5 Best AI Progress Note Generators [2026] – Comparison, Pricing & More

How this shortlist was built

From Jan 2024 → 2026, we vetted 2,100+ clinician comments across r/therapists, r/psychotherapy, r/medicine, and r/FamilyMedicine, tossed out vendor promos, and verified pricing & security docs. The tools below ranked highest on speed, HIPAA posture, price transparency, and template depth.

1. Twofold Health — fastest, template‑rich all‑rounder

A user mentioned that he is impressed with Twofold:

“I’m currently trying Twofold. Initial impressions are very good”
— u/Snoo-9266

Another user speaks about how Twofold improves her life:

“I'm in primary care and using Twofold AI and I cannot say enough on how it has improved my life."
— u/Proper_Parking_2461

Pros

• < 30 s drafts, SOAP, DAP, BIRP & MSE built‑in
• Highly customizable to specific needs
• Offers AI treatment planning capabilities
• Flat $49 / mo (annual); audio purged after processing; instant BAA
• Mobile apps for iOS and Android

Cons

• No option to send the patient letter directly from within the platform

Best for: best all‑around progress note generator ‑ for practices that need simplicity, speed, predictable cost, and strict privacy.

2. Athelas Scribe — contract heavy but scalable

An Athelas user writes about pricing:

“Accuracy is solid, but the 12‑month contract and $150/mo price hurt.” — u/ResidentRural

Pros

• Chrome, iOS & Android apps; ICD‑10 + CPT suggestions included
• Multi‑speaker recognition handles client + caregiver dialogue
• SOC‑2 & HITRUST reports available for enterprise buyers

Cons

• 12‑month contract; $150 / mo reported by Reddit users
• Cloud‑only storage; no offline mode
• Output quality drops with cheap room microphones

Best for: medium‑to‑large practices that want coding help and can absorb contract commitments.

3. Eleos Health — enterprise analytics + note automation

An agency mentions:

“My CMH agency provides one to us, and encourages us to use it. It’s call Eleos. Notes take 5 minutes now, I love it!"
— u/E4peace

Pros

• Built for community health behavioral clinics.
• Full‑session recorder extracts interventions & risk language
• Supervisor dashboard trends client engagement & sentiment
• SOC‑2 + HITRUST; flexible retention options

Cons

• Quote‑only pricing; 5‑seat minimum
• 2–4 weeks onboarding for template tuning

Best for: community mental health clinics that want analytics on top of automation.

4. Apollo Notes — voice memo to structured note

Pros

• No live recording; voice memo → SOAP, DAP, BIRP
• Free 10 notes/mo; $39 / mo Pro removes cap
• Audio deleted immediately after processing

Cons

• English‑only; founder‑run support can be slow
• 70‑second average processing—slower than Twofold

Best for: clinicians who dislike full‑session recording or work on low bandwidth.

5. Quenza — activity‑driven documentation

"I have really found Quenza to be quite helpful in my small clinical practice. Learning how to navigate the site initially was a little uncertain from my end as the clinican."
-- G2 Review

Pros

• Library of CBT, ACT, DBT activities auto‑syncs to notes
• HIPAA‑compliant on all paid tiers; BAA at checkout
• Pre‑built multi‑week “Flows” feed progress notes automatically

Cons

• $149 / mo unlimited; pricier than peers
• No live dictation—typed inputs or worksheets only

Best for: coach‑therapists who rely heavily on homework & psycho‑education handouts.

Price & Speed Snapshot (2026)

Verdict: Which is the best AI progress note generator for 2026?

For pure speed, flat pricing, and therapy‑specific templates, Twofold Health takes the crown. Athelas and Apollo excel in low‑cost or voice‑memo workflows, Eleos delivers enterprise analytics, and Quenza turns homework into notes for activity‑heavy practices. Match the pros and cons to your setting, and you could reclaim 30–60 minutes of admin time every day—the real definition of the best AI therapy notes generator.