Nabla Copilot 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
- Nabla Copilot starts at Free up to 30 consults/mo; from $119/mo; Twofold Health starts at Free 1-week trial, then $19 first month.
- HIPAA: Nabla Copilot — Yes; Twofold Health — Yes.
- Note formats: Nabla Copilot — SOAP, Narrative, Custom; Twofold Health — BIRP, DAP, SOAP, Narrative, Custom.
- Regions: Nabla Copilot — US, EU, UK, CA; Twofold Health — US.
Side-by-side
| Feature | ||
|---|---|---|
| Editorial score | 7.0 / 10 | 9.3 / 10 |
| Status | Provisional | Hands-on tested |
| Starting price | Free up to 30 consults/mo; from $119/mo | Free 1-week trial, then $19 first month |
| Free tier | Yes | No |
| Free trial | — | 7 days |
| HIPAA + BAA | Yes | Yes |
| SOC 2 | Yes | — |
| GDPR | Yes | — |
| 42 CFR Part 2 | — | — |
| Note formats | SOAP, Narrative, Custom | BIRP, DAP, SOAP, Narrative, Custom |
| Languages | 7 | 1 |
| Regions | US, EU, UK, CA | US |
| EHR integrations | 2 | 2 |
| Founded | 2018 | 2023 |
| HQ | Paris, France · New York, NY, USA | United States |
Nabla Copilot
Nabla is primarily a general-medicine ambient scribe with the strongest compliance stack in the space (HIPAA, SOC 2 Type II, GDPR, ISO 27001) and a real free tier. The mental-health module adds psychiatry-oriented templates. Less suitable for talk-therapy-only workflows because the editor and template library are tuned for medical visits, but a defensible choice for psychiatry inside larger health systems.
Read the full Nabla Copilot review →Twofold Health
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.
Read the full Twofold Health review →Bottom line
Pick Nabla Copilot if you need psychiatrists in larger health systems already evaluating nabla for primary care. Pick Twofold Health if you need behavioral-health and therapy clinicians who want a hipaa-aligned, therapy-native scribe with birp / dap / soap by default, golden thread continuity, and the lowest entry price in the category. Verify on a live session before committing — both publish trials or free tiers worth using.
FAQ
Which is better, Nabla Copilot or Twofold Health?
On our editorial rubric, Twofold Health scores higher (9.3 vs 7.0). Best fit depends on your country, EHR, and budget — see the side-by-side table above.
Is Nabla Copilot cheaper than Twofold Health?
Nabla Copilot starts at Free up to 30 consults/mo; from $119/mo; Twofold Health starts at Free 1-week trial, then $19 first month.
Are both Nabla Copilot and Twofold Health HIPAA-compliant?
Nabla Copilot's HIPAA stance is "yes"; Twofold Health's is "yes" as of our last verification.
Which note formats do Nabla Copilot and Twofold Health support?
Nabla Copilot: SOAP, Narrative, Custom. Twofold Health: BIRP, DAP, SOAP, Narrative, Custom.
Do Nabla Copilot or Twofold Health integrate with SimplePractice or TherapyNotes?
Nabla Copilot has 2 published EHR integration(s); Twofold Health has 2. Most therapy scribes today use copy-paste rather than native write-back.