Upheal vs Twofold Health
Side-by-side on price, note formats, compliance and EHR workflow. Facts come from each vendor's own public pages and are refreshed monthly.
At a glance
Key facts, sourced from each vendor's public pages
try it
Progress notes and treatment plans built into the session workflow.
Free tier4 languagesTreatment plansSOC 2
More free sessionsBigger template libraryMore languagesGDPR compliant
Behavioral-health focused, with BIRP, DAP and SOAP ready by default.
Low entry priceGolden Thread continuityHIPAA + BAA
Cheaper entry price
Uphealvs
Twofold HealthFeature matrix
Refreshed monthly| Entry price | Free to start; from $59/mo | Free trial; from $49/mo billed annually |
| Free option | Free up to 10 sessions/mo | Free trial |
| Note formats | SOAP, DAP, BIRP, GIRP + custom | BIRP, DAP, SOAP + custom |
| Therapy templates | CBT, DBT, EMDR + couples | BIRP, DAP, SOAP defaults |
| Treatment plans | Yes | Yes |
| Telehealth capture | Yes | Yes |
| Where notes live | Notes in Upheal, export anytime | Notes in Twofold, export anytime |
| EHR workflow | Copy-paste to SimplePractice, TherapyNotes | Export or copy-paste |
| Languages | 4 languages | 1 (English) |
| HIPAA + BAA | Yes | Yes |
| SOC 2 | Yes | No |
| GDPR | Yes | No |
| Founded | 2022 | 2023 |
| Best for | Private practice, minimal cleanup | Single plan with clinical continuity |
Pricing side by side
Published pricing only. No quotes, no "contact sales" games.UphealFree to start; from $59/mo
✓ Free up to 10 sessions/mo
See the vendor site for current plan details.
Twofold HealthPlans $49/mo
✓ Free trial
| Plan | Monthly | Annual |
|---|---|---|
| Personal | $69 | $49 |
Annual billing is cheaper.
Personal plan: $69 monthly or $49 on annual billing (33% saving). Group pricing is custom. 7-day free trial, no card.
Who should pick which
Pick Upheal if- You want a free tier to test with real sessions before paying.
- You generate progress notes and treatment plans and want both handled well.
- You practice in more than one language.
Pick Twofold Health if- You want one simple plan that covers notes and treatment plans.
- You like assessment-to-progress continuity with goals and interventions linked.
- You are comfortable with copy-paste export for now.
Every tool, side by side
The fastest way to scan the whole field| Tool | Where does it start? | Free to start? | Note formats | Treatment plans? | Telehealth capture? | Where notes live | EHR workflow | Languages | HIPAA + BAA? | SOC 2? | GDPR? | Founded |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Free trial; from $14.99/mo billed annually | 14-day trial | SOAP, DAP, BIRP, GIRP + custom | Yes | Yes | Notes live in Mentalyc, export anytime | Chrome extension, download, or copy-paste | 1 (English) | Yes | Yes | No | 2021 | |
| Free to start; from $59/mo | Free up to 10 sessions/mo | SOAP, DAP, BIRP, GIRP + custom | Yes | Yes | Notes in Upheal, export anytime | Copy-paste to SimplePractice, TherapyNotes | 4 languages | Yes | Yes | Yes | 2022 | |
| Free trial; from $49/mo billed annually | Free trial | BIRP, DAP, SOAP + custom | Yes | Yes | Notes in Twofold, export anytime | Export or copy-paste | 1 (English) | Yes | No | No | 2023 | |
| Free tier; paid plans | Free tier | SOAP + custom | No | Yes | Notes in Heidi, export anytime | Export or copy-paste | Multiple languages | Yes | Yes | Yes | 2021 | |
| Free trial; from $39/mo | Free trial | SOAP + custom | No | Yes | Notes in Freed, export anytime | Export or copy-paste | 1 (English) | Yes | No | No | 2022 | |
| Free trial; from $69/mo | Free trial | SOAP, DAP + custom | Yes | Yes | Notes in Blueprint, export anytime | Export or copy-paste | 1 (English) | Yes | Yes | No | 2020 | |
| Free trial; from $19.99/mo | Free trial | SOAP, DAP, BIRP + custom | No | Yes | Notes in Supanote, export anytime | Export or copy-paste | 1 (English) | Yes | No | No | 2022 | |
| Free trial; from $200/mo | Free trial | SOAP + custom | No | Yes | Notes in Lyrebird, export anytime | Export or copy-paste | 1 (English) | Yes | No | Yes | 2021 | |
| Sales-led; no public pricing | No free tier | SOAP, DAP + custom | Yes | Yes | Notes in Eleos | Organizational EHR integrations | 1 (English) | Yes | Yes | No | 2017 | |
| Free trial; from $16/mo | Free trial | DAP, BIRP, SOAP | Yes | Yes | Notes in AutoNotes, export anytime | Export or copy-paste | 1 (English) | Yes | No | No | 2020 | |
| Free tier; paid plans | Free tier | SOAP + custom | No | Yes | Notes in Nabla, export anytime | Export or copy-paste | Multiple languages | Yes | Yes | Yes | 2018 | |
| See vendor pricing | No free tier | Structured templates | Yes | No | Notes in NoteDesigner, export anytime | Export or copy-paste | 1 (English) | Yes | No | No | 2022 | |
 deepcura.com | Free trial; from $101/mo | Free trial | SOAP | — | Yes | — | — | — | Yes | Yes | — | — |
 chartnote.com | Free tier; from $39.99/mo | Free tier | SOAP | — | — | — | — | — | Yes | Yes | — | — |
 heyberries.com | Free trial; from $79/mo | Free trial | — | Yes | Yes | — | — | — | Yes | Yes | — | — |
 jotpsych.com | Free trial; from $53/mo | Free trial | SOAP | Yes | Yes | — | — | — | Yes | — | — | — |
 quilltherapysolutions.com | Free trial; from $16/mo billed annually | Free trial | DAP, SOAP, BIRP | Yes | Yes | — | — | — | Yes | — | — | — |
 writeupp.com | Free trial; from $18/mo | Free trial | DAP, SOAP, BIRP | Yes | Yes | — | — | — | Yes | — | — | — |
 limbic.ai | See vendor pricing | — | — | Yes | — | — | — | — | Yes | — | — | — |
Frequently asked questions
How are the facts on this page kept current?
Every fact comes from the vendor's own public pages. We re-check pricing, compliance and integration details monthly, and each tool page shows when it was last updated.
Is this site independent?
Yes. Rankings and comparisons are editorial. No vendor can pay for placement, a higher position or a better verdict, and affiliate links never affect what we recommend.
Where do my notes live if I use Mentalyc?
Your notes stay in your Mentalyc account, where you can search and reuse them like a lightweight EHR. You can also export, download or copy any note into another system whenever you want. Nothing is locked in. Magic Edit adjusts a note's content from a prompt.
Do these tools write back into my EHR?
Most therapy-first scribes export rather than write back directly. Mentalyc notes reach your EHR three ways: Chrome extension, download, or copy-paste.
How do you decide which tools to cover?
We cover the scribes therapists actually use, from therapy-only tools to general medical scribes that support therapy workflows. If a tool is missing, tell us and we will look at it.
Something looks wrong. Can I report it?
Yes. Corrections are checked against the vendor's own pages, and the page is updated when a fix is confirmed.
Reviews and community
Trustpilot, G2 and Capterra · refreshed monthly"On my Upheal platform, I send people the CORE, GAD, PHQ, PCL, AUDIT, ACES, and the Columbia... Upheal has an "import your form" function... Super easy in my experience."
Theme: progress tracking"I tried Twofold about 6 weeks ago and it gave me that same feeling as when you first used ChatGPT, like a whole function of your work just dissolves overnight."
Theme: therapy-native outputWhich would you pick?
Upheal · 0Twofold Health · 0
One vote per visitor — sign in to vote. No spam, ever.
Your notes on this comparison
Ask about this comparison
Answers cover only the tools on this page. Nothing else.
▲ scores refreshed monthly · Oct 2026.
Upheal vs Twofold Health: quick answers
Which is cheaper, Upheal or Twofold Health?
Upheal starts at Free to start; from $59/mo. Twofold Health starts at Free trial; from $49/mo billed annually. Free options: Upheal has Free up to 10 sessions/mo; Twofold Health has Free trial. Confirm current tiers on the vendor's own pricing page.
How do Upheal and Twofold Health get notes into an EHR?
Upheal: Copy-paste to SimplePractice, TherapyNotes. Twofold Health: Export or copy-paste.
Which has the wider note-template library?
Upheal lists CBT, DBT, EMDR + couples. Twofold Health lists BIRP, DAP, SOAP defaults. Worth testing against your own caseload before choosing.
Want another matchup?pick any two tools and run the same neutral side-by-side
vs
M
Methodology
Every fact on this page comes from the vendors' own public pages, checked monthly. Where a vendor has not published something, we say so instead of guessing. Comparisons are editorial and independent. Read the full methodology