diff --git a/.gitignore b/.gitignore
index aa7a9c39..e51b467b 100644
--- a/.gitignore
+++ b/.gitignore
@@ -23,6 +23,6 @@ start.sh
 
 stop.sh
 
-newrelic.js
-
 newrelic_agent.log
+
+newrelic.js
diff --git a/utils/patient-notes-mig.js b/utils/patient-notes-mig.js
new file mode 100644
index 00000000..1cdf57ef
--- /dev/null
+++ b/utils/patient-notes-mig.js
@@ -0,0 +1,42 @@
+var config =  require('../config.js');
+var nano = require('nano')(config.couchAuthDbURL);
+var maindb = nano.use('main');
+var uuid = require('node-uuid');
+var recordsToUpdate = [];
+
+maindb.list({startkey: 'visit_', endkey: 'visit_\uffff', include_docs: true}, function(err, results) {
+  if (!err) {
+    results.rows.forEach(function(result) {
+      var visitDoc = result.doc.data;
+      if (visitDoc !== null && visitDoc.notes && !visitDoc.patientNotes) {
+        var noteUuid = uuid.v4();
+        var visitId = result.doc._id.substr(8);
+        var patientNote = {
+          _id: 'patientNote_2_' + noteUuid,
+          data: {
+            content: visitDoc.notes,
+            createdBy: 'system',
+            date: new Date(),
+            noteType: 'General',
+            patient: visitDoc.patient,
+            visit: visitId
+          }
+        };
+        recordsToUpdate.push(patientNote);
+        result.doc.data.patientNotes = [noteUuid];
+        recordsToUpdate.push(result.doc);
+      }
+    });
+    if (recordsToUpdate.length > 0) {
+      maindb.bulk({ docs: recordsToUpdate}, function(err, results) {
+        if (err) {
+          console.log('Error updating patient notes records.', err);
+        } else {
+          console.log('Success updating patient notes records.', JSON.stringify(results, null, 2));
+        }
+      });
+    }
+  } else {
+    console.log('ERROR fetching visit records', err);
+  }
+});
diff --git a/utils/pouch-mig.js b/utils/pouch-mig.js
index 12067c6b..aded4099 100644
--- a/utils/pouch-mig.js
+++ b/utils/pouch-mig.js
@@ -31,6 +31,7 @@ function migrateRecords() {
         data: result.doc
       };
       existingKeys[newDocId] = true;
+      delete newDoc.data._id;
       delete newDoc.data._rev;
 
       switch (parsedId.doctype) {