Lyrebird Health 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
- Lyrebird Health starts at From AU$119/clinician/mo; Twofold Health starts at Free 1-week trial, then $19 first month.
- HIPAA: Lyrebird Health — Yes; Twofold Health — Yes.
- Note formats: Lyrebird Health — SOAP, DAP, Narrative, Custom; Twofold Health — BIRP, DAP, SOAP, Narrative, Custom.
- Regions: Lyrebird Health — ANZ, UK, EU, US; Twofold Health — US.
Side-by-side
| Feature | ||
|---|---|---|
| Editorial score | 7.3 / 10 | 9.0 / 10 |
| Status | Provisional | Hands-on tested |
| Starting price | From AU$119/clinician/mo | Free 1-week trial, then $19 first month |
| Free tier | No | No |
| Free trial | 14 days | 7 days |
| HIPAA + BAA | Yes | Yes |
| SOC 2 | Yes | — |
| GDPR | Yes | — |
| 42 CFR Part 2 | — | — |
| Note formats | SOAP, DAP, Narrative, Custom | BIRP, DAP, SOAP, Narrative, Custom |
| Languages | 1 | 1 |
| Regions | ANZ, UK, EU, US | US |
| EHR integrations | 2 | 2 |
| Founded | 2023 | 2023 |
| HQ | Melbourne, Australia | United States |
Lyrebird Health
Australian-founded medical scribe with psychiatry and therapy templates, aligned to the Australian Privacy Act and used in NHS pilots. Not therapy-only, but the editor handles long, narrative psychotherapy sessions reasonably well. Provisional pending dedicated therapy testing.
Read the full Lyrebird Health 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 Lyrebird Health if you need australian and uk psychiatrists and therapists wanting a locally-built scribe. 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, Lyrebird Health or Twofold Health?
On our editorial rubric, Twofold Health scores higher (9.0 vs 7.3). Best fit depends on your country, EHR, and budget — see the side-by-side table above.
Is Lyrebird Health cheaper than Twofold Health?
Lyrebird Health starts at From AU$119/clinician/mo; Twofold Health starts at Free 1-week trial, then $19 first month.
Are both Lyrebird Health and Twofold Health HIPAA-compliant?
Lyrebird Health's HIPAA stance is "yes"; Twofold Health's is "yes" as of our last verification.
Which note formats do Lyrebird Health and Twofold Health support?
Lyrebird Health: SOAP, DAP, Narrative, Custom. Twofold Health: BIRP, DAP, SOAP, Narrative, Custom.
Do Lyrebird Health or Twofold Health integrate with SimplePractice or TherapyNotes?
Lyrebird Health has 2 published EHR integration(s); Twofold Health has 2. Most therapy scribes today use copy-paste rather than native write-back.