I pulled 90 days of visit note submission data from Ambiki recently. I was curious how therapists are actually documenting their sessions in 2026. Not testing a theory, just looking at the data to see what patterns were there.
The first thing I noticed was batching. 73% of consecutive visit notes were submitted less than 5 minutes apart, with an average gap of 40 seconds. Therapists were sitting down and writing several notes in a row, rapid fire. Only 5% of the gaps between notes fell in the 30-to-60-minute range, which is what you'd see if each note were written right after the corresponding session.
The hourly distribution added more detail. Submissions picked up around noon and again toward the end of the day, with each hour in that range accounting for 8-10% of daily volume. The pattern pointed to two documentation windows during the work day: lunch, and end of day.
But the work day didn't capture all of it. Nearly 29% of notes were submitted after 5 PM, with documentation trickling in as late as 10 PM. Therapists were taking their notes home with them.
The device data made that picture sharper. Close to half of active staff had used Ambiki on a mobile device, almost all of them on iPhones. During work hours, mobile was about a fifth of therapist visits. By evening, it was a third. The later the hour, the more likely a therapist was finishing their notes on a phone.
What I can't tell from the data is why. If you're a therapist reading this, I'm genuinely curious. Do you batch your notes because you prefer it that way, maybe because writing them all together helps with consistency? Or is it just that the day moves too fast and there's no realistic window to document between sessions? I'd love to hear from anyone willing to share.