Same-Day Notes, 97% Zero Edits: How a TBI Practice Keeps Pace with Complexity

At Rincon Physical Medicine and Rehabilitation, each patient walks in with a different case, and a different story.

Dr. Topher Stevenson, founder, has built the practice around one idea: treat the person, not just the injury.

"With 8 billion people out there, there are 8 billion different brains. If you've seen one brain injury, you've seen one brain injury." — Dr. Topher Stevenson

The team uses this same precision with their notes — which used to take 7-10 days to finalize.

Freed helped Dr. Stevenson's team capture that nuance without losing time or focus.

7 clinics. 12+ specialists. One patient at a time.

Rincon started as a single exam room in Sacramento. Ten years later, it's a network of seven clinics across California and Nevada, with more than a dozen specialists collaborating on every complex case.

Growth like that raises the bar for documentation.

90% of notes finished on day one

Before Freed, note-taking was a combination of dictation, transcription, and editing, layered on top of an already full patient schedule.

With Freed generating the note in the background, most visits are finalized the same day, and he can turn his chair to fully face the patient instead.

"I get to sit there and listen to them. And with this patient population, if we can't do that, we're failing as clinicians." — Dr. Topher Stevenson

97% zero-edit notes: the data behind precision care

Dr. Stevenson sees the shift in from generic treatment to personalized, often preventative care. He calls it moving from Medicine 2.0 to Medicine 3.0.

That means every chart has to hold the nuance of that one patient:

• Symptoms
• History
• How treatment has evolved.

A generic template can't do that — so Rincon built their own.

With Freed, the team has 14 custom templates, modeled on their published clinical framework for diagnoses.

"It comes down to one question: what does this patient need?" — Dr. Topher Stevenson

Notes come out with the right structure and information. 97% don’t need any edits.

305 notes, 7 clinics, one workflow that scales

In its first ten weeks with Freed, Rincon's team generated 305 notes, with usage climbing 3.4x in just the first two weeks.

But for Dr. Stevenson, the win isn't just speed:

"Freed is allowing me to be efficient, accurate, and personalized. It's foundational. It makes me a better clinician." — Dr. Topher Stevenson