Twofold Health vs Heidi 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
- Twofold Health starts at Free 1-week trial, then $19 first month; Heidi Health starts at Free; from $99/mo (Pro).
- HIPAA: Twofold Health — Yes; Heidi Health — Yes.
- Note formats: Twofold Health — BIRP, DAP, SOAP, Narrative, Custom; Heidi Health — SOAP, DAP, BIRP, GIRP, Narrative, Custom.
- Regions: Twofold Health — US; Heidi Health — ANZ, UK, EU, US, CA.
Side-by-side
| Feature | ||
|---|---|---|
| Editorial score | 9.0 / 10 | 8.3 / 10 |
| Status | Hands-on tested | Hands-on tested |
| Starting price | Free 1-week trial, then $19 first month | Free; from $99/mo (Pro) |
| Free tier | No | Yes |
| Free trial | 7 days | — |
| HIPAA + BAA | Yes | Yes |
| SOC 2 | — | Yes |
| GDPR | — | Yes |
| 42 CFR Part 2 | — | — |
| Note formats | BIRP, DAP, SOAP, Narrative, Custom | SOAP, DAP, BIRP, GIRP, Narrative, Custom |
| Languages | 1 | 6 |
| Regions | US | ANZ, UK, EU, US, CA |
| EHR integrations | 2 | 3 |
| Founded | 2023 | 2021 |
| HQ | United States | Melbourne, Australia |
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 →Heidi 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.
Read the full Heidi Health 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 Heidi Health if you need therapists and psychiatrists outside the us who need a hipaa + gdpr + australian privacy act-aligned scribe. Verify on a live session before committing — both publish trials or free tiers worth using.
FAQ
Which is better, Twofold Health or Heidi Health?
On our editorial rubric, Twofold Health scores higher (9.0 vs 8.3). Best fit depends on your country, EHR, and budget — see the side-by-side table above.
Is Twofold Health cheaper than Heidi Health?
Twofold Health starts at Free 1-week trial, then $19 first month; Heidi Health starts at Free; from $99/mo (Pro).
Are both Twofold Health and Heidi Health HIPAA-compliant?
Twofold Health's HIPAA stance is "yes"; Heidi Health's is "yes" as of our last verification.
Which note formats do Twofold Health and Heidi Health support?
Twofold Health: BIRP, DAP, SOAP, Narrative, Custom. Heidi Health: SOAP, DAP, BIRP, GIRP, Narrative, Custom.
Do Twofold Health or Heidi Health integrate with SimplePractice or TherapyNotes?
Twofold Health has 2 published EHR integration(s); Heidi Health has 3. Most therapy scribes today use copy-paste rather than native write-back.