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 psychiatrists. Twofold drafts intakes, med-management notes, and full psychiatric evaluations with structured MSE, risk assessment, formulation, and DSM-5 / 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
From med-management visits to full intakes — Twofold drafts the MSE, risk assessment, and prescribing rationale already structured for review.
Document SSRI/SNRI titration, side effects, and response with PHQ-9 trends carried forward visit-over-visit.
Track mood episodes, lithium and lamotrigine titration, side effects, and warning signs with clear formulation between phases.
GAD-7, PSWQ, and panic-attack frequency captured inline. SSRI/SNRI plans and benzo-tapering rationale stay defensible.
PCL-5 scoring, trauma-informed language, and pharmacotherapy plans documented for med-management and combined therapy visits.
PANSS framing, AIMS movement screen, antipsychotic plan, and metabolic monitoring captured for long-term care.
ASRS scoring, controlled-substance documentation, PDMP review, and stimulant titration kept clean and audit-ready.
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 — med-management is one of Twofold's strongest workflows for psychiatric prescribers:
Yes. Templates cover the full spectrum of psychiatric documentation:
See the template library for ready-made starting points.
Yes. Psychiatric records carry the highest sensitivity — Twofold meets every standard:
Full details in our privacy policy.
Yes — Twofold helps controlled-substance documentation hit every regulatory checkbox:
Yes. Telepsychiatry is fully supported:
See the behavioral health page for related telehealth workflows.
Yes — psychiatric documentation is structured to meet the standards every payor reviews, including the heightened requirements for prescribing and controlled-substance care:
See the medical-codes reference for psychiatric CPT and ICD-10 coverage, or our privacy policy for the 42 CFR Part 2-compatible handling of PHI.