting point. That approach fits well withPrompt features, which are strong documentation support, unlimited templates, AI intake feeding documentation, and workflow tools tied to rehab care.

Daily and treatment notes

Prompt has a very rehab-specific daily-note workflow. In its payer-policy guidance, Prompt lists treatment-note elements such as date of treatment, specific treatments matching billed CPT codes, total treatment time, response to treatment, skilled reassessment of progress toward goals, measurable progress, problems or changes to the plan of care, home-program involvement, and provider signature. That makes daily rehab notes a strong fit for either a built-in SOAP-style LocalScribe template or a custom template built around those exact headings.

These custom-template examples show the section headers and the instructions you would give the model for each section.

A practical daily-note template in LocalScribe might use:

Date and visit context: Document the treatment date and any visit-specific context needed for the note.

Treatments provided: List the skilled treatments delivered and keep them aligned with billed CPT-code activity.

Response to treatment: Summarize how the patient responded during and after treatment.

Progress toward goals: Describe measurable progress, lack of progress, or barriers using objective language.

Plan-of-care changes or concerns: Document any problems, needed modifications, or changes to the current plan of care.

Home program and carryover: Include home-program involvement, adherence, caregiver input, or carryover outside the session.

Evaluations and re-evaluations

Evaluations and re-evaluations are stronger custom-template categories. Prompt’s policy guidance reference initial evaluation and re-evaluation workflows, and the re-evaluation requirements they publish include the prior evaluation date, authorized versus attended visits, home-program compliance, current deficits and severity using objective data, progress toward each goal, updated treatment modalities and frequency, prognosis with discharge criteria, and an updated individualized plan of care. That amount of detail justifies building a LocalScribe custom evaluation or re-evaluation template.

A practical evaluation or re-evaluation template in LocalScribe might use:

Referral and diagnosis context: State the referral reason, diagnosis, and evaluation type.

Subjective: Summarize the patient’s reported symptoms, functional concerns, goals, and relevant history.

Objective findings: Document exam findings, measures, severity, and other observable clinical data.

Progress since prior evaluation: For re-evaluations, summarize authorized versus attended visits, goal progress, and home-program compliance.

Assessment and prognosis: Interpret the clinical picture, current deficits, rehab potential, and discharge criteria if relevant.

Updated plan of care: Document treatment approach, modalities, frequency, duration, and next steps.

Plan of care

Plan of care is clearly a custom-template category in Prompt. Plan-of-care is a measurable clinic outcome and the updated individualized plan of care includes measurable, functional, and time-based goals, along with treatment modalities and recommended frequency and duration. That is specific enough that clinics will usually get a better fit by building a LocalScribe plan-of-care template that follows the same internal structure they already use.

A practical plan-of-care template in LocalScribe might use:

Functional and physical impairments: State the main impairments, limitations, or treatment targets.

Short-term goals: Write measurable short-term goals in functional clinical language.

Long-term goals: Write measurable long-term goals tied to outcomes and discharge planning.

Interventions and modalities: Describe the planned skilled interventions and treatment modalities.

Frequency and duration: Document expected visit frequency, episode length, and review timing.

Intake

Prompt uses custom intake documents, so the best advice is to mirror your clinic’s actual Prompt intake or evaluation structure in a LocalScribe custom template.

A practical intake template in LocalScribe might use:

Presenting concern: Summarize why the patient is seeking care now and the main problems being reported.

Relevant history: Include medical, therapy, injury, developmental, or other history relevant to care.

Functional status: Describe current limitations, participation concerns, and important daily-life impact.

Objective findings or intake measures: Document any early measures, screeners, or structured intake findings available.

Initial impression and next steps: Summarize the early clinical picture and what should happen next.

A quick note on specialty terminology

In Fusion, template structure is only part of the setup. Pediatric OT, PT, and SLP workflows often depend on discipline-specific terminology, standardized tests, outcome measures, and specialty phrasing. When that is true, LocalScribe’s custom terminology and test-reference tools become especially useful, because they help the draft stay closer to the language and measure-based reasoning the clinician actually documents with.

What to put into LocalScribe

Use the same source material you would normally pull from while writing manually. That can include typed shorthand, pasted text, dictation, ambient or session recording, and attachments such as intake paperwork, prior evaluations, screeners, outcome measures, referrals, and other source documents, plus any clinician observations not captured elsewhere. LocalScribe is built to turn that source material into a structured draft, and its custom-template plus test-reference workflow is especially useful once rehab documentation becomes more discipline-specific.

Bottom line

For Prompt, SOAP-style LocalScribe templates are a reasonable starting point for daily rehab documentation. Evaluations, re-evaluations, plan of care, and intake are better treated as LocalScribe custom-template workflows unless your clinic’s Prompt structure is very simple or you have clearer internal template standards you want to mirror directly.

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The views expressed here are my own and do not necessarily reflect the views of any current or future employer, training site, academic institution, or affiliated organization.