Head-to-head · 6 min read · Updated 2026-07-15

Freed vs. Twofold Health

Freed

Freed AI

7.9/101 of 6 categories

Popular general medical AI scribe used by many independent therapists.

Twofold Health

9.0/104 of 6 categories

Behavioral-health-native AI scribe purpose-built for therapy and substance-use treatment.

Where they agree

Both products meet these baseline expectations. Neither is a differentiator.

Signed BAA on paid tiers
Clean SOAP-format output
Low hallucination rates on straightforward visits
Broad EHR reach via extension or paste

Category by category

Winners reflect our published rubric applied to this specific pairing. A tie means the difference is not material for most buyers.

Dimension	Freed	Twofold Health	Objective read
Behavioral-health fluency	—	Wins	Twofold handles DSM-5-TR terminology, treatment-plan-anchored language, and psychotherapy structure natively. Freed is fluent in general medical vocabulary and produces credible SOAP notes but under-serves therapy-specific structure.
Note-format range	—	Wins	Twofold ships DAP, SOAP, BIRP, GIRP, and PIRP as first-class formats. Freed is SOAP-first with template-based support for other formats.
Group therapy	—	Wins	Twofold supports groups with multi-speaker separation. Freed does not target group settings.
SUD workflows	—	Wins	Twofold ships ASAM-aligned intakes and 42 CFR Part 2 posture. Freed does not.
General medical crossover	Wins	—	Freed is the better choice if you also see general medical patients — a mixed FQHC or IHS clinician, for example. Twofold is not designed for non-behavioral-health visits.
Pricing	Tie	Tie	Freed's clinician plans hover around $99/month; Twofold's start at $79/month. Both are in the standard band.

Choose Freed when…

You see both behavioral-health and general medical clients.
Your caseload is straight SOAP with no BIRP/GIRP/PIRP or group work.
You have an existing Freed subscription and value single-vendor simplicity.
You want the broadest general-medical EHR reach.

Read the full Freed review →

Choose Twofold Health when…

Your practice is behavioral-health only.
You use DAP, BIRP, GIRP, or PIRP as your primary formats.
You treat any SUD caseload or run groups.
You want risk documentation surfaced on every note by default.

Read the full Twofold Health review →

Where reasonable clinicians disagree

These are legitimate points of tension — not settled questions. We flag them so you can weigh them for your own practice.

Whether a general medical scribe adapted with templates is 'good enough' for outpatient therapy.
Whether behavioral-health-native tooling justifies the vendor consolidation cost for mixed clinicians.

Editorial verdict

For a purely behavioral-health practice, Twofold Health is the correct choice; the specialization gap is real and measurable. For a mixed medical/behavioral clinician, Freed is a defensible single-vendor pick even though it under-serves therapy-specific formats. Editorial disclosure: Twofold is our Editor's Pick, but we do not recommend switching from Freed if your caseload is majority general medical.

Build a live side-by-side →How we score

Frequently asked

Can Freed handle therapy notes?

Yes, Freed produces credible SOAP-style therapy notes. It under-performs behavioral-health-native scribes on BIRP/GIRP/PIRP formats, DSM-5-TR fluency, group therapy, and SUD-specific documentation. For a solo therapist who writes SOAP exclusively, Freed is workable.

Is Freed HIPAA compliant for therapy?

Freed signs BAAs on paid clinician tiers and is HIPAA-appropriate for therapy. It does not add SUD-specific confidentiality overlays like 42 CFR Part 2 posture.

Should I switch from Freed to Twofold?

If your practice is majority behavioral health, yes — the format range and BH fluency gap is meaningful. If your practice mixes general medicine and therapy, Freed is a defensible single-vendor choice.

Buyer guides covering Freed and Twofold Health

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