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.
No credit card required to activate

Watch a 2-min walkthrough
How it works
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.
Session prep
Documentation
Post-session review
Billing close

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.
✓ Reclaim your evenings. Otto drafts the note the moment your session ends. Sign before you leave the room — no charting after the last patient.
✓ Notes in your format. Drafts come back structured in your chosen format, DAP or SOAP, ready to review and sign in minutes instead of written from scratch.✓ You’re always the author. 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.
✓ New vs. update detection. System-inferred problem-list linkage flags whether each item is new or refines an existing diagnosis.
✓ Semantic plan matching. Treatment-plan items are matched to existing goals so your chart stays coherent, not duplicated.
✓ Confirm or dismiss. You approve every item before it writes. The record is always yours.

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.
✓ Ever-present. The summary follows the patient across schedule, prep, notes, and billing.
✓ Always current. Re-generated from the full chart and extracted data after each note.
△ Safety-aware. When safety content is present, a high-acuity bullet surfaces it, front and center.
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.
The AI is the headline. Underneath it is a complete, modern EHR, scheduling, telehealth, the patient chart, and payments, all in one place.
Try Otto free for your next 10 signed notes or 30 days, whichever comes first. No card required.





