AI H&P Note Generator for Initial Consultations

MD Record AI includes a built-in Initial Consultation H&P template. It turns a recorded or uploaded first visit into a structured history and physical note draft for clinician review.

Last reviewed October 6, 2026

What an H&P covers

  • Chief complaint and history of present illness
  • Past medical, surgical, family and social history
  • Medications and allergies
  • Review of systems and physical exam
  • Assessment and plan

Why a template matters

H&Ps are long and consistent by design. A template gives the AI the section list to fill, so the note comes out in your order every time. On a paid plan you can adjust the template to your specialty.

Review before filing

Every note MD Record AI generates is a draft. The treating clinician reviews, edits and signs it before it becomes part of the patient record.

Frequently asked questions

Can I customize the H&P layout?

Yes, on Pro and Enterprise you can create custom templates based on your own structure.

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