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 SLPs documenting articulation, language, fluency, and voice sessions across pediatric and adult settings.
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 articulation plans to dysphagia management, Twofold captures goals, interventions, and response in payer-ready structure.
Track target sounds, cueing level, and carryover from word to conversation.
Document expressive/receptive targets, prompting hierarchy, and functional gains.
Capture dysfluency frequency, strategy use, and communication participation outcomes.
Record swallow trials, diet recommendations, and aspiration-risk findings.
Track vocal quality, endurance, and therapeutic exercise response.
Document memory, attention, executive-function goals and carryover.
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. Twofold structures SLP notes with goals targeted, intervention methods, cueing levels, measurable response, and next-step plans for articulation, language, and fluency workflows.
Yes. School SLPs can document attendance, IEP goal focus, objective progress, and caregiver/teacher communication in a consistent format.
Yes. Twofold supports dysphagia and cognitive-communication documentation including swallow observations, recommendations, and follow-up plans.
Yes. Twofold is HIPAA-compliant with encryption in transit and at rest, signed BAAs, and strict data-handling controls.
Yes. Notes are generated in clean, copy-paste ready format and work across common clinic and hospital EHR systems.