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Can I use ChatGPT for therapy notes?

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OpenAI's consumer ChatGPT product does not sign BAAs with individual users. Enterprise ChatGPT and the OpenAI API can be used under a BAA at organizational scale, but that requires a compliance stack most solo clinicians don't have.

Use a purpose-built therapy scribe (Twofold, Upheal, Mentalyc, Heidi Health) instead — they sign BAAs, encrypt PHI, default to no training on your data, and produce clinically-appropriate note structures out of the box.

The temptation to paste transcripts into ChatGPT is real, but the compliance risk (and, in most jurisdictions, legal exposure) is not worth it.

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