Get instant, top clinician-vetted click-to-generate narratives to create compliant notes in minutes.
Autopopulate results from 80+ patient-reported outcome measures into notes and generate one-click clinical summaries.
Pass audits with flying colors through flexible settings and templates pre-configured to meet complex payer requirements.
Report on patient progress with auto-scored assessments and visual graphs.
Pull patient-reported mental health and SUD outcomes directly into notes for IOP/PHP tracking.
Assemble pre-built clinical templates for evidence-based and specialized therapies, such as DBT, CBT, MFT, and TMS.
Create provider and practice content libraries for swift narratives of recurring challenges and therapeutic interventions.
Ensure holistic care documentation by linking treatment plans, goals, measurable outcomes, and session notes in one seamless workflow.
Benefit from provider worksheets to facilitate structured and engaging behavioral health sessions.
Generate structured notes in SOAP, DAP, BIRP, and custom templates for every session type.
When asked, more than 40% of clinicians say completing clinical documentation is their biggest source of work stress. Administrative demands like clinical notes eat up time you would rather spend with patients – or with family!
By speeding up your documentation process with note-taking tools built for behavioral health, you reduce note completion stress and protect your revenue.
Imagine this…
Be the final author of each note, where you can add details, edit narratives, or change the CPT code as you need before signing.
Choosing the right EHR built for behavioral health documentation is critical to avoiding manual workarounds. Here’s how EHR platforms compare for small to mid-sized practices.
You’re a clinician, not a scribe. Like Valant clinician Jonathan Woods, you can take the mental load out of documentation and focus your efforts on what you want to do. “I don’t think about [documentation] very much,” says Woods, “which is my favorite aspect about Valant.”
Valant makes clinical documentation easy with AI Notes Assist, which supports over 100 session templates. This includes SOAP, DAP, BIRP, GIRP, Psychiatric Progress Notes, Therapy Progress Notes, Discharge Notes, Psychotherapy Notes, Intake Notes, Missed Appointments, CBT, DBT, MFT, EMDR, narrative formats, and custom templates allowing documentation to fit seamlessly into your existing clinical workflow from day one.
Manual review and summary of outcome measure data can be a thing of the past. Focus your clinical efforts by automating this process.
Here’s how it works in Valant Mental Health EHR:
Discreetly complete your note in real-time from a mobile device or tablet. Document individual, family, or group sessions without losing focus on your clients through quick check boxes and automated narratives. Stay fully present with your patients while capturing all the essential details.
Track patient progress more effectively by pulling patient-reported mental health and substance use disorder outcome measures directly into clinical notes. With Valant, providers can monitor outcomes over time at both the individual and group level or generate reports that show aggregate results across IOP/PHP. This makes it easier to demonstrate progress to patients, payers, and accrediting bodies while guiding evidence-based care.
Every IOP/PHP program is unique. Valant lets you customize note templates based on service type and treatment needs, so your documentation reflects the right level of detail for each program. Clinicians save time while maintaining compliance, and documentation remains consistent across individual, family, and group sessions.
After a telehealth session, clinics must document the same required elements as in-person care—modality, session duration, location of patient and provider (if required by payer), medical necessity, interventions used, and measurable progress toward goals.
Valant streamlines virtual appointment documentation by carrying forward appointment details, configured service information, and outcome measure results into your note—supporting consistent documentation across in-person and virtual care appointments.
Clinical Documentation For Mental Health Practices
The best EHR for behavioral health clinical documentation is one built specifically for mental health workflows. Unlike generic systems, Valant includes prebuilt note templates, outcome measure integration, documentation prompts designed to support common payer requirements, and treatment plan syncing to promote efficient and audit-ready documentation.
Most payers require documentation of medical necessity, diagnosis, interventions used, session duration, CPT code, measurable progress toward treatment goals, and provider signature. Notes should clearly connect the session to the treatment plan and demonstrate ongoing therapeutic value.
Preconfigured templates prompt providers to include commonly required audit elements such as medical necessity language, risk assessment (if applicable), measurable outcomes, and relevant billing details. This helps reduce omissions and supports documentation expectations across many payer scenarios.
Clinics document telehealth sessions similarly to in-person visits but must include modality and location details, and ensure billing workflows reflect telehealth requirements when applicable. Integrated EHR workflows that carry forward appointment information and outcome measure results can significantly reduce post-session administrative burden.
Generic EHRs are often built for primary care and require heavy customization for mental health practices. Valant is purpose-built for behavioral health, with modality-specific templates, outcome measure scoring, treatment plan syncing, and documentation workflows designed to support payer expectations—helping reduce audit risk and clinician burnout.
Clinical Documentation For Mental Health Practices
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