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OS: Note Templates

How to create and customize note templates.

Note Templates let you define the structure and fields that appear when a provider writes a clinical note. Rather than writing in a blank text box every time, templates give your team a consistent, guided format that fits your clinic's workflow.

Templates are available to everyone in your clinic when writing notes.


The Template Library

Navigate to Settings → Note Templates to view and manage your clinic's templates.

Templates are organized into two sections:

Clinic — Templates created by your clinic. These are fully editable and specific to your practice.

System — Pre-built templates provided by Theia. These include:

  • BIRP Note — 4 fields · Behavioral Health

  • DAP Note — 3 fields · Behavioral Health

  • Standard SOAP — 4 fields · General

System templates can be used as-is but cannot be edited. If you'd like a modified version, duplicate it and save it as a clinic template.


Creating a New Template

  1. From the Note Templates page, click New template in the top right.

  2. The template builder will open with a blank canvas and a settings panel on the right.

Template Settings

Before adding fields, configure the template details on the right-hand side:

Setting

Description

Template name

The display name providers will see when selecting a template

Note type

Choose a type category (e.g. Custom, SOAP, BIRP, DAP, Free Text)

Custom type name

If Note type is set to Custom, enter a short label shown as the note's type badge (e.g. "Intake Eval")

Specialty

Optional — tag the template to a specialty (e.g. Endocrinology)

Default template

Toggle on to auto-select this template when a provider starts a new note


Building the Template

The canvas in the center is where you design the note structure. Templates are organized into sections, and each section contains fields.


Sections

Every template starts with a default Section 1. Sections act as groupings — useful for separating a note into logical parts (e.g. Subjective, Assessment, Plan).

  • Click Add section at the bottom of the canvas to add more sections.

  • Click the section header to rename it.

  • Click Delete to remove a section and all its fields.

Adding Fields

To add a field to a section:

  1. Find the field type you want in the left-hand panel.

  2. Either click it to add it to the active section, or drag and drop it onto the canvas.

  3. Alternatively, click Add a field inside a section to insert a field directly.

Once a field is on the canvas, click it to edit its label, options, and settings in the right-hand panel.


Field Types

Basic

Field

Use case

Short text

Single-line text input — good for brief responses

Long text

Multi-line text area — good for narrative or detailed notes

Number

Numeric entry only

Date

Single date picker

Date range

Start and end date selection

Choice

Field

Use case

Single select

Dropdown or radio — provider picks one option

Multi-select

Checkboxes — provider picks one or more options

Yes / No

Simple binary toggle

Special

Field

Use case

Rating scale

Numeric or visual scale (e.g. pain level 1–10)

Subsection header

A non-input label used to organize fields within a section


Saving Your Template

Click Save template in the top right when you're done. Unsaved changes are indicated below the template name.

Once saved, the template will appear under the Clinic section of the template library and will be available to all providers in your clinic when writing notes.


Editing an Existing Template

  1. From the Note Templates page, click the ··· menu on any clinic template.

  2. Select Edit to reopen it in the template builder.

  3. Make your changes and click Save template.

Note: System templates (BIRP, DAP, Standard SOAP) cannot be edited. To customize one, use the ··· menu to duplicate it, then edit the copy.


Tips

  • Use Subsection headers to break up long sections without creating a new section entirely.

  • Set a Default template to reduce clicks for providers who use the same structure most of the time.

  • The Custom type name appears as a badge on the note — keep it short and recognizable (e.g. "Intake", "Follow-up", "Discharge").

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