Twofold Health

Don't chart, just speak

Twofold Health is an AI medical scribe that generates clinical notes from speech, so clinicians can focus on the patient instead of the keyboard. The site positions it as the most trusted and loved AI scribe for accurate, compliant clinical notes.

Clinicians report going from spending 3+ hours on notes to under 30 minutes.

SOAP, progress, H&P and more

Twofold supports a wide range of note formats including SOAP Note (Subjective, Objective, Assessment, Plan), Progress Note, Chief Complaint, HPI, ROS, H & P Note, History, Medications, Physical Exam, Discharge Summary, Admission Dx, Hospital Course, Discharge Dx, Follow-up, and Assessment & Plan with Problem 1, Problem 2, and Orders.

One tool covers the documentation needs of primary care, hospital medicine, pediatrics, and behavioral health visits.

Coding, prior auth and referral support

Beyond notes, Twofold generates Prior Auth content, Diagnosis, Medication, Clinical Rationale, ICD-10 and CPT codes, and Referral Letters with fields for Referring To, Reason, and Urgency (Routine).

Clinicians stay on top of compliance and insurance claim documentation without extra admin work.

Handles couples, families and multiple voices

Reviewers highlight that Twofold works well with couples and families, correctly attributing parents versus patients every single time, and picks up on emotional nuance in therapy conversations.

Therapists and pediatric clinicians get accurate notes even when several voices are in the room.

Exports and follow-up emails

Twofold exports well to other filing applications and includes a feature for writing a follow-up email to clients. Clinicians also note that med rec carries dose changes forward visit to visit, and that A&P comes out structured per diagnosis with coding suggestions.

Less time digging through old notes and more time for patient care.

Used by over 20,000 clinicians

Twofold Health is rated Excellent 4.8 from 3,079 reviews and is used by over 20,000 clinicians across primary care, hospital medicine, pediatrics, therapy, and psychiatry.

A large peer base of MDs, NPs, PAs, LCSWs, LMFTs and psychiatrists rely on Twofold for daily documentation.

• Ambient AI Scribe with Broad Note-Type CoverageTwofold Health is an AI medical scribe that generates accurate, compliant clinical notes from speech. It supports a wide range of note types including SOAP, Progress, H&P, Discharge Summary, and more, with automatic structuring of sections like Chief Complaint, HPI, ROS, Medications, Physical Exam, and Assessment & Plan.
• Trusted by Over 20,000 CliniciansThe platform is used by more than 20,000 clinicians across specialties including primary care, pediatrics, psychiatry, therapy, and hospital medicine. User testimonials highlight significant time savings—one physician reported going from 3+ hours on notes to under 30 minutes—and improved work-life balance.
• Handles Multiple Voices and Complex VisitsTwofold accurately attributes speech to the correct speaker, which is especially useful in couples/family therapy and pediatric visits with parents and patients. It also manages complex visits with multiple problems, generating structured Assessment & Plan sections per diagnosis without requiring template selection.
• Integrated Coding and Referral SupportThe tool provides ICD-10 and CPT coding suggestions, prior auth support, and generates referral letters with reason and urgency. Clinicians report that coding suggestions are usually accurate, and the med rec feature carries dose changes forward visit to visit, saving time.

• Pricing and Trial DetailsThe website states 'Free for a week, then $19 for your first month' and 'Try for free No credit card required.' However, it does not specify the price after the first month, nor does it list any annual plans or enterprise pricing. Only individual pricing is shown; team pricing is not detailed.
• Integrations and ExportsOne testimonial mentions that Twofold 'exports well to other filing applications,' but the website does not list specific EHR or practice management system integrations. No official integration partners or API details are provided, so claims about specific EHR compatibility cannot be verified.
• Security and ComplianceThe site has a 'Security' page link, but the scraped content does not include any details about HIPAA compliance, data encryption, or other security certifications. Users should not assume specific compliance standards without further information from the security page.
• Feature Claims and LimitationsWhile testimonials praise features like follow-up emails to clients and automatic asthma action plans, these are not listed as official features on the main page. The site's feature list focuses on note types and coding, so additional capabilities mentioned in reviews may not be universally available.

Primary Care and Chronic Care Visits

Twofold Health is built for the pace of primary care, where a single afternoon can move from a chronic care visit to a sick toddler to a Medicare wellness exam. Clinicians with panels of 1,100 to over 1,200 patients report that A1c trends, weights, and blood pressures are simply there when they open the chart, and that medication reconciliation carries every dose change forward visit to visit without digging through old notes. One AGNP-C said the med rec alone gives back about an hour a day. If you are comparing scribes for a busy primary care panel, it is worth looking at how Heidi Health and Freed AI handle the same workflow.

Behavioral Health and Therapy Notes

Therapists and counselors use Twofold Health to capture emotional nuance in conversation that is normally hard to document accurately, and to write follow-up emails to clients. It handles couples and family sessions with multiple voices, and one LMFT noted it exports well to other filing applications. An LCSW said the tool validates the work put into a session and catches things they would otherwise miss, while an LPC highlighted help creating compliant notes for insurance claims in a fraction of the time. For a therapy-focused alternative, see Upheal.

Hospital Medicine and Discharge Documentation

Hospitalists describe admissions as a wave all day, and with Twofold Health they report being done before signout, which used to be unthinkable. Discharge summaries that used to ruin Fridays can now be dictated on the way to the parking lot, with the hospital course handled automatically. For complex follow-ups five or six problems deep, the Assessment & Plan comes out structured per diagnosis without babysitting, and coding suggestions are usually right. A PA-C working through a PE rule-out said the note basically wrote itself, including the cardiopulm exam and d-dimer reasoning, saving at least 20 minutes on a busy shift.

Pediatrics and Family Medicine

Pediatric visits are short and full of family voices, and Twofold Health attributes parent versus patient correctly every single time according to a CPNP. Bright Futures language, growth percentiles, and anticipatory guidance all land in the right section automatically, and asthma action plans come out clean so parents leave with a printed copy without opening a template. Well-checks, sick visits, and asthma follow-ups can all run in the same morning. Family medicine clinicians likewise report the tool keeps up with a mix of chronic care, sick visits, and Medicare wellness without picking templates.

Sign up for the free trial at trytwofold.com — no credit card required, access starts immediately.

Select your practice setting (pediatric, adult, or geriatric) and connect your EMR using the guided integration flow.

Record or dictate your first session using the in-app audio capture — the AI processes it in real time.

Review the generated SOAP note, make any minor adjustments, and push it directly to your EMR.