Be fully present.
Otto keeps the record.
The AI-native EHR for mental health. OTTO writes the note, codes the visit, and updates the chart, so the hour belongs to your patient, not your keyboard.
Generate NoteAmbient recording in progress
42:18
Focus on the visit. When you're done, generate the note to review and finalize.
AI Clinical Notes
- Notes from audio
- Provenance badge
- Review & sign
- Autosave & drafts
- Addendum flow
- Correction tagging
AI Summaries
- AI patient summary
- Whole-chart synthesis
- Auto-refresh
- Last-session highlights
- Safety-aware highlights
AI Extraction & Safety
- Post-sign extraction
- Update detection
- Confirm / dismiss
- Diagnosis linkage
- Treatment-plan matching
- Medication capture
- Red-line monitoring
- AI instrumentation
- Failure recovery
Core Workspace
- Secure login
- Practice selection
- Responsive workspace
- Today workspace
- Appointment actions
- Visit prep details
- Notifications & alerts
Scheduling
- Week & agenda views
- Mobile schedule
- Flexible booking
- Recurring appointments
- Edit & reschedule
- Time-off blocks
- Conflict checking
Telehealth
- Secure join links
- Prejoin media check
- DOB verification
- Provider meeting room
- Waiting room
- Split visit layout
Patient 360
- List & search
- Patient profile
- 360 tabs
- Appointment history
- Clinical notes
- Billing history
- Global search
Documentation
- Rich note editor
- DAP & SOAP
- Autosave & addenda
- Post-visit processing
- Safety findings
Payments
- Stripe Connect
- Auto charge
- CPT prefill
- Review & override
- Flexible collection
- Balance alerts
- Secure payment links
- Fee schedule
- Refunds & receipts
Onboarding & Trial
- Provider signup
- Credential capture
- Concierge onboarding
- Trial counter
- Trial limits
- Read-only access
Mental health clinicians are drowning in admin.
Every hour spent charting is an hour not with patients, not with family, not recovering. OTTO is built to give that time back.
Be fully present for the hour that matters.
Otto handles the rest.
OTTO records the session and drafts your SOAP or DAP note the moment it ends. You review and sign, and leave when your last patient does.
It's the documentation, not the patients, that drives clinician burnout. OTTO takes the paperwork off your plate.
OTTO prefills the CPT code from session type and duration, so every charge is coded right the first time — no separate billing system.
The whole provider day, in one loop.
OTTO isn't a general-purpose EHR with an AI add-on. It's built end-to-end around how you actually move through a day, and the AI carries the thread from one step to the next.
Situation, goals, measures, and last-session highlights to pick up the thread.
Ambient scribe drafts the note. You review, edit, and sign, in minutes.
AI extracts diagnoses, plans, and meds. You confirm what writes to the chart.
CPT prefilled from the session. Review, then collect, before, at, or after the visit.
Notes that write themselves from your session audio.
With patient consent, OTTO listens, drafts a structured note in your format, and hands it to you to review and sign. The AI is always material for your review, never a conclusion.
Ambient recording in progress
42:18
Focus on the visit. When you're done, generate the note to review and finalize.
OTTO drafts the note the moment your session ends. Sign before you leave the room — no charting after the last patient.
Drafts come back structured in your chosen format, DAP or SOAP, ready to review and sign in minutes instead of written from scratch.
Every note carries an AI provenance badge marking what OTTO drafted. You edit freely, and nothing reaches the chart until you sign.
Sign the note. Your chart updates itself.
The moment you sign, OTTO extracts structured clinical data from the final note, diagnoses, treatment-plan items, and medications. It detects what's new versus a potential update to an existing problem, and nothing touches the longitudinal record until you confirm it.
Add to Patient Record
Signed Jun 19, 2026 · 8:34 PM
Review intelligence-derived updates from the signed note and confirm what should enter the patient record before billing closeout.
New Items
New home practice plan extracted from the signed session note.
Why This Was Suggested
“Plan: patient will practice box breathing nightly before sleep and track anxiety intensity.”
Potential Updates
25 mg daily→50 mg daily
Why This Was Suggested
“Sertraline increased to 50 mg daily after tolerability review.” · Current record: Sertraline 25 mg daily.
- Maya came in carrying new family responsibilities and a recent change at work, and named how hard it has become to hold her boundaries.
- She committed to a daily grounding exercise and to choosing one responsibility to delegate or delay before the next session.
- Pick the boundary-setting work back up next time, and check how the nightly grounding practice landed.
The whole patient, summarized · instantly.
Wherever a patient appears in OTTO, their AI summary is right there, generated from everything in the chart and refreshed after every new note. Last-session highlights help you pick up exactly where you left off.
Sign once. The visit closes itself.
The moment you sign, OTTO pulls the structured data from your final note and lays it out for one quick approval. Tap once, and the chart updates, the problem list links, the summary refreshes, and the charge is ready, before you've left your chair. Nothing reaches the record until you say so.
AI you can sign your name to.
OTTO treats every AI output as material for your review. The provider is always the decision-maker, and every AI output is built to be reviewed, corrected, and improved — never blindly trusted.
Nothing writes to the longitudinal record without your explicit confirmation. Every time.
Hallucinated medications, ruled-out diagnoses, and fabricated plan items are defined as categorical failures and monitored against every extraction.
Latency, cost, edit-delta, corrections, and acceptance are measured, so quality keeps improving.
If a note ever fails, OTTO falls back to re-record or manual entry, with human support behind it.
Built for the whole practice.
The AI is the headline. Underneath it is a complete, modern EHR, scheduling, telehealth, the patient chart, and payments, all in one place.
Week, agenda, and mobile views. Recurring sessions, conflict checking, breaks, and inline booking from open slots.
HIPAA-compliant video, waiting room, prejoin checks, and a split visit layout, right inside the chart. No context switching.
Demographics, appointments, clinical notes, and billing in four tabs. Global search by name or MRN.
Stripe Connect, CPT prefill from session type, collect before/at/after the visit, balance alerts, and PHI-safe payment links.
PHQ-9 and GAD-7 scores surface in the patient summary with a directional trend, so progress is visible at a glance.
Sign up, add your NPI, license, specialty, and note format, and start. Concierge setup for early practices.
It's like having rounds with yourself and a super smart person, the note's already written when I walk out.
Spend your precious time on the person,
not the paperwork.
Try OTTO free for your next 10 signed notes or 30 days, whichever comes first. No card required.
After your trial, it’s $99/month. AI capabilities pause until you subscribe, but your records stay read-only and accessible — your data is always yours.