Three Categories of EHRs and Progress Note Tools

Therapists can basically boil down EHR and note-writing tools into three basic categories... Ones that encourage you to record and transcribe sessions, ones that don't currently (but will soon), and ones that vehemently oppose doing such a thing. Quill is the latter.


There are three categories of EHR and note-writing tools for therapists:

  1. "We have an AI scribe! You should absolutely record and transcribe your sessions and let AI use its clinical "reasoning" first to draft your note, rather than your own (human) observations. It's magic and you should totally just use it. Did we mention things are 'encrypted'? It's a fancy word so you know it must be infinitely secure. Also, we'll send you a free t-shirt that says 'ambient listening'."

  2. "We don't have an AI scribe. But... We want to add one soon! We're just slow on getting that feature out the door, we're finalizing paperwork to integrate with an existing AI scribe, we're working with our copy editors to be as sneaky with our wording as possible to avoid ever uttering the phrase 'recording' or 'transcription', etc."

  3. "We made a conscious choice. We will never support the recording and transcription of therapy sessions. It's unnecessary, invades privacy, introduces too much risk, and is simply not a good idea... for so many reasons."

The popularity of 1 and 2 really bums us out.

Obviously Quill falls into category 3. And we feel super strongly about that.

We will not waiver on this: Quill does not and will not record or transcribe therapy sessions.

Are there any EHRs that will put their foot down and say "nope, we're never adding that feature"?

An EHR with a backbone on this matter would really find success with a ton of therapists. Because the second an EHR offers an AI scribe feature (and starts pushing it to its users), it surely gives some doubts to therapists that are privacy-minded.

Published on Oct. 29, 2026.

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Quill Therapy Solutions

What is Quill?

Quill streamlines progress notes for therapists, saving time by generating notes from a verbal or typed session summary. With privacy at its core, Quill never records client sessions, protecting the therapist-client relationship and avoiding ethical and confidentiality risks. Just record a summary, click a button, and Quill generates your notes for you.

Try Quill for free today, no credit card required. And for unlimited notes (and other types of therapy documentation), it's only $20/month. (Even less for teams.)

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