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AI SOAP Notes for Counselors Using TheraNest

Save 4.8 hours weekly on documentation. Built specifically for counselors who use TheraNest.

6+
Hours Saved Weekly
32
Avg Sessions/Week
12-18 minutes
Per Note (Manual)
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Sound Familiar?

"Each progress note takes 12-18 minutes. Multiply by 32 clients and I've lost an entire workday to paperwork."

As a counselor using TheraNest, you deserve documentation tools that understand your specific workflow.

Counselor Documentation Workflows

Mozu understands the unique documentation needs of counselors, including:

Common Documentation Types

  • Session Notes
  • Biopsychosocial Assessments
  • Crisis Documentation
  • Referral Letters

Specialty Workflows Supported

  • Community mental health documentation
  • Sliding scale client tracking
  • School-based counseling
  • Crisis intervention protocols

SOAP Notes Requirements for Counselors

Mozu generates compliant soap notes with all required elements.

Required ElementMozu Coverage
Subjective complaints Auto-generated
Objective findings Auto-generated
Assessment/diagnosis Auto-generated
Plan of care Auto-generated

Insurance Note: Required for E/M billing, must support level of service

Counselor Compliance Considerations

Documentation that meets your regulatory and licensing requirements.

State licensure requirements
Supervision documentation for provisionally licensed
Continuing education tracking
Mandated reporting

Common SOAP Notes Mistakes Mozu Prevents

Audit-proof documentation that avoids these common pitfalls:

Missing MSE elements

Mozu prevents this

Vague assessment

Mozu prevents this

Incomplete medication documentation

Mozu prevents this

Counselor-Specific Clinical Terminology

Mozu understands and correctly uses counselor-specific language:

presenting concernscoping strategiesresource linkagecase conceptualizationtherapeutic goals

Example SOAP Notes for Counselors

Here's a sample soap notes generated by Mozu. Ready to paste into TheraNest.

MozuGenerated Note
TheraNest Ready
SUBJECTIVE: Patient reports improved sleep over the past week, averaging 6-7 hours per night compared to 4-5 hours previously. Denies active suicidal ideation. Reports anxiety remains elevated in social situations but is "more manageable" with current medication regimen. Compliant with medications. No reported side effects. OBJECTIVE: Alert and oriented x4. Mood: "better". Affect: congruent, full range. Speech: normal rate and rhythm. Thought process: linear, goal-directed. No psychomotor agitation noted. Eye contact appropriate. Grooming and hygiene intact. ASSESSMENT: Major Depressive Disorder, recurrent, moderate (F33.1) - improving Generalized Anxiety Disorder (F41.1) - stable PHQ-9: 12 (down from 18 at last visit) GAD-7: 10 (stable) PLAN: 1. Continue current medication regimen 2. Follow up in 4 weeks 3. Continue therapy as scheduled 4. Patient to continue sleep hygiene practices 5. Return sooner if symptoms worsen

Why Counselors Using TheraNest Choose Mozu

TheraNest: Affordable all-in-one solution. Mozu adds AI-powered documentation.

Built for Counselors

Trained on counselor sessions. Understands clinical nuance, not just transcription.

TheraNest Ready

Copy-paste directly into TheraNest. No integrations needed, no workflow changes required.

Cross-Session Memory

Mozu remembers client history, names, and patterns across all your sessions.

Clinical-Grade Security

HIPAA compliant with BAA provided. Built on SOC 2 Type II certified infrastructure.

SOC 2 Type II
HIPAA Compliant

Frequently Asked Questions

How much time will Mozu save me as a counselor?

Most counselors using TheraNest save 4.8 hours per week on documentation. That's approximately 12-18 minutes saved per soap notes.

Does Mozu work with TheraNest?

Yes. Mozu generates soap notes that you can copy directly into TheraNest. No integration or setup required - it works with any EHR system.

Is Mozu HIPAA compliant for counselor documentation?

Yes. Mozu is fully HIPAA compliant with BAA provided. We use SOC 2 Type II certified infrastructure and never use your patient data to train AI models.

What types of notes can Mozu generate for counselors?

Mozu generates Session Notes, Biopsychosocial Assessments, Crisis Documentation, Referral Letters specifically formatted for counselor documentation requirements.

Is there a free plan for solo counselors?

Yes. Mozu is completely free for solo practitioners. No credit card required, no trial period - free forever for individual counselors.

Free for Solo Counselors

Start saving 4.8 hours weekly on soap notes. No credit card required.

$0
per month for solo practice
  • Unlimited SOAP Notes
  • Cross-session memory
  • Works with TheraNest
  • HIPAA compliant
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