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 primary-care physicians and family doctors. Twofold drafts SOAP notes for chronic-disease follow-ups, acute visits, and well-checks with vitals, ICD-10 coding, and refill plans pre-formatted for your EHR.
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 follow-ups to acute visits — Twofold drafts the chart with the right vitals, codes, and follow-up plan already in the right place.
Capture home BP logs, medication response, and lifestyle counseling visit-over-visit. Targets and refill plans surface automatically.
A1c trends, hypoglycemia screen, and foot-care exams stay structured. Insulin titration and SDoH context carry forward.
Lipid panel review, statin titration, and ASCVD risk discussion documented in clean, billable structure.
Strep, sinusitis, bronchitis, and viral URIs with antibiotic-stewardship cues and clear return precautions.
Annual exams with USPSTF-aligned screening, vaccine review, and behavioral counseling logged for billing and quality.
Depression and anxiety screens during routine visits — with warm handoffs to behavioral-health partners when indicated.
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.
Primary care lives or dies on documentation throughput. Twofold removes the after-hours charting tax for primary-care providers with:
See the four capture modes in the How it works section above, or browse the internal medicine and pediatrics pages for related workflows.
Yes. Twofold's note output is designed to drop cleanly into any EHR via copy-paste, and we support deeper integrations on request:
Browse the template library for ready-made starting points.
Yes. Twofold meets the strictest healthcare privacy and security standards, with a signed BAA included for every account at no extra cost:
Full details are in our privacy policy and terms of service.
Yes — both, in any combination, captured the way that fits your workflow:
More on capture modes in the AI scribe knowledge base.
Twofold surfaces coding inline so billing keeps pace with the chart:
See the medical-codes reference for the full library.
Yes — every note is structured to meet the documentation standards primary-care payors actually look for, so visits are clean for billing, audit, and value-based care reporting:
See the medical-codes reference for E/M and CPT coverage, or our privacy policy for data-handling details.