NoteDesigner 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
- NoteDesigner starts at From $14.95/mo or one-time $199 license; Twofold Health starts at Free 1-week trial, then $19 first month.
- HIPAA: NoteDesigner — Yes; Twofold Health — Yes.
- Note formats: NoteDesigner — SOAP, DAP, BIRP, Narrative, Custom; Twofold Health — BIRP, DAP, SOAP, Narrative, Custom.
- Regions: NoteDesigner — US, CA, UK, EU; Twofold Health — US.
Side-by-side
| Feature | ||
|---|---|---|
| Editorial score | 6.8 / 10 | 9.0 / 10 |
| Status | Provisional | Hands-on tested |
| Starting price | From $14.95/mo or one-time $199 license | Free 1-week trial, then $19 first month |
| Free tier | No | No |
| Free trial | 7 days | 7 days |
| HIPAA + BAA | Yes | Yes |
| SOC 2 | — | — |
| GDPR | Partial | — |
| 42 CFR Part 2 | — | — |
| Note formats | SOAP, DAP, BIRP, Narrative, Custom | BIRP, DAP, SOAP, Narrative, Custom |
| Languages | 2 | 1 |
| Regions | US, CA, UK, EU | US |
| EHR integrations | 0 | 2 |
| Founded | 2014 | 2023 |
| HQ | Montreal, Quebec, Canada | United States |
NoteDesigner
Long-running therapy documentation tool (founded by a Canadian clinical psychologist) that is structurally different from ambient scribes: you select therapy interventions, themes and goals from menus, and NoteDesigner composes a note. No live audio capture. Useful as a complement to an ambient tool, or for clinicians uncomfortable with recording sessions. One-time license available.
Read the full NoteDesigner 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 NoteDesigner if you need therapists who want a deterministic, prompt-based note builder rather than ambient recording. 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, NoteDesigner or Twofold Health?
On our editorial rubric, Twofold Health scores higher (9.0 vs 6.8). Best fit depends on your country, EHR, and budget — see the side-by-side table above.
Is NoteDesigner cheaper than Twofold Health?
NoteDesigner starts at From $14.95/mo or one-time $199 license; Twofold Health starts at Free 1-week trial, then $19 first month.
Are both NoteDesigner and Twofold Health HIPAA-compliant?
NoteDesigner's HIPAA stance is "yes"; Twofold Health's is "yes" as of our last verification.
Which note formats do NoteDesigner and Twofold Health support?
NoteDesigner: SOAP, DAP, BIRP, Narrative, Custom. Twofold Health: BIRP, DAP, SOAP, Narrative, Custom.
Do NoteDesigner or Twofold Health integrate with SimplePractice or TherapyNotes?
NoteDesigner has 0 published EHR integration(s); Twofold Health has 2. Most therapy scribes today use copy-paste rather than native write-back.