The AI-powered EMR for pediatric therapy
Less charting. More play.
Otti keeps your schedule, notes, plans of care, billing and parent portal in one calm place. Its AI turns your shorthand into finished paperwork, so charting fits around the kids instead of the other way around.
Built inside a working pediatric OT practice. Now opening to a few more.
How it works
How a week runs in Otti
From a family's first form to the last payment. Pick one and watch it run: AI does the drafting, and you make the calls.
- Consent to treatmentSigned
- Financial agreementSigned
- Privacy practicesSigned
- Illness policySigned
Drafted from the intake sent by Dana B. on 9 October. Check every line before you sign.
- IReason for referral
- IIBackground and history
- IIIParent report by area
Signing files the PDF in the chart and opens this child’s first plan of care with the goals in section VII.
- LTG 1Dresses for preschool on her own
- STG 1.1Buttons her coat
- STG 1.2Zips her jacket
Progress notes every 12 weeks. Next due 5 Jan 2027.
The plan of care runs to 13 Oct 2027. The re-evaluation is due then.
The family fills in your intake and signs your agreements on their phone, and the answers file themselves into the chart and the evaluation. Signing the evaluation opens the plan of care with the goals you wrote, and Otti works out when each report is due. No portal yet? Upload a referral and AI fills in the new client for you to check.
Today · Fri 16 Oct4 · 3 to go
1 done · 9:00 to 9:45 am · signedShow
Now · 11:20 am
11:00 amPriya N.Now
2 hr 15 min free · tap to book
2:00 pmRobin F.Scheduled
1 hr 45 min free · tap to book
4:30 pmNora B.Scheduled
It stays on the calendar, marked cancelled, and is filed permanently in the chart as a cancellation record, with a PDF.
List, Day and Week on every screen, phone included. A weekly or every-two-weeks series books in one go, a video visit carries its Meet link, and a cancellation records who called it off and why. Email reminders that families can confirm are on the way.
Startles at loud sounds: count down before timers
PrepButton boardLacing cardsSwing
Start session →Keep going with buttons. Try the zipper jacket next time.
Buttoned three of five with a little help, and asked for the swing first.
Written when the note was signed.
last 8 signed visits · quotes only
What have we tried for buttons?Ask
Searched 8 signed notes for: button, buttons, buttoning — found in 3 notes.
A button board with large buttons first, then practice on a real coat.
9 Oct · “button board, then the coat on the table”2 Oct · “large buttons on the board first”
Home shows the next visit with its precautions and your plan. The prep sheet brings back last time's plan, the goals in play and the family's home-program ticks. Dictate ideas for today and AI arranges them into a checklist without adding to them, and Ask the notes answers from the last eight signed visits, in quotes.
“Buttoned three of five with a little help, loved the swing, tired near the end.”
Dictating your shorthandSParent reports more interest in dressing.
OButtoned 3 of 5 with minimal assistance.
STG 1.1Buttons a coat on their own
AI read 3 buttons, min assist✓ Keep× Discard
“Buttoned three of five with a little help”
- Note started
- Goals finalized
- Note signed
Signed: the text, time and signer are locked.
Buttons and zippers. Robin buttoned three of five with a little help.
Dictate or type a few lines and AI drafts the SOAP note for you to edit. It reads the note against each goal and suggests a score with the words it came from; nothing is scored until you keep it. Signing locks the note, and the family's visit summary is drafted from it for you to change and publish.
IVClinical observations
VStandardized measures
PDMS-2
CompositesFine Motor Quotient (FMQ)
Primitive reflexes
VIClinical impressionAI
NB shows emerging bilateral coordination, with the most difficulty on small fasteners and pencil grasp.
- Progress notes1 due · 1 draft · 6 signed
- Re-evaluations1 due · 0 drafts · 2 signed
Record observations and reflexes, then type each score from the manual into forms for the Child Sensory Profile 2, PDMS-2, BOT-2 or any other test: Otti never computes or converts a score. AI drafts the impression from your findings; the plan is yours. Progress notes and re-evaluations come due on their own clocks, drafted from your goals and scores. A plain-language summary for families is on the way.
97530Therapeutic activities× 3
3 of 3 timed units used.
What the family will seeTherapy Session (45 min)$135.00
$115.00 rate plus $20.00 travel, printed as one line.
Total$270.00Owed$270.00
In the family's portal to read and pay. Email it from your practice's own address too.
9 Oct 2026Online payment, in the family’s portal · covers all 2 visits$270.00
Receipt filed 9 Oct 2026 · Receipt emailed
Codes are checked against the visit's minutes, and your rate and the travel fee print as one charge. Statements go to the family's portal and from your own email address. Families pay by bank transfer into your practice's own Stripe account, the receipt files itself, and a paid statement offers Send superbill.
AI-powered
AI does the paperwork. You do the therapy.
HIPAA-covered AI built into every step of the visit, drafting from your shorthand and your plan of care. It is never trained on your notes, and it never changes a signed note.
Shorthand to SOAP
Type or dictate a few lines after the visit. Otti drafts the full SOAP note for you to edit and sign.
Goal scores, suggested
Otti reads your note and suggests scores for the goals you worked on. You apply them one at a time, and goals always come from your plan.
Summaries families read
Turn a clinical note into a plain-language visit summary, ready for you to review and publish.
Progress notes and evaluations
Sections drafted from your goals, scores and findings, so you start from a draft instead of a blank page.
Prep in seconds
Before a visit, ask questions across past notes, and say your ideas for today out loud: Otti turns them into a checklist without adding any of its own.
Talk instead of type
Voice dictation wherever you write: notes, progress notes, prep and to-dos.
Family portal
A window into therapy for every family
Every family gets your practice's own portal on their phone. They see what you share, practice at home and pay their bills, so fewer questions end up in your texts.
- Your name on it. Families see your logo and practice name. Otti stays in the small print.
- Visit summaries they understand. A plain-language summary after each visit, with the goals you worked on. Nothing is shared until you publish it.
- Home programs they tick off. This week's exercises with a check-off for each, and you see what got done on the chart.
- Progress they can see. A simple chart for each goal on the plan of care.
- Forms signed from the couch. Intake and agreements, filled in and signed on a phone, and filed straight into the chart.
- Bills paid online. Statements, online payment and receipts in one place, with superbills on request.
- Visits in their calendar. Upcoming appointments, video links for telehealth, and one tap to add a visit to their calendar.
- One login for siblings. Families switch between children in the same account.
No app to download: families add it to their home screen. And the chart shows you which families are using it.
Robin's next visit
Fri, Oct 16 · 2:00 pm
Home visit, 45 min
Add to calendarThis week's home program
2 of 3 done this week
Goal: buttons a coat
From 1 of 5 buttons to 3 of 5
Visit summary · Oct 9
Today Robin worked on buttons and zippers, and buttoned three of five buttons with a little help. At home, try the button board for five minutes before bath.
Visit summary · Oct 2
Robin practiced cutting along a curved line and kept going through a tricky step without a break.
October statement
$230.00
Due Oct 31
Pay onlineSeptember statement
Paid
Receipt saved here
Need a superbill for your insurance? Request one
Powered by Otti
Tap an exercise to tick it off, the way a parent would.
Security
Secure by design, not as an afterthought
Otti was built for children's health records from the first line of code.
HIPAA-covered cloud
Records live in Google Cloud in the United States, under Google's HIPAA business associate agreement, encrypted in transit and at rest.
A BAA with every practice
We sign a business associate agreement with each practice before any of its records go in.
Every practice walled off
Access rules check the practice on every request, and automated attack tests try to break through on every change.
Families see only what you share
The parent portal shows the copies you publish, kept apart from your charts.
Signed means signed
Once a note is signed, its text, time and signer can't be changed.
Backed up every day
Daily backups and a seven-day rewind, so one bad day never costs a chart.
Reviewed against the OWASP Top 10. No ad trackers, no selling data, and AI that is never trained on your notes.
Where it comes from
Otti was built one real session at a time, alongside a pediatric occupational therapist in Maryland.
Every screen exists because a real visit needed it: the note written on the drive home, the invoice that has to match the superbill, the parent who forgot Thursday.
Early access
Run a small pediatric practice?
Otti is opening to a handful of pediatric OT practices first. PT and speech are next; tell us about yours either way.
Email hello@ottihealth.com