In July 2026, Twofold crossed 20 million clinical notes generated, with more than 20,000 clinicians now using the platform to write their notes. The number of clinicians documenting with Twofold has more than tripled in the past year — making it one of the fastest‑growing AI medical scribes.
What Twofold is
Twofold is a HIPAA‑compliant AI medical scribe for clinicians in individual and small‑group practices across specialties: mental health clinicians — therapists, psychologists, psychiatrists, and psychiatric nurse practitioners — alongside family medicine physicians, nurses, allied health professionals, dentists, and aged‑care clinicians.
It works the way clinicians actually do: the scribe listens during the session (in person or telehealth), drafts the note in the clinician's own format — SOAP, DAP, BIRP, H&P, intake assessments, progress notes, treatment plans — and leaves the clinician a draft to review and sign, not a document to write.
Three design decisions define the platform:
- Twofold does not store session audio: recordings are discarded once the note is drafted.
- Twofold does not train AI models on patient data, and every plan includes a signed Business Associate Agreement (BAA).
- Twofold charges flat per-clinician pricing with unlimited notes — no per-minute meters or session credits.
The platform is HIPAA compliant and HITRUST CSF aligned.
Growth clinicians can verify
Adoption isn't a press‑release number — it's visible in public reviews: Twofold holds a 4.8‑star rating across more than 3,000 clinician reviews. The clinician base has more than tripled in the last 12 months, and cumulative notes generated crossed 20 million this year.
The ratio is the telling number: 20 million notes across 20,000 clinicians is roughly a thousand notes per clinician — daily working use, not trial sign‑ups.
“Clinicians don't adopt documentation tools because of demos — they adopt them because the note that comes out is one they'd have written themselves, minus the hour it takes to write it,” said Dr. Danni Steimberg, a pediatrician at Schneider Children's Medical Center who writes and reviews Twofold's clinical content. “The twenty‑millionth note matters less to us than the fact that the clinician who signed it got home earlier.”
Dr. Dora Matis, a psychiatrist and psychotherapist practicing at a leading clinic in Germany who reviews Twofold's clinical content, points to what the growth is actually made of: “What convinced me wasn't the time savings — it was reading the drafts. The mental status exam comes out structured, the medication changes are right, and nothing I said in the room is sitting on a server afterward. That's the bar for using AI in psychiatry, and most tools don't clear it.”
Who's documenting with Twofold
Twofold's growth spans specialties. Mental health is a stronghold — solo therapists and psychologists, psychiatrists and PMHNPs running medication management, and group practices standardizing documentation across teams — and the same workflow serves family medicine, nursing, allied health, dentistry, and aged care through specialty‑matched templates and note formats.
That individual‑and‑small‑practice focus is deliberate. Twofold is a standalone AI scribe, not an EHR — it works alongside the system a practice already runs, so adopting it is a workflow change measured in minutes, not a migration project.
What's next: from notes to structured clinical data
Every Twofold note starts as unstructured conversation and ends as structured clinical data — and that data is worth more than the note alone. Twofold's roadmap focuses on integrations with large EHRs, revenue‑cycle management, scheduling, and intake systems: seamless for the clinician, and designed to make those downstream systems better using the structured data Twofold extracts from unstructured session data.
Clinicians can try Twofold free — no credit card required — at trytwofold.com.