Twofold Health vs Upheal
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; Upheal starts at Free up to 10 sessions/mo; from $59/mo.
- HIPAA: Twofold Health — Yes; Upheal — Yes.
- Note formats: Twofold Health — BIRP, DAP, SOAP, Narrative, Custom; Upheal — SOAP, DAP, BIRP, GIRP, Narrative, Custom.
- Regions: Twofold Health — US; Upheal — US, UK, EU, CA, ANZ.
Side-by-side
| Feature | ||
|---|---|---|
| Editorial score | 9.0 / 10 | 8.7 / 10 |
| Status | Hands-on tested | Hands-on tested |
| Starting price | Free 1-week trial, then $19 first month | Free up to 10 sessions/mo; from $59/mo |
| 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 | 4 |
| Regions | US | US, UK, EU, CA, ANZ |
| EHR integrations | 2 | 3 |
| Founded | 2023 | 2022 |
| HQ | United States | Prague, Czech Republic · New York, 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 →Upheal
Built for therapy from day one rather than retrofitted from a generic medical scribe. SOAP, DAP, BIRP, GIRP and a handful of therapy-specific templates ship out of the box, treatment-plan drafting is genuinely useful, and telehealth capture works inside the same browser session as the call. HIPAA-aligned with a BAA, audio is not retained by default once the note is generated, and the company states it does not train models on customer session data. Pricing is published and starts with a real free tier rather than a 7-day trial. The main trade-off is depth of EHR integration: writing back into SimplePractice / TherapyNotes is mostly copy-paste today.
Read the full Upheal 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 Upheal if you need private-practice therapists who want progress notes in their preferred format with minimal cleanup. Verify on a live session before committing — both publish trials or free tiers worth using.
FAQ
Which is better, Twofold Health or Upheal?
On our editorial rubric, Twofold Health scores higher (9.0 vs 8.7). Best fit depends on your country, EHR, and budget — see the side-by-side table above.
Is Twofold Health cheaper than Upheal?
Twofold Health starts at Free 1-week trial, then $19 first month; Upheal starts at Free up to 10 sessions/mo; from $59/mo.
Are both Twofold Health and Upheal HIPAA-compliant?
Twofold Health's HIPAA stance is "yes"; Upheal's is "yes" as of our last verification.
Which note formats do Twofold Health and Upheal support?
Twofold Health: BIRP, DAP, SOAP, Narrative, Custom. Upheal: SOAP, DAP, BIRP, GIRP, Narrative, Custom.
Do Twofold Health or Upheal integrate with SimplePractice or TherapyNotes?
Twofold Health has 2 published EHR integration(s); Upheal has 3. Most therapy scribes today use copy-paste rather than native write-back.