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 pediatricians. Twofold drafts well-child visits, sick visits, developmental screens, and chronic-condition follow-ups with growth charts, Bright Futures language, and pediatric ICD-10 coding.
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
Well-child rhythm, the workhorse acute visit, and chronic care for kids — Twofold drafts each one with growth charts, milestones, and the right vaccines already in the right place.
Bright Futures language, growth percentiles, developmental milestones, and anticipatory guidance documented for every visit.
Capture peak flow, control test, action plan, and step-up therapy — with parent-friendly education built into the plan section.
Vanderbilt and Conners scales captured inline, IEP/504 context noted, stimulant titration documented for follow-up.
TM exam findings, observation vs. antibiotic decisions, and antibiotic-stewardship cues kept structured and billable.
BMI percentile tracking, family lifestyle counseling, and SDoH context structured for follow-up across visits.
PHQ-A, GAD-7, and safety screening captured with confidentiality cues and warm handoffs to behavioral-health partners.
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 is tuned for the cadence of a pediatric panel: short visits, big variety, lots of family voices in the room.
More on capture modes in the How it works section above.
Yes — Twofold handles multi-voice rooms cleanly:
Yes. Pediatric records have the same HIPAA protections as adult records — Twofold meets every standard:
Full details in our privacy policy.
Yes. Immunization visits are first-class:
See the medical-codes reference for the library.
Yes — well-child documentation follows Bright Futures conventions out of the box:
Yes — pediatric notes are structured to meet the requirements of every major payor, including Medicaid programs that drive a large share of pediatric reimbursement:
See the medical-codes reference for pediatric CPT and ICD-10 coverage, or our privacy policy for how we handle minors' data.