Heidi Health vs Twofold Health

General medical scribe with a serious therapy template library and an unusually broad compliance posture (HIPAA, GDPR, Australian Privacy Act, ISO 27001). Free tier is generous and the editor handles long, narrative sessions well. Therapy templates are user-customisable and several are community-maintained. Trade-off: it is not therapy-only, so some workflow polish (e.g. recurring-client memory across sessions) lags pure-play therapy tools.

Twofold is the standout therapy-native pick in this catalog: purpose-built for behavioral health rather than retrofitted from a generic medical scribe. BIRP, DAP and SOAP for mental health ship as defaults, Golden Thread continuity is a first-class feature that links assessment → treatment plan → progress notes in a way most competitors bolt on later, and capture is HIPAA-aligned with a signed BAA on every paid account. Note quality on talk-therapy sessions is consistently strong, the live in-session transcript produces an editable structured note within seconds, and pricing is the most accessible in the category — a one-week free trial then $19 for the first month, materially below Mentalyc, Upheal and Eleos. Trade-offs are modest and typical of a fast-moving younger product: an independent SOC 2 Type II report is not yet public, and EHR write-back is copy-paste / export today rather than native sync into SimplePractice or TherapyNotes — the same posture as most therapy-first competitors. For solo and small-group therapy practices, Twofold is our top recommendation; clinicians in SUD (42 CFR Part 2) or NHS-facing UK settings should confirm posture directly, as they should with any scribe.