Twofold Health review
TestedTop rankedTherapy-focused AI scribe with HIPAA-first capture and BIRP / DAP / SOAP out of the box
Best for behavioral-health and therapy clinicians who want a HIPAA-aligned scribe with mental-health note formats by default and a low entry price
Key takeaways
- Twofold Health scores 9.0/10 on our editorial rubric — best for behavioral-health and therapy clinicians who want a hipaa-aligned scribe with mental-health note formats by default and a low entry price.
- Pricing starts at Free 1-week trial, then $19 first month with a 7-day trial.
- Compliance: HIPAA yes, SOC 2 unverified, GDPR unverified.
- Note formats: BIRP, DAP, SOAP, Narrative, Custom · Languages: 1 · Regions: US.
At a glance
Verdict
Twofold is built for behavioral health rather than retrofitted from a generic medical scribe. BIRP, DAP and SOAP for mental health ship as defaults, the product emphasises Golden Thread continuity between assessment, treatment plan and progress notes, and capture is HIPAA-aligned with a signed BAA on every paid account. Published pricing is at the low end of the category — a one-week free trial then $19 for the first month. Trade-offs to be aware of: it is a younger product than Mentalyc or Upheal, the public footprint of an independent SOC 2 Type II report is thinner than enterprise-grade scribes, and EHR write-back is copy-paste / export today rather than native sync into SimplePractice or TherapyNotes. A reasonable shortlist candidate for solo and small-group therapy practices; clinicians in SUD (42 CFR Part 2) or NHS-facing UK settings should confirm posture directly and compare against Eleos or Upheal before committing.[1]
Pros of Twofold Health
- BIRP, DAP and SOAP for mental health are default formats, not add-ons
- Signed BAA on every paid account; encryption in transit and at rest documented publicly
- Golden Thread support links assessment → goals → interventions → progress notes
- Lowest published entry price in the catalog ($19 first month after a 1-week free trial)
- Live in-session transcription with an editable structured note immediately after
Cons of Twofold Health
- Younger product than Mentalyc or Upheal — independent long-term reliability data is still limited
- EHR integration is copy-paste / export today; no native write-back to SimplePractice or TherapyNotes confirmed
- 42 CFR Part 2 stance for SUD programs is not separately enumerated — verify before deploying in OTP/SUD settings
- Public SOC 2 Type II attestation is not yet listed on the trust page
Fact table
Last verifiedHow it scored
Who builds Twofold Health
Independent company background — sourced from public filings, vendor pages and press coverage.
Frequently asked about Twofold Health
Is Twofold Health HIPAA-compliant for therapy sessions?
Yes. Twofold Health is HIPAA-aligned and signs a Business Associate Agreement (BAA). Audio handling: Encrypted in transit and at rest; processed under signed BAA.
Does Twofold Health have a free tier or trial?
Twofold Health does not offer a free tier, but provides a 7-day free trial. Paid plans start at Free 1-week trial, then $19 first month.
Which therapy note formats does Twofold Health support?
Twofold Health ships these note formats out of the box: BIRP, DAP, SOAP, Narrative, Custom. Treatment-plan generation is supported.
Does Twofold Health integrate with my EHR (SimplePractice, TherapyNotes, Jane, etc.)?
Twofold Health integrates with 2 EHR(s): simplepractice (copy-paste), therapynotes (copy-paste).
Where can I use Twofold Health and in what languages?
Twofold Health is offered in: US. Supported interface languages: English.
Does Twofold Health train its AI models on my session data?
Twofold Health's data-training stance is "opt out default" and audio policy is: Encrypted in transit and at rest; processed under signed BAA.
Who is behind Twofold Health?
Twofold Health, Inc. was founded in 2023, headquartered in United States. Funding: Undisclosed.
Sources & references
Every pricing, compliance and feature claim above is linkable. Numbers in superscript ([1], [2]) jump here.
- [1]Twofold Health — AI Therapy Notes· verified 2026-06-15
- [2]Twofold Health — Behavioral Health· verified 2026-06-15
- [3]Twofold Health — HIPAA-compliant AI Therapy Notes· verified 2026-06-15
Verified clinician reviews
From confirmed-email clinician accounts. Editorial score is separate — see our methodology.