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EHR features & updates

Pabau Scribe: How its AI agents handle notes, letters and prescription checks

Avatar photo Katy Piper
Last Updated: September 24, 2026
Reviewed by: Avatar photo Lucy Galloway

Pabau Scribe is the set of AI agents built into Pabau, an all-in-one practice management system for aesthetic and healthcare practices. Pabau Scribe listens to the consultation and drafts the treatment note, checks prescriptions for contraindications and summarizes the patient record. The same agents draft letters, write service descriptions and suggest replies to online reviews.

Pabau Scribe launched as Echo AI, so older support pages still use that name for the same AI note taker. Every draft lands in the patient record and waits for the practitioner to review and save it. The Pabau Scribe feature page lists the agents. This guide shows where each one fits in a single appointment, what it costs, and what stays your job.

Key takeaways
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Key takeaways

Pabau Scribe is a set of AI agents inside Pabau that drafts treatment notes, letters, record summaries, prescription checks and service copy.

The appointment timeline runs from the AI client summary before the consult to the Content agent’s review replies between visits.

The ambient AI scribe turns the consultation into a structured treatment note, and the practitioner reviews it before saving.

Every Pabau subscription includes Pabau Scribe, with usage billed in credits, or unlimited with the Care Plus add-on.

There is no separate login, because Pabau Scribe runs inside your Pabau account and in Pabau GO, our iOS app.

What each Pabau Scribe agent does

Pabau Scribe is five AI agents, and each one takes a single documentation or admin job off the practitioner or the front desk. All five work inside Pabau, so a draft never has to be copied into the chart from a separate tool.

AgentWhat it doesWhen it runsWhat you still doWhere it runs
AI client summarySummarizes medical history and previous treatments from the patient recordBefore the consultCheck the summary against what the patient tells you todayPabau, on the client card
Ambient AI scribeTurns the consultation into a structured treatment note and plan, or transcribes dictation word for wordDuring the consultGet consent to record, then review, edit and save the notePabau on desktop and Pabau GO on iPhone and iPad
Drug agentAnalyzes the patient record and flags allergies and contraindications before each prescriptionDuring the consult, before prescribingMake the prescribing decisionPabau
AI letter agentPulls details from the record into personalized letters, including your macro textAfter the consultCheck and approve each letter before it goes outPabau
Content agentWrites treatment and product descriptions and drafts replies to online reviewsBetween visitsEdit for accuracy, tone and advertising rulesPabau

The AI client summary was listed as coming soon when Pabau Scribe first launched. It now appears on Pabau’s feature page alongside the other four agents.

How Pabau Scribe works across one appointment

Pabau Scribe acts in four stages of one appointment: before the consult, during it, after it, and between visits. We call this the appointment timeline. Picture a returning patient booked for an anti-wrinkle top-up a few months after their first treatment.

The diagram below shows which agent acts at each stage, and which decisions stay with the practitioner the whole way through.

The appointment timeline for one anti-wrinkle top-up in four stages: before the consult the AI client summary condenses history; during it the ambient AI scribe writes the note and the Drug agent flags contraindications; after it the AI letter agent drafts aftercare and GP letters; between visits the Content agent writes service descriptions and review replies. The practitioner still confirms changes, gets consent, decides prescriptions, reviews and saves every note, and checks copy before it goes live.
In the appointment timeline, the agents handle drafting and service copy while the practitioner keeps every clinical decision. Source: Pabau Scribe feature page and support documentation on pabau.com.

Before the consult: the AI client summary

Before the patient sits down, the AI client summary condenses their medical history and previous treatments into a short brief on the client card.

For the top-up patient, that brief surfaces past treatments, preferences and relevant medical history without a scroll through months of notes. Pabau Scribe draws that information straight from the patient record, so the summary is only as current as the record behind it.

Ask what has changed since the last visit before you rely on it. A new medication, a procedure done elsewhere or a pregnancy won’t be in the record until someone adds it.

During the consult: how the ambient AI scribe writes the treatment note

The ambient AI scribe listens during the consultation and turns the conversation into a structured treatment note and plan with a single click.

Instead of typing while the patient talks, you keep your attention on them and finish the note in the same sitting. Pabau Scribe offers three speech modes inside the treatment form:

  • Consultation summarizes a longer conversation into a treatment note.
  • Dictation turns your spoken words into text in real time, for notes you record after the patient leaves.
  • Transcription turns the audio into a full written record of what was said.

You can then refine the draft through the “Ask AI to write anything” field. Ask for a shorter plan, say, or add a missing batch number. In Pabau GO, the audio isn’t stored and can’t be replayed, according to Pabau’s support guide.

When we walk practices through Pabau Scribe in a demo, the first question is usually whether the note saves itself. It doesn’t. The draft stays open for you to read and edit until you save the form.

Pabau Scribe treatment note drafted from a Botox consultation, with a summary and treatment note inside the treatment form
Pabau Scribe drafts the summary and treatment note inside the form itself. You edit one note in the patient record instead of pasting text from another app.

During the consult: the Drug agent checks contraindications

Before any prescription, the Drug agent analyzes the patient record in real time and flags allergies, drug interactions and other contraindications.

That matters for the top-up patient because botulinum toxin is a prescription-only medicine. An allergy logged in an intake form two years ago is exactly what a busy prescriber can miss.

Treat each flag as a prompt. The prescriber still weighs it against the patient in front of them and makes the final prescribing decision.

Pabau Scribe Drug agent prompt asking the AI to look for any risk in prescribing a set of drugs to a named patient
Pabau Scribe’s Drug agent checks a planned prescription against the patient’s record, so a buried allergy surfaces before you prescribe.

After the consult: the AI letter agent drafts aftercare and GP letters

Once the note is saved, the AI letter agent pulls the right details from the patient record into a personalized letter in seconds. For the top-up patient, that is usually an aftercare letter.

A private practice updating a dozen GPs on recent treatments gets more from it. Templates cover letters to patients, GPs and consultants, and the agent can drop in your pre-written macro text so key wording stays consistent.

Pabau Scribe AI letter agent menu with templates for letters to patients, GPs and consultants, plus macro text
The AI letter agent starts from templates such as Letter to GP, so a batch of referral updates becomes a review job.

Between visits: the Content agent writes service descriptions and review replies

The Content agent writes the treatment and product descriptions patients read when they choose a service to book. Each one arrives in seconds, focused on the benefits and key selling points of the treatment.

The same agent drafts replies to online reviews in your own style and tone. A run of late-night reviews gets a considered reply the next morning without an hour of writing.

Check every description before it goes live. In the UK, public copy can’t name a prescription-only medicine such as Botox, so the agent’s draft may need “anti-wrinkle injections” instead.

Is Pabau Scribe HIPAA compliant?

Yes. Pabau Scribe follows HIPAA and other regulatory standards, and the notes it drafts are stored in the patient record inside Pabau.

Pabau’s HIPAA page says patient data is encrypted, access is controlled by user authentication, and audit trails log user activity. For UK practices, Pabau also publishes its GDPR commitments.

Software alone won’t make a practice compliant, and Pabau’s own HIPAA page says so. Your practice still needs its own policies. Run through this checklist before the first recorded consultation:

  • Tell the patient the consultation will be recorded and note their agreement, following your state’s or country’s consent rules.
  • Read, edit and save every AI-drafted note yourself, because the draft only joins the record when you save the form.
  • Treat each Drug agent flag as a prompt, and record your prescribing decision in the note.
  • Set roles and permissions so only the right team members can open clinical notes.
  • Have a practitioner check the clinical details in AI letters and service copy before they go out.
  • Keep the patient record up to date, because every Pabau Scribe summary is drawn from it.

What practitioners say about Pabau Scribe

Most published Pabau Scribe reviews come from Pabau’s user community, where practitioners praise the AI setup and its record-keeping.

One practitioner posted this in the Pabau User Group on Facebook after trying Pabau Scribe:

Pabau user quote: Today I used the AI set up! Bloody brilliant! Well done to the team that created this!
A practitioner shared this reaction in the Pabau User Group on Facebook after using the AI setup.

Dr. Zainab Al Mukhtar, owner of Harrow on the Hill clinic for dental and facial aesthetics, shared her reaction to Pabau Scribe’s patient record-keeping.

View this post on Instagram

A post shared by Pabau Clinic Software (@pabausoftware)

Source: Pabau on Instagram

Testimonials only go so far. The quickest way to judge the notes is to watch Pabau Scribe draft one from a consultation like yours.

How much does Pabau Scribe cost?

Pabau Scribe is included in every Pabau subscription, and each AI task uses Pabau credits unless you add Care Plus, which makes Scribe use unlimited.

Pabau subscriptions start at $62 a month for one user, according to Pabau’s pricing page, and scale with location and team size. Every plan includes the full platform, Pabau Scribe included.

On credits, each task has a fixed cost. These figures come from Pabau’s support documentation:

Pabau Scribe taskCredits per use
Dictation, transcription or consultation summary5
“Ask AI to write anything” in a treatment note, including each follow-up edit5
Letters5
Service descriptions5
Review responses2

Each follow-up prompt in the same note costs another 5 credits, so three edits add 15 credits to the first draft.

Care Plus, our specialist patient care add-on, gives unlimited Pabau Scribe use at no credit cost, plus pre-built AI prompts for notes and records.

There’s no free trial. Pabau sets new practices up through structured onboarding instead, because the notes Pabau Scribe drafts depend on treatment forms built for your services.

How to start using Pabau Scribe

Pabau Scribe needs no separate login, because it runs inside your Pabau account on desktop and in Pabau GO, our iOS app.

If your practice is on Pabau 2, the current version of the platform, Pabau Scribe already sits in your treatment forms. To record a consultation in Pabau GO, follow the steps from Pabau’s support guide:

  1. Open Pabau GO on an iPhone or iPad running iOS 17 or later, and log in with your desktop credentials.
  2. Tap Clients and choose the patient.
  3. Open a treatment form that contains a long answer text field.
  4. Tap the microphone icon below that field and choose Consultation, or Dictation for a word-for-word record.
  5. Speak the consultation, then tap Stop when you finish.
  6. Read the draft, and refine it by typing a request into “Ask AI to write anything” if needed.
  7. Tap Save to file the form to the client card, where it appears under EMR/charts.
Pabau Scribe speech mode menu in a treatment note, offering Dictation, Transcription and Consultation
Pabau Scribe’s speech mode menu lets you choose a consultation summary, live dictation or a full transcription, depending on the detail the record needs.

New to Pabau? Treatment forms, templates and team permissions are set up during structured onboarding, with a dedicated Client Coordinator guiding your practice through it.

How Pabau Scribe works with the rest of your Pabau account

Most practices start with the note typed after the patient leaves, or pasted in from a separate transcription app. Pabau Scribe removes that step because it runs inside the same practice management system as your calendar, forms and patient records.

A patient books through online booking, and the appointment lands in the Pabau calendar. The AI client summary reads the record that booking is attached to, and the ambient AI scribe saves the note back to it.

The aftercare letter goes out from the same client card, and payment can be taken on Pabau Pay, our card terminals. You finish the note before the next patient, and your team never re-types it.

Finish every treatment note before the next patient

Pabau Scribe drafts treatment notes, letters and prescription checks inside the patient record, so your notes, bookings and payments stay in one system.

Pabau clinic management dashboard

Conclusion

Pabau Scribe pays off most for practices that run bookings, forms and records in Pabau, or are ready to move them there. Every agent reads and writes the same patient record, so the value compounds across the appointment timeline.

A practice that only wants transcription on top of another EMR will get less from it. In that setup the note has nowhere to land, and the summary and Drug agent have no record to read.

For injector-led practices with a steady flow of returning patients, the AI client summary does as much work as the scribe itself. Book a demo to see Pabau Scribe draft a treatment note from a consultation like yours.

Continue your research

Continue your research

Recording consultations on an iPhone? The latest version of Pabau GO, our iOS app explains what practitioners can run from an iPhone or iPad.

Want unlimited Pabau Scribe use? Introducing Care Plus covers the add-on that removes credit costs from Pabau Scribe.

Frequently asked questions

Which aesthetic clinic software has the best AI features?

The aesthetic clinic software with the best AI features writes into the same patient record as your bookings, forms and payments. Look for an ambient AI scribe, prescription checks and letter drafting working from that one record. Pabau covers all three with Pabau Scribe, and every subscription includes it.

Is Pabau Scribe the same as Echo AI?

Yes. Echo AI was the earlier name for Pabau Scribe, the AI note taker built into Pabau. Some support articles still use the old name, but the features and the steps are the same.

Does Pabau Scribe work on iPhone?

Yes. Pabau Scribe runs in Pabau GO, our iOS app, on iPhones and iPads running iOS 17 or later. Pabau GO has no Android version.

Do I need a separate login for Pabau Scribe?

No. Pabau Scribe sits inside your Pabau account, and Pabau GO takes the same credentials as the desktop system. Your credits, or a Care Plus add-on, decide how much you can use it.

Does Pabau Scribe replace the practitioner’s notes?

No. Pabau Scribe drafts the note, and the practitioner reads, edits and saves it before it joins the patient record. The clinical judgment in that note stays with the practitioner.

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