Twofold review

Twofold keeps the decision simple: one individual plan with unlimited notes, every template, CPT and ICD-10 coding support, treatment plans, progress tracking and the Ask Twofold AI assistant. On annual billing it costs $49 a month, billed as $588 a year; on monthly billing the first month is $19 and later months are $69. It records in-person sessions and telehealth through apps for iPhone and Android and a web app on any computer. The trade-off is integration. Twofold says it works with any EHR, but the documented method is copying the finished note into SimplePractice, TherapyNotes, Epic or whatever you chart in, so there is still a paste step. It also lacks the built-in telehealth and practice tools that Upheal and Blueprint offer. For a therapist who wants coding suggestions and an AI chat assistant included rather than sold as add-ons, it is one of the cheapest complete options on annual billing.

Who it is for

Clinicians who want coding support and an AI assistant without tier choices

Price

$49 per month billed annually or $69 billed monthly; $19 for the first month on the monthly plan.

Then $69 a month, or $49 a month billed annually.
Quoted from the vendor pricing page on November 12, 2026.

Key features

• Unlimited notes with no monthly, daily or per-note cap
• SOAP, DAP, BIRP, progress notes, intakes and 70+ more formats, plus custom templates
• Ask Twofold AI assistant for edits, letters, referrals and billing questions
• CPT and ICD-10 code suggestions with each note
• Treatment plans drafted from session notes, with patient progress tracking

Strengths and weaknesses

• Strength: One plan includes every feature, so there is no upsell for coding or the assistant
• Strength: Signed BAA included at no extra cost
• Strength: 7-day free trial with no credit card
• Weakness: Notes are copied into your EHR rather than pushed by an integration
• Weakness: Monthly billing costs $69 after the first month
• Weakness: Group practices need a demo for custom pricing

Key facts

• Plans: One individual plan, custom group pricing
• Free trial: 7 days, no credit card
• Templates: 70+ formats plus custom

Where it ranks

Twofold is No. 2 in our Best AI Note Takers for Therapists verdict.