Twofold Health vs Freed
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
- Twofold Health starts at Free 1-week trial, then $19 first month; Freed starts at $99/clinician/mo.
- HIPAA: Twofold Health — Yes; Freed — Yes.
- Note formats: Twofold Health — BIRP, DAP, SOAP, Narrative, Custom; Freed — SOAP, DAP, BIRP, Narrative, Custom.
- Regions: Twofold Health — US; Freed — US, CA.
Side-by-side
| Feature | ||
|---|---|---|
| Editorial score | 9.0 / 10 | 7.9 / 10 |
| Status | Hands-on tested | Hands-on tested |
| Starting price | Free 1-week trial, then $19 first month | $99/clinician/mo |
| Free tier | No | No |
| Free trial | 7 days | 7 days |
| HIPAA + BAA | Yes | Yes |
| SOC 2 | — | Yes |
| GDPR | — | Partial |
| 42 CFR Part 2 | — | — |
| Note formats | BIRP, DAP, SOAP, Narrative, Custom | SOAP, DAP, BIRP, Narrative, Custom |
| Languages | 1 | 2 |
| Regions | US | US, CA |
| EHR integrations | 2 | 2 |
| Founded | 2023 | 2022 |
| HQ | United States | San Francisco, CA, USA |
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 →Freed
Started as a primary-care scribe and now widely used by therapists. Note generation is fast (<60s typical), the editor is clean, and the BAA is signed on the standard plan. Therapy templates (SOAP, DAP, BIRP, intake) are available but more limited than Mentalyc. No free tier — flat $99/mo per clinician. Best fit for a solo clinician who values speed and simplicity over modality depth.
Read the full Freed review →Bottom line
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. Pick Freed if you need solo therapists who want a fast, low-fuss ambient scribe with a flat monthly price. Verify on a live session before committing — both publish trials or free tiers worth using.
FAQ
Which is better, Twofold Health or Freed?
On our editorial rubric, Twofold Health scores higher (9.0 vs 7.9). Best fit depends on your country, EHR, and budget — see the side-by-side table above.
Is Twofold Health cheaper than Freed?
Twofold Health starts at Free 1-week trial, then $19 first month; Freed starts at $99/clinician/mo.
Are both Twofold Health and Freed HIPAA-compliant?
Twofold Health's HIPAA stance is "yes"; Freed's is "yes" as of our last verification.
Which note formats do Twofold Health and Freed support?
Twofold Health: BIRP, DAP, SOAP, Narrative, Custom. Freed: SOAP, DAP, BIRP, Narrative, Custom.
Do Twofold Health or Freed integrate with SimplePractice or TherapyNotes?
Twofold Health has 2 published EHR integration(s); Freed has 2. Most therapy scribes today use copy-paste rather than native write-back.