Service Note Documentation

Purposeful & Professional Documentation

Capture the details of client support with clarity, consistency, and accountability.
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Capturing the Story of Care: Service Notes That Matter

Service notes are a critical part of the work you do. They help you track services provided, ensure continuity across team members, and meet funding requirements. More than that, they document the story of the support you’re offering—capturing important moments, progress, and needs over time. With tools like QSP, you can document those stories in a way that’s clear, consistent, and easy to follow—helping teams stay aligned and clients stay at the center of the story.

Real-Time, Accurate Documentation

Track and document services as they’re provided, reducing the need for post-shift updates and ensuring accurate, up-to-date records. Capturing information in the moment improves care quality and reduces administrative burden. This feature empowers staff to keep records up-to-date without having to spend time later revisiting or correcting their notes.

Document services as they happen, eliminating the need for time-consuming post-shift updates and ensuring that the most accurate records are always available.

Easily track and claim mileage for client-related travel within the service notes, ensuring accurate reimbursement and documentation in real time.
By tracking progress in real-time, you minimize the risk of forgetting key details or misrepresenting services, creating a more reliable and thorough record.

Reporting That Supports Compliance

Accurate, organized service notes don’t just help tell a client’s story—they also support accountability at every level. With tools like QSP, reporting becomes faster and more reliable, making it easy to summarize services, track key details, and ensure compliance with state and funding requirements. Whether you’re preparing for an audit or just need a quick update for a team meeting, clear documentation makes all the difference.

Quickly generate summaries of services and goal progress to support team communication and care coordination.

Maintain detailed documentation that supports audits, meets regulatory standards, and keeps your program aligned with best practices.

Organized notes mean you’re always prepared—whether it’s for a routine check-in or a full review.

Goal-Aligned Client Records

Service notes are the foundation of comprehensive client records. These records not only track the services provided but also ensure that we’re aligning care with each client’s unique goals and needs, particularly as outlined in their Individualized Service Plans (ISPs). By linking service notes to personalized goals, we can ensure that progress is tracked in a way that’s both meaningful and measurable.

Easily access and review all service notes to maintain a detailed and accurate history of services provided.
Ensure that your service notes are aligned with the client’s ISP and person-centered goals, allowing for more tailored, goal-driven support.
Consistently document how clients are moving toward their goals, creating a clear picture of growth and guiding next steps in support.

With QSP, You Can Expect Results Like This

Increase in On-Time Note Completion

Real-time tools and clock-out restrictions keep documentation timely.

Stronger Goal Tracking with Person Centered Focus

Custom forms link directly to ISP goals for meaningful progress data.

Audit-Ready in Minutes, Not Days

Organized notes and reporting tools make compliance faster and easier.

What Our Customers Are Saying

Frequently Asked Questions

Can I customize service note documentation?
Yes, you can build custom forms, per client, so staff are documenting outcomes that are specific to the needs of the individual.
Yes, you can track anything. Because forms are customizable, there’s no limit to the data that you can capture.
Yes, you can capture service note documentation that is directly linked to a client’s ISP. This daily documentation can then be integrated into the progress reporting, making the reporting process more seamless and quick.
Yes, there’s an optional setting that can restrict staff from clocking out of their scheduled shift until they’ve completed their daily service notes for the person being served.

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