MileStem™ is a pediatric therapy practice operating system built around the child record — connecting visits, documentation, signatures, parent communication, supervision, required forms, and daily follow-up in one organized workspace.
A daily command center for visits, documentation, signatures, credentials, messages, and pending work.
Built around the child record
Small pediatric therapy practices often manage care across paper folders, PDFs, spreadsheets, email, text messages, and disconnected calendars. MileStem brings the work back to the child’s service record so teams can see what happened, what is due, and what still needs attention.
Key dates, assigned staff, guardian details, status, and care-team context.
Scheduled visits, completed sessions, documentation status, and follow-up.
Generated records, official forms, signed documents, and practice-branded PDFs.
Parent and provider signatures connected to the right visit or document.
Pending reviews, missing items, credential alerts, and needs-attention work.
Parent and team messages tied back to the client record instead of scattered elsewhere.
Who it's for
MileStem is modular by design. Practices can start with the workflows they need now and grow into additional service lines as their team expands.
State-aware intake, IFSP, visits, signatures, transition, documents, and supervisor oversight.
Client records, goals, authorizations, evaluations, plans of care, notes, and billing-support documents.
Supervisor/candidate tracking, monthly records, verification support, and audit-ready supervision documentation.
ABA program structure, BCBA/RBT workflows, supervision, program tracking, and behavior-plan support.
OT-specific documentation and plan workflows designed to fit the same child-centered record.
PT workflows planned for practices that need one shared operational view across disciplines.
What it does
MileStem is designed for the repeated work providers, supervisors, and administrators handle every day — not just the final PDF.
Create visit notes, summaries, plans, and required forms without retyping the same information across disconnected files.
Capture signatures during the visit when appropriate, with workflows built to reduce missing-signature follow-up.
See pending documents, reviews, credentials, messages, and urgent needs without manually checking each record.
Generate practice-branded records where appropriate while keeping official forms in the required format.
Inside MileStem
MileStem connects the pieces teams handle every day — schedules, reviews, documentation, signatures, messages, and follow-up.
Review pending documentation, monitor provider caseloads, and keep assigned clients moving.
Turn visits, assessment summaries, goals, and family priorities into organized documentation without duplicate entry.
MileStem is starting with Early Intervention and Speech Therapy, with Outside Supervision and ABA workflows expanding from the same record-centered foundation. For South Carolina EI practices, common state forms and workflows are being built into the platform to reduce setup, duplicate entry, and manual paperwork.
We're working with a limited number of practices during the pilot phase. If your team is tired of chasing documents, signatures, forms, and follow-up across too many places, we'd love to hear from you.
Request Pilot Access →