diff --git a/cypress/e2e/patient_spec/patient_manage.cy.ts b/cypress/e2e/patient_spec/patient_manage.cy.ts
index 00756f832f..313877ac56 100644
--- a/cypress/e2e/patient_spec/patient_manage.cy.ts
+++ b/cypress/e2e/patient_spec/patient_manage.cy.ts
@@ -35,7 +35,7 @@ describe("Patient", () => {
   // });
   // commented out the shifting request, as logic need to be re-visited
 
-  it("Post doctor notes for an already created patient", () => {
+  it("Post discussion notes for an already created patient", () => {
     patientPage.visitPatient("Dummy Patient 3");
     patientConsultationPage.visitDoctorNotesPage();
     patientConsultationPage.addDoctorsNotes("Test Doctor Notes");
diff --git a/src/Common/constants.tsx b/src/Common/constants.tsx
index d552b882a3..1a3099e45c 100644
--- a/src/Common/constants.tsx
+++ b/src/Common/constants.tsx
@@ -1342,3 +1342,8 @@ export const OCCUPATION_TYPES = [
   { id: 6, text: "Others", value: "OTHERS" },
   { id: 32, text: "Not Applicable", value: "NOT_APPLICABLE" },
 ];
+
+export const PATIENT_NOTES_THREADS = {
+  Doctors: 10,
+  Nurses: 20,
+} as const;
diff --git a/src/Components/Facility/ConsultationDetails/index.tsx b/src/Components/Facility/ConsultationDetails/index.tsx
index 77b6268e03..b670f60c84 100644
--- a/src/Components/Facility/ConsultationDetails/index.tsx
+++ b/src/Components/Facility/ConsultationDetails/index.tsx
@@ -325,13 +325,13 @@ export const ConsultationDetails = (props: any) => {
               onClick={() =>
                 showPatientNotesPopup
                   ? navigate(
-                      `/facility/${facilityId}/patient/${patientId}/notes`,
+                      `/facility/${facilityId}/patient/${patientId}/consultation/${consultationId}/notes`,
                     )
                   : setShowPatientNotesPopup(true)
               }
               className="btn btn-primary m-1 w-full hover:text-white"
             >
-              Doctor's Notes
+              Discussion Notes
             </Link>
           </div>
         </nav>
diff --git a/src/Components/Facility/ConsultationDoctorNotes/index.tsx b/src/Components/Facility/ConsultationDoctorNotes/index.tsx
index 8485c1ea8d..522ad168b8 100644
--- a/src/Components/Facility/ConsultationDoctorNotes/index.tsx
+++ b/src/Components/Facility/ConsultationDoctorNotes/index.tsx
@@ -11,8 +11,10 @@ import routes from "../../../Redux/api.js";
 import request from "../../../Utils/request/request.js";
 import useQuery from "../../../Utils/request/useQuery.js";
 import useKeyboardShortcut from "use-keyboard-shortcut";
-import { isAppleDevice } from "../../../Utils/utils.js";
+import { classNames, isAppleDevice } from "../../../Utils/utils.js";
 import AutoExpandingTextInputFormField from "../../Form/FormFields/AutoExpandingTextInputFormField.js";
+import { PATIENT_NOTES_THREADS } from "../../../Common/constants.js";
+import useAuthUser from "../../../Common/hooks/useAuthUser.js";
 
 interface ConsultationDoctorNotesProps {
   patientId: string;
@@ -23,6 +25,13 @@ interface ConsultationDoctorNotesProps {
 const ConsultationDoctorNotes = (props: ConsultationDoctorNotesProps) => {
   const { patientId, facilityId, consultationId } = props;
 
+  const authUser = useAuthUser();
+  const [thread, setThread] = useState(
+    authUser.user_type === "Nurse"
+      ? PATIENT_NOTES_THREADS.Nurses
+      : PATIENT_NOTES_THREADS.Doctors,
+  );
+
   const [patientActive, setPatientActive] = useState(true);
   const [noteField, setNoteField] = useState("");
   const [reload, setReload] = useState(false);
@@ -40,10 +49,6 @@ const ConsultationDoctorNotes = (props: ConsultationDoctorNotesProps) => {
   const [state, setState] = useState(initialData);
 
   const onAddNote = async () => {
-    const payload = {
-      note: noteField,
-      consultation: consultationId,
-    };
     if (!/\S+/.test(noteField)) {
       Notification.Error({
         msg: "Note Should Contain At Least 1 Character",
@@ -55,7 +60,11 @@ const ConsultationDoctorNotes = (props: ConsultationDoctorNotesProps) => {
       pathParams: {
         patientId: patientId,
       },
-      body: payload,
+      body: {
+        note: noteField,
+        thread,
+        consultation: consultationId,
+      },
     });
 
     if (res?.status === 201) {
@@ -103,7 +112,7 @@ const ConsultationDoctorNotes = (props: ConsultationDoctorNotesProps) => {
 
   return (
     <Page
-      title="Doctor Notes"
+      title="Discussion Notes"
       className="flex h-screen flex-col"
       crumbsReplacements={{
         [facilityId]: { name: facilityName },
@@ -111,12 +120,34 @@ const ConsultationDoctorNotes = (props: ConsultationDoctorNotesProps) => {
       }}
       backUrl={`/facility/${facilityId}/patient/${patientId}`}
     >
-      <div className="mx-3 my-2 flex grow flex-col rounded-lg bg-white p-2 sm:mx-10 sm:my-5 sm:p-5">
+      <div className="relative mx-3 my-2 flex grow flex-col overflow-hidden rounded-lg border border-gray-300 bg-white p-2 sm:mx-10 sm:my-5 sm:p-5">
+        <div className="absolute inset-x-0 top-0 flex bg-gray-200 text-sm shadow-md">
+          {Object.values(PATIENT_NOTES_THREADS).map((current) => (
+            <button
+              key={current}
+              className={classNames(
+                "flex flex-1 justify-center border-b-2 py-2",
+                thread === current
+                  ? "border-primary-500 font-bold text-gray-800"
+                  : "border-gray-300 text-gray-800",
+              )}
+              onClick={() => setThread(current)}
+            >
+              {
+                {
+                  10: "Doctor's Discussions",
+                  20: "Nurse's Discussions",
+                }[current]
+              }
+            </button>
+          ))}
+        </div>
         <PatientConsultationNotesList
           state={state}
           setState={setState}
           reload={reload}
           setReload={setReload}
+          thread={thread}
         />
 
         <div className="relative mx-4 flex items-center">
diff --git a/src/Components/Facility/DoctorNote.tsx b/src/Components/Facility/DoctorNote.tsx
index 13e490cbd0..b70ccfdf51 100644
--- a/src/Components/Facility/DoctorNote.tsx
+++ b/src/Components/Facility/DoctorNote.tsx
@@ -12,6 +12,7 @@ interface DoctorNoteProps {
 
 const DoctorNote = (props: DoctorNoteProps) => {
   const { state, handleNext, setReload, disableEdit } = props;
+
   return (
     <div
       className="m-2 flex h-[390px] grow flex-col-reverse overflow-auto bg-white"
@@ -31,7 +32,7 @@ const DoctorNote = (props: DoctorNoteProps) => {
           dataLength={state.notes.length}
           scrollableTarget="patient-notes-list"
         >
-          {state.notes.map((note: any) => (
+          {state.notes.map((note) => (
             <PatientNoteCard
               note={note}
               key={note.id}
@@ -41,7 +42,7 @@ const DoctorNote = (props: DoctorNoteProps) => {
           ))}
         </InfiniteScroll>
       ) : (
-        <div className="mt-2 flex items-center justify-center text-2xl font-bold text-gray-500">
+        <div className="mt-2 flex h-full items-center justify-center text-2xl font-bold text-gray-500">
           No Notes Found
         </div>
       )}
diff --git a/src/Components/Facility/PatientConsultationNotesList.tsx b/src/Components/Facility/PatientConsultationNotesList.tsx
index 35822508d4..e7e0bb2550 100644
--- a/src/Components/Facility/PatientConsultationNotesList.tsx
+++ b/src/Components/Facility/PatientConsultationNotesList.tsx
@@ -2,7 +2,7 @@ import { Dispatch, SetStateAction, useEffect, useState } from "react";
 import { RESULTS_PER_PAGE_LIMIT } from "../../Common/constants";
 import CircularProgress from "../Common/components/CircularProgress";
 import routes from "../../Redux/api";
-import { PatientNoteStateType } from "./models";
+import { PatientNoteStateType, PatientNotesModel } from "./models";
 import useSlug from "../../Common/hooks/useSlug";
 import DoctorNote from "./DoctorNote";
 import request from "../../Utils/request/request";
@@ -13,12 +13,13 @@ interface PatientNotesProps {
   reload?: boolean;
   setReload?: (value: boolean) => void;
   disableEdit?: boolean;
+  thread: PatientNotesModel["thread"];
 }
 
 const pageSize = RESULTS_PER_PAGE_LIMIT;
 
 const PatientConsultationNotesList = (props: PatientNotesProps) => {
-  const { state, setState, reload, setReload, disableEdit } = props;
+  const { state, setState, reload, setReload, disableEdit, thread } = props;
   const consultationId = useSlug("consultation") ?? "";
 
   const [isLoading, setIsLoading] = useState(true);
@@ -31,6 +32,7 @@ const PatientConsultationNotesList = (props: PatientNotesProps) => {
       },
       query: {
         consultation: consultationId,
+        thread,
         offset: (state.cPage - 1) * RESULTS_PER_PAGE_LIMIT,
       },
     });
@@ -60,6 +62,10 @@ const PatientConsultationNotesList = (props: PatientNotesProps) => {
     }
   }, [reload]);
 
+  useEffect(() => {
+    fetchNotes();
+  }, [thread]);
+
   useEffect(() => {
     setReload?.(true);
   }, []);
@@ -76,7 +82,7 @@ const PatientConsultationNotesList = (props: PatientNotesProps) => {
 
   if (isLoading && !state.notes.length) {
     return (
-      <div className=" flex h-[400px] w-full items-center justify-center bg-white">
+      <div className="flex h-full w-full items-center justify-center bg-white">
         <CircularProgress />
       </div>
     );
diff --git a/src/Components/Facility/PatientNotesList.tsx b/src/Components/Facility/PatientNotesList.tsx
index a36762072b..9585ace5db 100644
--- a/src/Components/Facility/PatientNotesList.tsx
+++ b/src/Components/Facility/PatientNotesList.tsx
@@ -2,7 +2,7 @@ import { useState, useEffect } from "react";
 import { RESULTS_PER_PAGE_LIMIT } from "../../Common/constants";
 import CircularProgress from "../Common/components/CircularProgress";
 import DoctorNote from "./DoctorNote";
-import { PatientNoteStateType } from "./models";
+import { PatientNoteStateType, PatientNotesModel } from "./models";
 import routes from "../../Redux/api";
 import request from "../../Utils/request/request";
 
@@ -13,12 +13,13 @@ interface PatientNotesProps {
   facilityId: string;
   reload?: boolean;
   setReload?: any;
+  thread: PatientNotesModel["thread"];
 }
 
 const pageSize = RESULTS_PER_PAGE_LIMIT;
 
 const PatientNotesList = (props: PatientNotesProps) => {
-  const { state, setState, reload, setReload } = props;
+  const { state, setState, reload, setReload, thread } = props;
 
   const [isLoading, setIsLoading] = useState(true);
 
@@ -26,7 +27,10 @@ const PatientNotesList = (props: PatientNotesProps) => {
     setIsLoading(true);
     const { data }: any = await request(routes.getPatientNotes, {
       pathParams: { patientId: props.patientId },
-      query: { offset: (state.cPage - 1) * RESULTS_PER_PAGE_LIMIT },
+      query: {
+        offset: (state.cPage - 1) * RESULTS_PER_PAGE_LIMIT,
+        thread,
+      },
     });
 
     if (state.cPage === 1) {
@@ -52,6 +56,10 @@ const PatientNotesList = (props: PatientNotesProps) => {
     }
   }, [reload]);
 
+  useEffect(() => {
+    fetchNotes();
+  }, [thread]);
+
   useEffect(() => {
     setReload(true);
   }, []);
@@ -68,7 +76,7 @@ const PatientNotesList = (props: PatientNotesProps) => {
 
   if (isLoading && !state.notes.length) {
     return (
-      <div className=" flex h-[400px] w-full items-center justify-center bg-white">
+      <div className="flex h-full w-full items-center justify-center bg-white">
         <CircularProgress />
       </div>
     );
diff --git a/src/Components/Facility/PatientNotesSlideover.tsx b/src/Components/Facility/PatientNotesSlideover.tsx
index 038b980d24..3fd46f92f5 100644
--- a/src/Components/Facility/PatientNotesSlideover.tsx
+++ b/src/Components/Facility/PatientNotesSlideover.tsx
@@ -14,6 +14,7 @@ import useKeyboardShortcut from "use-keyboard-shortcut";
 import AutoExpandingTextInputFormField from "../Form/FormFields/AutoExpandingTextInputFormField.js";
 import * as Sentry from "@sentry/browser";
 import useAuthUser from "../../Common/hooks/useAuthUser";
+import { PATIENT_NOTES_THREADS } from "../../Common/constants.js";
 
 interface PatientNotesProps {
   patientId: string;
@@ -23,6 +24,12 @@ interface PatientNotesProps {
 }
 
 export default function PatientNotesSlideover(props: PatientNotesProps) {
+  const authUser = useAuthUser();
+  const [thread, setThread] = useState(
+    authUser.user_type === "Nurse"
+      ? PATIENT_NOTES_THREADS.Nurses
+      : PATIENT_NOTES_THREADS.Doctors,
+  );
   const [show, setShow] = useState(true);
   const [patientActive, setPatientActive] = useState(true);
   const [reload, setReload] = useState(false);
@@ -39,11 +46,11 @@ export default function PatientNotesSlideover(props: PatientNotesProps) {
       const subscription = await reg.pushManager.getSubscription();
       if (!subscription && !res.data?.pf_endpoint) {
         Notification.Warn({
-          msg: "Please subscribe to notifications to get live updates on doctor notes.",
+          msg: "Please subscribe to notifications to get live updates on discussion notes.",
         });
       } else if (subscription?.endpoint !== res.data?.pf_endpoint) {
         Notification.Warn({
-          msg: "Please subscribe to notifications on this device to get live updates on doctor notes.",
+          msg: "Please subscribe to notifications on this device to get live updates on discussion notes.",
         });
       }
     } catch (error) {
@@ -73,10 +80,6 @@ export default function PatientNotesSlideover(props: PatientNotesProps) {
   );
 
   const onAddNote = async () => {
-    const payload = {
-      note: noteField,
-      consultation: consultationId,
-    };
     if (!/\S+/.test(noteField)) {
       Notification.Error({
         msg: "Note Should Contain At Least 1 Character",
@@ -85,7 +88,11 @@ export default function PatientNotesSlideover(props: PatientNotesProps) {
     }
     const { res } = await request(routes.addPatientNote, {
       pathParams: { patientId: patientId },
-      body: payload,
+      body: {
+        note: noteField,
+        consultation: consultationId,
+        thread,
+      },
     });
     if (res?.status === 201) {
       Notification.Success({ msg: "Note added successfully" });
@@ -189,23 +196,43 @@ export default function PatientNotesSlideover(props: PatientNotesProps) {
           className="flex w-full cursor-pointer items-center justify-around rounded-t-md bg-primary-800 p-2 text-white"
           onClick={() => setShow(!show)}
         >
-          <span className="font-semibold">{"Doctor's Notes"}</span>
+          <span className="font-semibold">Discussion Notes</span>
           {notesActionIcons}
         </div>
       ) : (
         <div className="flex h-screen w-full -translate-y-0 flex-col text-clip border-2 border-b-0 border-primary-800 bg-white pb-3 transition-all sm:h-[500px] sm:rounded-t-md ">
-          {/* Doctor Notes Header */}
           <div className="flex w-full items-center justify-between bg-primary-800 p-2 px-4 text-white">
-            <span className="font-semibold">{"Doctor's Notes"}</span>
+            <span className="font-semibold">Discussion Notes</span>
             {notesActionIcons}
           </div>
-          {/* Doctor Notes Body */}
+          <div className="flex bg-primary-800 text-sm">
+            {Object.values(PATIENT_NOTES_THREADS).map((current) => (
+              <button
+                key={current}
+                className={classNames(
+                  "flex flex-1 justify-center border-b-4 py-1",
+                  thread === current
+                    ? "border-primary-500 font-medium text-white"
+                    : "border-primary-800 text-white/70",
+                )}
+                onClick={() => setThread(current)}
+              >
+                {
+                  {
+                    10: "Doctor's Discussions",
+                    20: "Nurse's Discussions",
+                  }[current]
+                }
+              </button>
+            ))}
+          </div>
           <PatientConsultationNotesList
             state={state}
             setState={setState}
             reload={reload}
             setReload={setReload}
             disableEdit={!patientActive}
+            thread={thread}
           />
           <div className="relative mx-4 flex items-center">
             <AutoExpandingTextInputFormField
diff --git a/src/Components/Facility/models.tsx b/src/Components/Facility/models.tsx
index 594d3bb08a..d61d5a9f12 100644
--- a/src/Components/Facility/models.tsx
+++ b/src/Components/Facility/models.tsx
@@ -1,6 +1,7 @@
 import {
   ConsultationSuggestionValue,
   DISCHARGE_REASONS,
+  PATIENT_NOTES_THREADS,
   UserRole,
 } from "../../Common/constants";
 import { AssetData, AssetLocationType } from "../Assets/AssetTypes";
@@ -512,6 +513,7 @@ export interface PatientNotesModel {
   facility: BaseFacilityModel;
   created_by_object: BaseUserModel;
   user_type?: UserRole | "RemoteSpecialist";
+  thread: (typeof PATIENT_NOTES_THREADS)[keyof typeof PATIENT_NOTES_THREADS];
   created_date: string;
   last_edited_by?: BaseUserModel;
   last_edited_date?: string;
diff --git a/src/Components/Patient/PatientNotes.tsx b/src/Components/Patient/PatientNotes.tsx
index 13ce45eb94..520486620b 100644
--- a/src/Components/Patient/PatientNotes.tsx
+++ b/src/Components/Patient/PatientNotes.tsx
@@ -10,6 +10,9 @@ import { useMessageListener } from "../../Common/hooks/useMessageListener";
 import { PatientNoteStateType } from "../Facility/models";
 import request from "../../Utils/request/request";
 import routes from "../../Redux/api";
+import { PATIENT_NOTES_THREADS } from "../../Common/constants.js";
+import useAuthUser from "../../Common/hooks/useAuthUser.js";
+import { classNames } from "../../Utils/utils.js";
 
 interface PatientNotesProps {
   patientId: any;
@@ -19,6 +22,13 @@ interface PatientNotesProps {
 const PatientNotes = (props: PatientNotesProps) => {
   const { patientId, facilityId } = props;
 
+  const authUser = useAuthUser();
+  const [thread, setThread] = useState(
+    authUser.user_type === "Nurse"
+      ? PATIENT_NOTES_THREADS.Nurses
+      : PATIENT_NOTES_THREADS.Doctors,
+  );
+
   const [patientActive, setPatientActive] = useState(true);
   const [noteField, setNoteField] = useState("");
   const [reload, setReload] = useState(false);
@@ -33,9 +43,6 @@ const PatientNotes = (props: PatientNotesProps) => {
   const [state, setState] = useState(initialData);
 
   const onAddNote = async () => {
-    const payload = {
-      note: noteField,
-    };
     if (!/\S+/.test(noteField)) {
       Notification.Error({
         msg: "Note Should Contain At Least 1 Character",
@@ -45,7 +52,10 @@ const PatientNotes = (props: PatientNotesProps) => {
 
     const { res } = await request(routes.addPatientNote, {
       pathParams: { patientId: patientId },
-      body: payload,
+      body: {
+        note: noteField,
+        thread,
+      },
     });
     if (res?.status === 201) {
       Notification.Success({ msg: "Note added successfully" });
@@ -93,7 +103,28 @@ const PatientNotes = (props: PatientNotesProps) => {
       }}
       backUrl={`/facility/${facilityId}/patient/${patientId}`}
     >
-      <div className="mx-3 my-2 flex grow flex-col rounded-lg bg-white p-2 sm:mx-10 sm:my-5 sm:p-5">
+      <div className="relative mx-3 my-2 flex grow flex-col rounded-lg border border-gray-300 bg-white p-2 sm:mx-10 sm:my-5 sm:p-5">
+        <div className="absolute inset-x-0 top-0 flex bg-gray-200 text-sm shadow-md">
+          {Object.values(PATIENT_NOTES_THREADS).map((current) => (
+            <button
+              key={current}
+              className={classNames(
+                "flex flex-1 justify-center border-b-2 py-2",
+                thread === current
+                  ? "border-primary-500 font-bold text-gray-800"
+                  : "border-gray-300 text-gray-800",
+              )}
+              onClick={() => setThread(current)}
+            >
+              {
+                {
+                  10: "Doctor's Discussions",
+                  20: "Nurse's Discussions",
+                }[current]
+              }
+            </button>
+          ))}
+        </div>
         <PatientNotesList
           state={state}
           setState={setState}
@@ -101,6 +132,7 @@ const PatientNotes = (props: PatientNotesProps) => {
           facilityId={facilityId}
           reload={reload}
           setReload={setReload}
+          thread={thread}
         />
 
         <div className="relative mx-4 flex items-center">
diff --git a/src/Redux/api.tsx b/src/Redux/api.tsx
index eb924f03c5..82ae52f26a 100644
--- a/src/Redux/api.tsx
+++ b/src/Redux/api.tsx
@@ -753,6 +753,9 @@ const routes = {
     path: "/api/v1/patient/{patientId}/notes/",
     method: "POST",
     TRes: Type<PatientNotesModel>(),
+    TBody: Type<
+      Pick<PatientNotesModel, "note" | "thread"> & { consultation?: string }
+    >(),
   },
   updatePatientNote: {
     path: "/api/v1/patient/{patientId}/notes/{noteId}/",