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 physical therapists. Twofold drafts initial evaluations, daily progress notes, re-evals, and discharge summaries with ROM, MMT, special tests, and outcome measures structured for any EMR.
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 the routine low back eval to complex post-stroke rehab — Twofold drafts the SOAP with ROM, MMT, special tests, and outcome measures already in the right place.
Mechanical and radicular presentations with structured ROM, neuro screen, and outcome-measure tracking across episodes.
Capture ROM, MMT, gait quality, and HEP adherence after total knee, ACL, and meniscus procedures with KOOS trends.
Special tests, MMT by muscle group, and scapular dyskinesia documented for impingement, instability, and post-op rehab.
Cervicogenic headache, posture-related neck pain, and whiplash documented with NDI tracking and ergonomic context.
Falls-risk assessments and vestibular cases with BBS, Tinetti, TUG, and home-safety education structured for follow-up.
Post-stroke and neurologic rehab with FIM tracking, gait speed, transfers, and neuroplasticity-aligned plans of care.
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.
Yes — every step of the rehab documentation cycle is covered for therapists:
Browse the template library for ready-made layouts.
Yes — clinical measurements are first-class citizens:
Yes. Twofold meets the strictest healthcare privacy and security standards:
Full details in our privacy policy.
Yes — compliance documentation is built in:
See the medical-codes reference for the library.
Yes — capture is location-independent for any therapist:
Yes — rehab documentation lives or dies on payor compliance, and Twofold is built for that standard from the first eval to the last visit:
See the medical-codes reference for the rehab CPT library, or our privacy policy for security details.