Tied to the visit
Each note belongs to a visit and carries that visit’s data, times and signatures, so everything about a session is in one place.
ABA session notes that are complete before they are signed
Every session note is tied to its visit and its data. A readiness check shows what is still missing, parents and clinicians sign electronically, and BCBAs review the note, so a note is ready for an audit or a claim the day it is written.
J. M.Session note · J. M.Tue, Oct 14 · Direct therapy 2:00–5:00 PMDraft
Targets
Mand for item8/10 correct
Imitate motor actions6/10 correct
Tact common objects9/10 correct
Wait for turn5/8 correct
Observations
Client engaged well during table-top work. Needed brief reminders to wait for turn; response to reinforcement was strong.
Readiness check
Data captured
Observations written
Parent signature
Sign noteE-signature
Therapist 1 · signed electronically
Notes your supervisors and payers can rely on
Notes are built from the session itself, not typed up from memory later.
A readiness check before signing
A note can’t be signed until it is complete: data captured against the targets, the clinician’s own observations written (an auto-generated summary doesn’t count) and the parent signature collected.
Electronic signatures
Clinicians sign with a saved e-signature after completing e-sign consent. Parents and guardians can sign on the device or remotely.
BCBA review
Supervisors review the notes of the RBTs they oversee and approve a note or send it back for changes.
Times and breaks on the record
Scheduled and clock-in / clock-out times sit with the visit, and breaks can be recorded on the note, so the time that is billed is documented.
A queue of notes to finish
See which notes are unsigned or waiting for review, with a status on every visit, so nothing is discovered missing at audit time.
Audit trail and audit packet
Every view and change to a note is logged. When a payer asks for records, pull the notes, signatures, authorization and visit verification for a claim together.
From visit to signed note
- 1
The visit happens
The clinician clocks in, collects data against each target and records any break.
- 2
Write the note
The clinician adds their own observations on top of the collected data.
- 3
Run the readiness check
The note shows exactly what is still missing: data, written notes or the parent signature.
- 4
Sign and review
The clinician and parent sign electronically and the BCBA reviews the note.
Frequently asked questions
Can a note be signed with missing information?
No. The readiness check lists what is outstanding, such as missing data, notes that haven’t been written or a missing parent signature, and the note can be signed once those are done.
How do parents sign?
A parent or guardian can sign on the clinician’s device at the visit, or the clinician can send a link so the parent signs remotely.
What does a BCBA do with an RBT’s note?
The BCBA reviews the note and approves it or sends it back, so supervision is documented in the same place as the note.
Are notes kept for audits?
Yes. Every view and change is recorded in the audit log, and you can pull a payer audit packet for a claim with the notes, signatures, authorization and visit verification together.
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