Session Note Creation
Creating a new session note takes seconds. The RBT selects the client, confirms the session date and time, and is taken directly into the session template. There are no complex menus or multi-step setup screens.
Each note is associated with:
- Client name
- Session date and duration
- RBT conducting the session
- Assigned BCBA supervisor
Two Ways to Capture Session Data
Get RBT Notes supports two input methods, giving clinicians the flexibility to document in whatever way fits the session context best:
- Written input — structured template fields, dropdowns, quick-capture behavior log, and free-text observations typed directly into the form
- Audio input — the RBT speaks their session notes aloud, and the platform transcribes and structures the content automatically before passing it to the AI for note generation
Both methods produce the same structured output and support Spanish input with English note generation. Many RBTs use written input during sessions for structured data (trial counts, prompt levels) and audio input immediately after a session for free-form observations — combining both in a single note.
Structured Session Templates
Templates define what information is collected for each session. Clinic administrators and BCBAs configure templates to match their documentation requirements, which may vary by payer, program type, or client population.
A standard ABA session template includes:
- Session header — date, time, location, duration, therapist name
- Programs addressed — which skill acquisition or behavior reduction programs were run
- Prompt levels — level of prompting used per program (independent, gestural, verbal, physical)
- Trial data — number of trials, correct responses, error responses
- Behavior data — frequency, duration, or intensity of target behaviors observed
- Antecedents and consequences — what preceded and followed behaviors of note
- Reinforcement — reinforcers used and client response
- Observations — general clinical observations about the session
- Plan — notes for the next session or supervisor follow-up items
Quick-Capture Behavior Tracking
During a session, the RBT can log behavior incidents directly in the note using a quick-entry behavior tracker. Each incident records:
- Behavior name (from the client’s program)
- Time of occurrence
- Antecedent (what happened before)
- Response / consequence used
- Intensity or duration (if applicable)
Multiple incidents of the same behavior can be logged in sequence. The tracker accumulates a behavior log for the session that feeds directly into the AI note generation step.
Intervention and Program Tracking
For each program addressed in the session, the RBT records:
- Program name
- Prompt level used
- Number of trials
- Number of correct responses
- Notes on client performance or instructional adjustments
This data is summarized automatically in the AI-generated session narrative and is stored as structured data that can be trended over time.
Bilingual Data Capture — Spanish Input, English Output
One of the most distinctive capabilities of Get RBT Notes is its support for Spanish-speaking clinicians working with Spanish-speaking clients and families.
RBTs can complete the entire session note — all structured fields, free-text observations, behavior incident descriptions, and caregiver-reported information — in Spanish. The AI then generates the final session note narrative in professional clinical English, with appropriate terminology, tone, and formatting for payer and supervisor review.
This eliminates the most cognitively demanding step for bilingual RBTs: real-time mental translation of clinical observations into a second language while also trying to document accurately.
How it works in practice:
- All template fields, dropdown options, and input labels are available in Spanish
- Free-text observations, antecedent descriptions, and caregiver notes can be written in Spanish
- The AI reads all entered Spanish-language content and produces the SOAP narrative in English
- Clinical terminology is translated with appropriate precision — not word-for-word, but contextually, using accepted ABA clinical language
- The RBT reviews the English draft to confirm accuracy before submitting
What this means for documentation quality:
- Spanish-speaking RBTs capture more detail because they are not constrained by language
- Caregiver-reported information is documented fully in the language it was received
- The final note reads with the same professional quality as notes written by native English speakers
- BCBAs receive consistent English-language documentation regardless of the RBT’s primary language
See AI-Assisted Note Generation for a full description of the Spanish-to-English generation workflow.
AI-Assisted Note Drafting
After session data is entered, the AI writing assistant generates a complete session note narrative. The draft is displayed alongside the entered data so the RBT can verify accuracy, make corrections, and add any details the structured fields did not capture.
See AI-Assisted Note Generation for a full description of how this works.
Session Summaries
Each completed and approved session note generates a structured summary that captures:
- Programs run and overall performance percentage
- Behaviors observed and their frequency
- Reinforcement used
- Key clinical observations
- Next steps or supervisor notes
Summaries are concise, easy to scan, and designed for quick review during supervision meetings.
Supervisor Review and Approval
Submitted notes are routed to the assigned BCBA for review. The supervisor sees all pending notes in a review queue, can add comments, and approves or returns the note with feedback. Approved notes are locked and form part of the permanent clinical record.
See Supervisor Review Workflow for full details.
Export-Ready Documentation
Approved session notes can be exported as:
- PDF — for printing, sharing with caregivers, or attaching to billing records
- Structured data — for use within the Get ABA Suite, including feeding behavioral trend data into Get ABA Assessments
All exports use professional clinical formatting consistent with payer and agency documentation standards.
Client Management
The platform maintains a client list for each account. Each client record stores:
- Basic identifying information
- Assigned BCBA supervisor
- Active session templates
- Session history and note archive
- Behavioral trend data derived from session logs
