TL;DR: Twofold Health is an AI scribe that turns a therapy session into a SOAP, DAP or BIRP note. After a 7-day free trial it costs $69 a month, or $49 a month billed yearly. It suits therapists, counselors and small practices. Updated November 2026.
| Quick facts | Twofold Health |
|---|---|
| Starting price | $49 a month billed yearly; $69 a month billed monthly (first month $19) |
| Best for | Therapists, counselors, social workers, psychologists and small group practices that write session notes |
| Free trial | 7 days, every feature, no credit card |
| Plans | One paid plan per clinician with every feature included; custom pricing for groups |
| Notes | Unlimited, with no per-note fees |
| Note formats | SOAP, DAP, BIRP, GIRP, intake and progress notes, treatment plans and 70+ more formats, plus templates you build |
| Ways to capture a session | In the room, any video platform (Zoom, Doxy, Google Meet), a dictated summary, typed rough notes or an uploaded audio file |
| Apps | Web app, iPhone and iPad app, Android app |
| EHR | Copy the finished note into any EHR, including SimplePractice, TherapyNotes and Epic |
| Data | US infrastructure, signed BAA on every plan, recordings are never stored, data never trains AI |
| Users | Over 20,000 clinicians |
Twofold Health is an AI scribe for therapists, counselors, social workers, psychologists, psychiatrists and group practices. It takes a recorded session, a dictated summary, typed rough notes or an uploaded recording and drafts the note in the format you pick. You review and edit the draft before it goes into the record. See how it sits next to the other tools in our guides to the best AI note takers for therapists and AI medical scribes for small practices.
How does Twofold Health work?
Twofold Health goes from a session to a note in 5 steps, and the last one is copying the note into your EHR.
- Capture the session. Record in the room on a phone, tablet or laptop, capture a video call from Zoom, Doxy, Google Meet or any other platform, dictate a summary after the visit, type rough notes or upload an audio file.
- Pick a template. Choose DAP, SOAP, BIRP, GIRP, an intake or progress note, or a template you built yourself.
- Twofold drafts the note. The draft follows your template, and it separates speakers in couples and family sessions.
- Review and edit. Change the draft by hand, or ask the Ask Twofold assistant to reword it in plain language.
- Copy it into your EHR. Paste the finished note into SimplePractice, TherapyNotes, Epic, athenahealth or whichever system you use. There is no integration fee.
Key features of Twofold Health
- Note formats: DAP, SOAP, BIRP, GIRP, PIRP, intake and progress notes, treatment plans and 70+ more formats. Reorder, rename or add sections, or build your own template.
- Therapy notes: built-in mental health templates such as SOAP (Mental Health), Progress (Mental Health) and Intake (Mental Health). Couples and family sessions with several voices are handled, and group therapy notes cover attendance, themes and each member's contribution.
- Capture options: in-person sessions, telehealth on any platform, a dictated summary, typed notes or an uploaded recording.
- Ask Twofold: an assistant that edits notes, drafts letters, referrals and patient correspondence, answers billing questions and tracks a patient's progress across sessions.
- Code suggestions: CPT and ICD-10 suggestions come with each note. You review them before you bill.
- Treatment plans: goals, objectives and next steps drafted from your session notes.
- Your style: Twofold learns from how you write and the edits you make, and you can add custom instructions for tone and wording.
- Apps: the web app works in any modern browser on macOS, Windows or Linux, with an iOS app and an Android app. A recording started on a phone can be finished on a laptop.
- Group practices: custom pricing with volume discounts, centralized admin billing, seat management, shared team templates, team onboarding and a dedicated success manager.
- Data: hosted on Microsoft Azure and Google Cloud in US data centers, encrypted in transit and at rest. Audio is turned into a transcript and a note and then deleted, so no recording is stored. Your data never trains AI models, and Twofold staff cannot open your transcripts, notes or patient names.
- Compliance: Twofold Health is built for HIPAA-compliant clinical documentation and signs a Business Associate Agreement (BAA) with every healthcare organization that uses it. SOC 2 Type II certification is in progress.
- Developer API: a medical speech-to-text API for developers is available by booking a call with the Twofold product team.
Who does Twofold Health fit?
- Solo therapists, counselors, social workers and psychologists who want a draft in DAP, SOAP, BIRP or GIRP without typing it.
- Group practices that want one note format across clinicians, shared team templates and one bill.
- Psychiatrists and nurse practitioners who want medication management and risk notes drafted in a structured format.
- Clinicians who keep their current EHR. The finished note is copied into SimplePractice, TherapyNotes, athenahealth, Epic and others.
- Clinicians who want to try before paying. Every new account gets 7 days of every feature without a credit card.
What does Twofold Health cost?
Twofold Health has one paid plan for individual clinicians, and it includes every feature. Prices are per clinician, in US dollars, and both billing views are below. A 7-day free trial needs no credit card, and you are not charged if you do not subscribe. Prices as of 12 November 2026.
Twofold Health plans
| Plan | Billed monthly | Billed yearly | What is included |
|---|---|---|---|
| Free trial | $0 for 7 days | $0 for 7 days | Full access to every feature, no credit card. |
| Personal | $19 for the first month, then $69 a month | $49 a month ($588 billed once a year) | Unlimited notes, the template library, Ask Twofold, CPT and ICD-10 code suggestions, treatment plans, patient progress tracking, reports, web, iOS and Android apps, telehealth and in-person sessions, and a signed BAA. |
| Group | Custom | Custom | Volume discounts, centralized admin billing, flexible seat management, shared team templates, team onboarding and a dedicated success manager. |
The $19 first month applies to the monthly plan. The yearly plan is $49 a month, billed as $588 a year. There is no charge per note, per regeneration or per edit, and the BAA costs nothing extra.
- Unlimited notes: no monthly cap, no daily cap and no per-note fee on the paid plan.
- No add-ons: Ask Twofold, code suggestions and treatment plans are part of the plan.
- Cancel any time: cancel from your account settings, with no cancellation fee.
What support does Twofold Health offer?
Twofold Health support comes by chat in the app and by email at info@trytwofold.com. The help center at help.trytwofold.com has guides for getting started, using Twofold, account management, security and privacy, and running a team with seats and centralized billing.
Good to know
- The $19 first month applies to the monthly plan only.
- Notes reach your EHR by copy and paste, with no integration fee.
Best for your situation
Guides & comparisons
Frequently Asked Questions
What is Twofold Health?
Twofold Health is an AI scribe for therapists, counselors, social workers, psychologists, psychiatrists and group practices. It turns a session into a finished note in SOAP, DAP, BIRP, GIRP, intake or progress format and 70+ more formats.
How much does Twofold Health cost?
Twofold Health has one paid plan for individual clinicians. Billed monthly it is $19 for the first month and then $69 a month. Billed yearly it is $49 a month, charged as $588 a year. Both include unlimited notes and every feature. Groups get custom pricing. Prices as of 12 November 2026.
Is there a free trial of Twofold Health?
Yes. Every new account gets 7 days of full access with no credit card, and you are never charged if you do not subscribe.
Does Twofold Health work with my EHR?
Yes. Twofold Health works alongside any EHR. You copy the finished note into SimplePractice, TherapyNotes, athenahealth, Epic or whichever system you use, and there is no integration fee.
Which note formats does Twofold Health support?
DAP, SOAP, BIRP, GIRP, PIRP, intake and progress notes, treatment plans and 70+ more formats. You can reorder, rename or add sections and build your own templates.
Does Twofold Health store session recordings?
No. Audio is processed into a transcript and a note and then deleted, and no recording is written to disk. The finished note stays in your account until you delete it.
Does Twofold Health sign a BAA?
Yes. Twofold Health signs a Business Associate Agreement with every healthcare organization that uses it, and the BAA is included on every plan at no extra cost. It covers breach notification, data residency on US infrastructure, subprocessor obligations and breach cost responsibility.
Can a group practice use Twofold Health?
Yes. Group plans have custom pricing with volume discounts, centralized admin billing, seat management, shared team templates, team onboarding and a dedicated success manager.
Does Twofold Health have a mobile app?
Yes. Twofold Health has an iOS app for iPhone and iPad and an Android app, and the web app runs in any modern browser. A recording started on a phone can be finished on a laptop.
Verdict
Twofold Health fits therapists, counselors and small practices that want unlimited notes and every feature on one plan. It costs $49 a month billed yearly or $69 a month billed monthly, with a $19 first month and a 7-day free trial that needs no card. See Twofold Health plans and start free.
