Twofold's home page, checked October 29, 2026, describes Twofold as an AI scribe for clinicians. If you are weighing alternatives, this page sets out what Twofold offers as listed on its own site, where Reframe differs, and when Twofold may be the better fit.
What Twofold is
As listed on Twofold's site, checked October 29, 2026:
- Specialties. Twofold's home page lists "primary care, mental health, specialists, nursing, allied health, dentistry, aged care, veterinary medicine, and clinical training."
- Therapy notes. Its therapy-notes page says "BIRP, DAP, and SOAP for mental health supported out of the box." It lists "Progress and Intake Notes", "Treatment Plan Assistant", "Client Letters and Summaries", "Risk and Safety Planning" and "Couples and Family Sessions".
- Capture. The home page lists "Four ways to capture": "Live session capture", "Dictate a summary", "Type rough notes" and "Upload a recording". For telehealth, its FAQ says you can "capture audio from Zoom, Doxy, Google Meet, or any video platform."
- Note formats and coding. The home page FAQ lists "SOAP, DAP, BIRP, GIRP, intake, H&P, discharge, and more." It describes "fully editable templates" and says "ICD-10 and CPT suggestions surface inline as you finalize."
- Devices. The home page FAQ lists "any modern browser on macOS, Windows, or Linux", "the dedicated iOS app from the App Store" and "the Android app from the Play Store."
- Getting notes into your EHR. The home page FAQ lists "EHR-ready output" that can "copy-paste cleanly into Epic, Cerner, Athena, SimplePractice, and others."
Privacy, in Twofold's words. Twofold's security page, checked October 29, 2026, says: "Session recordings are never stored on our servers." It also says: "We do not use your data to train AI models". For its full security and privacy statements, read Twofold's security page.
Twofold and Reframe side by side
Twofold details below are as listed on each site, checked October 29, 2026: each Twofold cell is a near-verbatim listing from the page linked in the last column. Twofold's prices are shown with "$" and no currency code.
| Twofold, as listed on its site | Reframe | Source for Twofold, checked October 29, 2026 | |
|---|---|---|---|
| Who it is for | Clinicians; specialties listed include primary care, mental health, nursing, allied health, dentistry, aged care and veterinary medicine | Licensed therapists | Home |
| How you capture the session | Live session capture, dictate a summary, type rough notes or upload a recording; telehealth audio from Zoom, Doxy, Google Meet or any video platform | You type your own shorthand and Reframe drafts the progress note. No recording | Home |
| Note formats | SOAP, DAP, BIRP, GIRP, intake, H&P, discharge, and more; fully editable templates; Treatment Plan Assistant; Client Letters and Summaries | Progress notes in SOAP, DAP, BIRP, GIRP, PIRP and narrative formats, plus a saved custom format | Home, Therapy notes |
| Where it runs | Any modern browser on macOS, Windows or Linux; iOS and Android apps | A web app in your browser | Home |
| Getting the note into your record | Copy-paste into Epic, Cerner, Athena, SimplePractice and others | You paste the final note into your EHR | Home |
| Free option | Free: $0/mo, "7 days free · no card", full access to every feature, unlimited notes | 20 free notes every 30 days with a free account. No credit card | Pricing |
| Price as listed | Personal: $49/mo, billed annually, unlimited notes. A Monthly option is also shown; see the page for its current terms. Group: Custom, tailored volume pricing | Pro: $29 USD a month, or $288 USD a year; removes the note cap | Pricing |
Where Reframe differs
Twofold's home page lists "Type rough notes" as one of its capture modes, so typing alone is not the difference. These are:
- No recording anywhere in the workflow. Reframe has no recording option. You type what happened in your own shorthand, and Reframe drafts the progress note from that text.
- Focused on progress notes. SOAP, DAP, BIRP, GIRP, PIRP and narrative, plus a saved custom format.
- How session text is handled. Reframe processes your session text to draft the note and does not store it on its servers.
- A free allowance that renews. 20 free notes every 30 days with a free account, no credit card.
Reframe's job is narrow: a progress-note draft from your typed shorthand, which you check, finish and paste into your own EHR.
When Twofold is the better choice
Based on what Twofold's site lists, checked October 29, 2026:
- You want to choose how each session is captured. Twofold's home page lists "Live session capture", "Dictate a summary", "Type rough notes" and "Upload a recording", plus telehealth audio capture.
- You work across specialties. Its home page lists specialties including "primary care, mental health, specialists, nursing, allied health".
- You want coding help. Its home page says "ICD-10 and CPT suggestions surface inline as you finalize." Its pricing section lists "CPT and ICD coding" on the Personal plan.
- You work from your phone. Its home page lists iOS and Android apps, and says you can "start a recording on your phone, finish the note on your laptop."
- You want more documents from one session. Its home page describes "Copilot Mode" as "One session. Every document you need." and lists "Treatment Plan", "Referral Letter" and "Progress Note". Its therapy-notes page lists "Client Letters and Summaries".
- You see couples and families. Its therapy-notes page says it can "Handle multiple speakers cleanly for joint sessions in person or telehealth."
- You want unlimited notes on a paid plan. Its pricing section lists "Unlimited notes" on the Personal plan.
FAQ
What is Twofold AI?
Twofold Health's home page, checked October 29, 2026, describes Twofold as an AI scribe for clinicians and says: "Speak it, dictate it, type it, or upload it. Twofold turns it into a polished clinical note." Its therapy-notes page lists "BIRP, DAP, SOAP for mental health, Progress, and Intake notes" and a "Treatment Plan Assistant".
How much does Twofold cost?
On October 29, 2026, Twofold's pricing section listed a Free plan at $0 with "7 days free · no card"; a Personal plan at $49/mo, "billed annually", with "Unlimited notes"; and a Group plan listed as "Custom". A Monthly option is also shown; check the page for its current terms and any offers.
Does Twofold have a free plan?
Twofold's pricing section, checked October 29, 2026, lists a Free plan with "7 days free · no card", "Full access to every feature" and "Unlimited notes".
Can Twofold work from typed notes?
Yes, as listed on Twofold's home page, checked October 29, 2026: "Type rough notes" is one of its four capture modes, alongside "Live session capture", "Dictate a summary" and "Upload a recording".
Is there a Twofold alternative for therapists that never records?
Reframe drafts progress notes from shorthand you type, with no recording.
Competitor details on this page come from each company's public pages on the date checked. Plans and prices change, so check the company's site before you decide.
Reframe Practice is a tool for licensed therapists, not a therapy clinic or counseling service.