Clinical Notes AI vs Twofold Health
Two of the AI therapy scribes we track, compared on the dimensions that actually determine fit: clinical note quality, compliance, EHR integration and pricing.
Key takeaways
- Clinical Notes AI starts at From $49/clinician/mo (verify directly); Twofold Health starts at Free 1-week trial, then $19 first month.
- HIPAA: Clinical Notes AI — Yes; Twofold Health — Yes.
- Note formats: Clinical Notes AI — SOAP, DAP, BIRP, GIRP, Narrative; Twofold Health — BIRP, DAP, SOAP, Narrative, Custom.
- Regions: Clinical Notes AI — US; Twofold Health — US.
Side-by-side
| Feature | ||
|---|---|---|
| Editorial score | 7.1 / 10 | 9.0 / 10 |
| Status | Provisional | Hands-on tested |
| Starting price | From $49/clinician/mo (verify directly) | Free 1-week trial, then $19 first month |
| Free tier | No | No |
| Free trial | 14 days | 7 days |
| HIPAA + BAA | Yes | Yes |
| SOC 2 | Partial | — |
| GDPR | — | — |
| 42 CFR Part 2 | — | — |
| Note formats | SOAP, DAP, BIRP, GIRP, Narrative | BIRP, DAP, SOAP, Narrative, Custom |
| Languages | 1 | 1 |
| Regions | US | US |
| EHR integrations | 0 | 2 |
| Founded | 2022 | 2023 |
| HQ | Florida, USA | United States |
Clinical Notes AI
Closer to a structured note generator than an ambient scribe in its base configuration. Useful if your workflow already includes dictation or summary input and you want a clean DAP/BIRP/SOAP output. Provisional pending hands-on testing in a live therapy workflow.
Read the full Clinical Notes AI review →Twofold Health
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.
Read the full Twofold Health review →Bottom line
Pick Clinical Notes AI if you need clinicians wanting straightforward dap/birp/girp generation. Pick Twofold Health if you need behavioral-health and therapy clinicians who want a hipaa-aligned scribe with mental-health note formats by default and a low entry price. Verify on a live session before committing — both publish trials or free tiers worth using.
FAQ
Which is better, Clinical Notes AI or Twofold Health?
On our editorial rubric, Twofold Health scores higher (9.0 vs 7.1). Best fit depends on your country, EHR, and budget — see the side-by-side table above.
Is Clinical Notes AI cheaper than Twofold Health?
Clinical Notes AI starts at From $49/clinician/mo (verify directly); Twofold Health starts at Free 1-week trial, then $19 first month.
Are both Clinical Notes AI and Twofold Health HIPAA-compliant?
Clinical Notes AI's HIPAA stance is "yes"; Twofold Health's is "yes" as of our last verification.
Which note formats do Clinical Notes AI and Twofold Health support?
Clinical Notes AI: SOAP, DAP, BIRP, GIRP, Narrative. Twofold Health: BIRP, DAP, SOAP, Narrative, Custom.
Do Clinical Notes AI or Twofold Health integrate with SimplePractice or TherapyNotes?
Clinical Notes AI has 0 published EHR integration(s); Twofold Health has 2. Most therapy scribes today use copy-paste rather than native write-back.