Telehealth AI Scribes for Behavioral Health

Two capture models

Some scribes provide their own telehealth room (Upheal). Others attach to your existing telehealth platform via a bot, browser extension, or platform integration (Blueprint, Twofold, Mentalyc). Both are valid; the second is easier to adopt if you already have a telehealth stack you like.

The BAA chain

Every party in the audio path handles PHI. Any weak link breaks the chain.

1. Your telehealth vendor needs a BAA (Zoom for Healthcare, Google Workspace with BAA, Doxy.me).
2. Your scribe needs a BAA on the plan you're purchasing.
3. The scribe's transcription and model subprocessors must all be under BAA with the scribe.
4. Get the full chain confirmed in writing before real client sessions.

Platform-specific notes

Some combinations work better than others.

• Zoom for Healthcare: broadest scribe support; Blueprint, Twofold, Mentalyc, and Upheal all capture cleanly.
• Google Meet: supported by most scribes via bot; verify the meet-bot's BAA coverage.
• Doxy.me: browser-extension capture from Blueprint and Twofold; test end-to-end.
• SimplePractice Telehealth: limited direct integrations; browser-tab audio capture is the fallback.

Telehealth vs. in-person note quality

In our 2026 testing, telehealth notes are on average slightly better than in-person notes because the audio is cleaner and the client is closer to the microphone. The tradeoff is that non-verbal cues (posture, tearfulness, agitation) that a clinician catches in the room are absent from audio and therefore absent from the note. Expect to add more clinician observation to the MSE section for telehealth notes.