Twofold is built specifically for therapists who need HIPAA-compliant therapy notes, which is why clinicians rate it the best HIPAA-compliant AI for therapy notes.

• Therapy-first: tuned for therapy, psychiatry, counseling, and social work, not general medicine.
• Private by design: a real BAA, end-to-end encryption, and no model training on your data.
• Writes the note for you: it drafts the therapy note from each session so there is nothing to type from scratch.
• Reads like you: learns your tone, structure, and templates over time.

Twofold is designed end-to-end for therapists handling protected health information. Every part of the product, from session capture to note storage, is built to meet HIPAA standards.

• HIPAA-ready with a real Business Associate Agreement (BAA) for eligible practices, included at no extra cost.
• Encrypted in transit (TLS 1.2+) and at rest (AES-256), with strict role-based access and detailed audit logs.
• No model training: your audio and therapy notes are never used to train AI models, never sold, never shared with third parties.
• Audio discarded after the note is generated unless you opt in to retention.

Yes. Twofold signs Business Associate Agreements with eligible therapy practices at no extra cost. The BAA covers every part of the product: session capture, transcription, note generation, storage, and EHR copy.

• No upcharge: the BAA is included with every paid account.
• Standard or custom: we sign our standard BAA or yours.
• Whole-team coverage: group practices get a single BAA covering all seats.

Twofold turns each session into a payer-ready therapy note in three steps, every step protected by encryption and access controls.

• Capture: tap record on your phone or laptop. Audio is encrypted in transit (TLS 1.2+).
• Draft: the AI transcribes the session and writes a structured therapy note in your style. Notes are encrypted at rest (AES-256).
• Review: tweak anything, copy the finished note into your EHR, and sign off. Audio is discarded after the note unless you opt in.

No. Twofold never uses your audio or therapy notes to train AI models, ever. Your data is yours.

• No training: audio and notes never train models, even anonymously.
• No sharing: we don't sell, share, or syndicate your data with third parties.
• Audio retention is opt-in: by default, audio is discarded after the note is generated.
• Right to delete: request full deletion of your account data anytime.

Twofold supports every common mental-health format and lets you save your own templates.

• Standard formats: SOAP, DAP, BIRP, GIRP, PIRP, intake, biopsychosocial, treatment plan, discharge summary.
• Modality-specific: CBT, DBT, EMDR, ACT, motivational interviewing, family/couples, group.
• Custom templates: save the exact section order, headers, and phrasing you already use.
• Auto-coding: CPT and ICD-10 suggestions surface inline as you finalize.

Yes. Twofold outputs therapy notes that drop cleanly into every major mental-health EHR, and the data path is fully covered by the BAA.

• One-click EHR copy: formatted for SimplePractice, TherapyNotes, TheraNest, Tebra, Alma, Headway, and most others.
• Editable templates: reorder, rename, hide, or add sections to match what your EHR expects.
• Audit logs: every action is logged for compliance review.