Speak it, dictate it, type it, or upload it. Twofold turns it into a polished clinical note.
Record, dictate, or upload.
In-person or telehealth. Any device.
Your voice. Your format. Every time.
Four ways to capture. One finished note.
Built for LCSWs and clinical social workers. Twofold drafts DAP, SOAP, and BIRP notes capturing presenting concerns, interventions, and response in your therapeutic voice.
ClinicianHow have you been sleeping since we last spoke?
ClientBetter, I think. Five or six hours most nights now — not great, but better than three.
ClinicianThat’s real progress. And how’s the mood through the day?
ClientLower in the mornings, mostly. By lunchtime I usually feel more myself.
ClinicianAny thoughts of harming yourself or anyone else?
ClientNo. Nothing like that. The CBT homework is helping me catch the spiral earlier.
Sleep improved to 5–6 hrs/night. Reports lower mood in the mornings, easing by midday. No SI/HI.
Engaged, congruent affect. Adherent to medication. PHQ-9 9 · GAD-7 6
MDD, recurrent, moderate — partial response with persistent diurnal variation. F33.1
2-week follow-up for hypertension management. No new symptoms.
BP 128/82 HR 72 Cardiovascular exam unremarkable. Tolerating regimen.
Essential hypertension — well-controlled on current therapy. I10
4-day history of productive cough. Denies fever, chest pain, or shortness of breath. No recent travel or sick contacts.
Afebrile. SpO₂ 98% Lungs clear bilaterally; no wheeze or crackles. ENT unremarkable.
Likely post-viral bronchitis — self-limited. J20.9
Bilateral frontal headaches, 3×/week, 2–3 hr duration. Pressure quality. No aura, photophobia, or vomiting.
Vitals stable. Neuro exam non-focal. Cervical paraspinal tenderness noted. BP 122/78
Tension-type headache — likely posture-related; rule out migraine. G44.209
From routine progress notes to complex trauma work — Twofold drafts the documentation in your therapeutic voice, with the right scales and language already in the right place.
Capture symptom progression, sleep, appetite, and energy across visits. PHQ-9 totals carry forward visit-over-visit so trends surface automatically.
Document panic, phobic, and generalized anxiety presentations with exposure-hierarchy tracking and skill-building between sessions.
Trauma-informed language for PE, CPT, and EMDR sessions. Tracks intrusion, avoidance, and arousal symptoms structured for clinical review.
ASAM-aligned assessments, motivational-interviewing notes, and structured documentation of use patterns, withdrawal, and recovery progress.
Capture mood episodes, sleep, medication response, and warning signs with clear formulation between depressive, hypomanic, and manic phases.
Document attention, organization, and impairment across home, school, and work contexts. Rating scales captured inline for follow-up.
Every detail, exactly where it belongs.
Speak. Get your note. That’s it.
One session. Every document you need.
Real humans, every hour of every day.
HIPAA compliant. BAA on every plan. We never store recordings or train on your data.
Yes. Twofold fully complies with all HIPAA privacy and security requirements to protect PHI. Our platform is designed with strict administrative, technical, and physical safeguards in place so clinicians can confidently use Twofold for clinical documentation.
Yes. Every Twofold account receives a signed BAA. This agreement outlines our responsibilities for protecting PHI and ensures you are covered from a compliance standpoint when using Twofold.
No. Twofold does not store raw audio from your sessions at any time. Audio is processed securely in real time to create the transcript for your note, and then the recording is permanently deleted. This significantly reduces exposure risk and keeps your sessions private.
Never. Twofold does not use your audio, transcripts, notes, or any PHI to train AI models. Your data remains private to your account and is only used to generate your notes and related clinical documents. We do not sell, share, or use your data for model improvement or external purposes.
No. Twofold does not allow any third-party access to PHI. Only authorized personnel with a legitimate security or support need can access limited information, and such access is tightly controlled and audited.
Twofold operates on secure, US based infrastructure that meets industry standards for healthcare data protection. All data is encrypted in transit and at rest to ensure privacy and security throughout the entire lifecycle of your note.
No credit card required.
No credit card. Cancel anytime.
Tailored to your practice size.
Twofold supports every common behavioral-health note format and lets every therapist customize each one to their style:
Browse the full template library for examples.
Yes — Twofold is built for the texture of a therapy session, not just the words:
Yes. Behavioral-health records have heightened privacy expectations — Twofold meets every standard mental health providers need:
Full details in our privacy policy.
Yes — Twofold helps every note tell a clear medical-necessity story:
See the medical-codes reference for the library.
Yes — virtual sessions are fully supported:
More on the psychiatry page.
Yes — therapy notes are written to satisfy what payors and credentialing bodies actually look for in behavioral-health documentation:
More on coding in the medical-codes reference, or see our privacy policy for how we handle PHI.