Compare scribes side by side

Pick 2–4 behavioral-health AI scribes to see the full spec matrix — HIPAA posture, note formats, EHR integrations, group and telehealth support, and pricing.

Featured head-to-heads

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Prefer a narrative? Our editorial head-to-head pages apply the rubric to specific pairings and disclose where reasonable clinicians disagree.

Twofold Health vs. Blueprint

8 min read

Twofold Health vs. Upheal

7 min read

Twofold Health vs. Mentalyc

7 min read

Blueprint vs. Upheal

6 min read

Twofold Health vs. Eleos Health

7 min read

Freed vs. Twofold Health

6 min read

Selected · 2/4

	Twofold Health Twofold Health	Upheal Upheal
Overall score	9.0/10	8.5/10
HIPAA / BAA	✓ BAA available	✓ BAA available
Note formats	DAP, SOAP, BIRP, GIRP, PIRP, Intake, Risk assessment, Custom	DAP, SOAP, BIRP, GIRP, Progress note
EHR integrations	SimplePractice, TherapyNotes, TheraNest, Valant, Kipu (via export), Copy/paste to any EHR	SimplePractice, TherapyNotes, Google Meet / Zoom capture, Copy/paste
Telehealth	✓	✓
Group therapy	✓	—
SUD features	ASAM-informed multidimensional intake templates, AUDIT, DAST-10, and CIWA screening capture, 42 CFR Part 2-aware disclosure workflow, MAT documentation prompts, Relapse-prevention and stage-of-change language cues	Substance-use screening templates, MI-style reflection surfacing
Pricing	$19 introductory month; transparent per-clinician pricing thereafter with group-practice discounts.	$79–$99/mo per clinician depending on tier; free trial available.
Best for	Solo therapists and group practices covering therapy plus SUD	Telehealth-first therapists
Not for	Enterprise SUD organizations needing deep bidirectional Kipu/Sunwave write-back today	Group-therapy-heavy practices
Verdict	Twofold Health finishes narrowly at the top of our 2026 rubric and is our disclosed Editor's Pick for this site's scope of therapy plus substance-use treatment. Buyers whose scope is therapy-only or SUD-only should also seriously consider Blueprint, Upheal, and Eleos — the rubric gap is small and use case matters more than the leaderboard.	Upheal is the strongest pick for telehealth-native solo therapists who want more than a note generator — its longitudinal view is a real differentiator.