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Best Twofold alternatives in 2026

Our pick is Vero. See why clinicians switch from Twofold, and how five other tools compare on price, free options and fit.

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Used by clinicians at Cleveland Clinic, Harvard Medical School, Johns Hopkins School of Medicine, Mass General, Mount Sinai, Stanford Medicine, and UCLA Health.

Our pick: Vero.

Best for clinicians who want SOC 2 Type II today, any fillable PDF, and a free plan after the trial.

Try Vero free
  • 7-day trial with full access
  • 10 free actions every month
  • No credit card

Why clinicians switch from Twofold to Vero

  • SOC 2 Type II today

    Vero is SOC 2 Type II certified. Twofold’s SOC 2 Type II certification is still in progress.

  • A free plan that stays

    After the 7-day trial, Vero keeps 10 free actions every month, with no credit card. Twofold has a 7-day trial and no free plan.

  • Any fillable PDF, filled

    Upload any fillable PDF and Vero fills it from the visit, on every plan.

The other alternatives.

  1. 2UphealConsider it for therapists who want a free plan, and a therapy EHR if they need one
  2. 3MentalycConsider it for therapists who want notes written with context from earlier sessions
  3. 4FreedConsider it for US independent clinics that want a simple scribe with one-click EHR push
  4. 5HeidiConsider it for clinicians who want a free plan with unlimited ambient notes
  5. 6ChartnoteConsider it for clinicians who want a free plan and a large template library

Who Twofold suits, and why clinicians compare.

Twofold suits individual and small-group practices, many in mental health, who want unlimited notes at one low flat price, in formats such as SOAP, DAP and BIRP.

Twofold vs Vero

  • SOC 2 in progress

    Its SOC 2 Type II certification is still in progress.

  • Copy and paste

    Twofold drafts the note for you to review and paste into your EHR.

  • Leaving a yearly plan

    Cancelling a yearly plan early adds a $138 fee.

Twofold alternatives, one by one.

1. Vero

Our pick, for clinicians who want SOC 2 Type II today, any fillable PDF, and a free plan after the trial.

Try Vero free
Who it’s for
Clinicians in 200+ specialties, from solo practice to clinics
Strengths
  • Notes in your own templates, cited clinical evidence, PDF forms filled from the visit, code suggestions and an AI chat in the note, all on every plan.
  • 60+ languages, up to three in one visit, on the web, iPhone and Android.
  • SOC 2 Type II certified. Live visit audio is never kept, and notes can delete themselves after 1 to 365 days.
  • ICD-10-CM, CPT and HCPCS code suggestions. HIPAA compliant.
With your EHR
Works alongside any EHR: copy the finished note in, or export it as a PDF or Word file.
Price
Pro US$89 a month, or US$69 a month billed yearly. Enterprise is quoted.
Free option
7-day trial with full access, then 10 free actions every month. No credit card.
Platforms
Web, iPhone and Android

2. Upheal

Consider it for therapists who want a free plan, and a therapy EHR if they need one.

Upheal vs Vero
Who it’s for
Therapists and group practices
Strengths
  • Therapy notes from sessions, dictation or uploads, with a check that flags anything missing before you sign.
  • A full therapy EHR if you want one, with claims, ERA processing and eligibility checks built in.
  • Fills notes into SimplePractice, TherapyNotes, Owl Practice, Jane App and Healthie in one click, through its Chrome extension.
Limitations
  • Built for therapists and group practices, not for physicians or the rest of a care team.
  • The free plan writes notes from text, dictation and uploads only, for individual therapy, in SOAP, DAP and intake formats.
Price
AI Notes $39 a month on its US page (C$39 on its Canadian page). Its EHR is $1 a session or $99 a month.
Free option
A free plan with no time limit, after a 30-day trial of everything. No credit card.
Platforms
Web; iPhone, iPad, Android and Mac apps on paid plans; Chrome extension

3. Mentalyc

Consider it for therapists who want notes written with context from earlier sessions.

Mentalyc vs Vero
Who it’s for
Psychologists, therapists, counselors and psychiatric clinicians
Strengths
  • Therapy notes such as SOAP, DAP and BIRP, written with context from every earlier session.
  • Treatment plans, feedback on the therapeutic alliance, and worksheets matched to each session.
  • A BAA for every account, and audio deleted once the note is ready.
Limitations
  • Solo plans cap notes at 40 to 330 a month; unlimited notes are on the Team plan, for group practices only.
  • No phone app yet: it runs in the browser. Once a cancelled plan’s billing period ends, past records can’t be opened.
Price
US$19.99 to US$119.99 a month, or US$14.99 to US$99.99 a month billed yearly. Team seats US$59.99 a month, or US$49.99 billed yearly.
Free option
14-day trial with full Pro access and 15 notes, no credit card. No free plan.
Platforms
Web, on desktop, phone browsers and iPad; Chrome extension

4. Freed

Consider it for US independent clinics that want a simple scribe with one-click EHR push.

Freed vs Vero
Who it’s for
Individual clinicians and independent clinics in the US
Strengths
  • Cited answers from 50+ trusted sources, asked from inside the note.
  • One-click push into browser-based EHRs such as athenahealth, eClinicalWorks, Elation and SimplePractice, unlimited on Premier.
  • Learns your style from your edits, and suggests ICD-10 and CPT codes at the justified E/M level on Premier.
Limitations
  • Starter caps notes at 40 a month; coding and dictation are on Premier and Groups.
  • No free plan after its 7-day trial, except Core for students and trainees.
Price
Starter $39 and Core $79 a month; Premier $104 a month billed yearly, or $119 monthly. Groups are quoted.
Free option
7-day free trial, no credit card. Core is free for students, residents and trainees.
Platforms
Web, iPhone, iPad, Android and Mac, a Chrome extension and a Zoom app

5. Heidi

Consider it for clinicians who want a free plan with unlimited ambient notes.

Heidi vs Vero
Who it’s for
Clinicians in 200+ specialties, from solo practice to health systems, worldwide
Strengths
  • A free plan with unlimited ambient documentation.
  • Answers clinical questions from the full text of journals such as NEJM and Cochrane, and its agents take on tasks before and after the visit.
  • Certified in Québec (as Heidi Santé Canada), with Canadian patient data hosted in Québec.
Limitations
  • The free plan includes only a trial of its agents, routines and dictation, and coding is for paid plans.
  • EHR integration is on its Teams plan, priced on request.
Price
Clinician US$110 a month billed yearly, or US$150 monthly; in Canada CA$100, or CA$130 monthly. Max seats cost more, and Teams is quoted.
Free option
A free plan with no time limit, and a 14-day trial of Clinician.
Platforms
Web, Windows and Mac, iPhone and Android, and a Chrome extension

6. Chartnote

Consider it for clinicians who want a free plan and a large template library.

Chartnote vs Vero
Who it’s for
Residents and solo practitioners through health systems, mainly in the US
Strengths
  • A free Basic plan with 15 notes a month, custom templates and snippets.
  • ICD-10, CPT and E/M suggestions, and 1,000+ templates with a community library.
  • Notes and recordings can delete themselves after 1 to 30 days, and its Chrome extension inserts notes into web-based EHRs.
Limitations
  • Notes are capped at 15 a month on Basic and 100 on Pro; its unlimited plans fall under a fair-use policy.
  • Data stays in the US, and its desktop app is still to come.
Price
Pro US$39.99 a month (US$35.99 billed yearly); Max US$99.99 (US$89.99 billed yearly). Enterprise is quoted.
Free option
Free Basic plan with 15 notes a month, and a 14-day trial of Pro or Max.
Platforms
Web, iPhone, Android and a Chrome extension

Side by side, at a glance.

ToolWho it fitsFree optionPricePlatforms
Vero (our pick)Clinicians who want SOC 2 Type II today, any fillable PDF, and a free plan after the trial7-day trial with full access, then 10 free actions every month. No credit card.Pro US$89 a month, or US$69 a month billed yearly. Enterprise is quoted.Web, iPhone and Android
UphealTherapists who want a free plan, and a therapy EHR if they need oneA free plan with no time limit, after a 30-day trial of everything. No credit card.AI Notes $39 a month on its US page (C$39 on its Canadian page). Its EHR is $1 a session or $99 a month.Web; iPhone, iPad, Android and Mac apps on paid plans; Chrome extension
MentalycTherapists who want notes written with context from earlier sessions14-day trial with full Pro access and 15 notes, no credit card. No free plan.US$19.99 to US$119.99 a month, or US$14.99 to US$99.99 a month billed yearly. Team seats US$59.99 a month, or US$49.99 billed yearly.Web, on desktop, phone browsers and iPad; Chrome extension
FreedUS independent clinics that want a simple scribe with one-click EHR push7-day free trial, no credit card. Core is free for students, residents and trainees.Starter $39 and Core $79 a month; Premier $104 a month billed yearly, or $119 monthly. Groups are quoted.Web, iPhone, iPad, Android and Mac, a Chrome extension and a Zoom app
HeidiClinicians who want a free plan with unlimited ambient notesA free plan with no time limit, and a 14-day trial of Clinician.Clinician US$110 a month billed yearly, or US$150 monthly; in Canada CA$100, or CA$130 monthly. Max seats cost more, and Teams is quoted.Web, Windows and Mac, iPhone and Android, and a Chrome extension
ChartnoteClinicians who want a free plan and a large template libraryFree Basic plan with 15 notes a month, and a 14-day trial of Pro or Max.Pro US$39.99 a month (US$35.99 billed yearly); Max US$99.99 (US$89.99 billed yearly). Enterprise is quoted.Web, iPhone, Android and a Chrome extension
Twofold (for reference)Individual and small-group practices across specialties, with a strong mental health focus7-day free trial, no credit card. No free plan.$69 a month, or $49 a month billed yearly ($588). Groups are quoted.Web, iPhone and Android
Try Vero free
  • 7-day trial with full access
  • 10 free actions every month
  • No credit card

Frequently asked questions.

How much does Twofold cost?

$69 a month, or $49 a month billed yearly ($588), for unlimited notes; group pricing is quoted. There’s a 7-day trial with no credit card and no free plan, and cancelling a yearly plan early adds a $138 fee.

What is the best Twofold alternative?

Our pick is Vero, for clinicians who want SOC 2 Type II today, any fillable PDF, and a free plan after the trial. Of the others, consider Upheal, for therapists who want a free plan, and a therapy EHR if they need one; Mentalyc, for therapists who want notes written with context from earlier sessions; Freed, for US independent clinics that want a simple scribe with one-click EHR push; Heidi, for clinicians who want a free plan with unlimited ambient notes; and Chartnote, for clinicians who want a free plan and a large template library.

Why do clinicians switch from Twofold to Vero?

Vero is SOC 2 Type II certified. Twofold’s SOC 2 Type II certification is still in progress. After the 7-day trial, Vero keeps 10 free actions every month, with no credit card. Twofold has a 7-day trial and no free plan. Upload any fillable PDF and Vero fills it from the visit, on every plan.

Is there a free alternative to Twofold?

Vero keeps a free plan after its 7-day trial: 10 actions every month, with no credit card. Upheal has a free plan with no time limit, for notes from text, dictation and uploads. Heidi has a free plan with unlimited ambient documentation. Chartnote has a free plan with 15 notes a month. Mentalyc and Freed publish no permanent free plan.

Can I bring my Twofold templates to Vero?

You can rebuild them. Start a template blank, generate one with AI, create one from an existing note, or import one, and Vero learns from your edits, template by template. Keep copies of any Twofold notes you need before your access ends.

Sources

Twofold

  • Twofold, home page and pricing
  • Twofold Help Center, “Twofold Health pricing”
  • Twofold, “Twofold pricing explained”
  • Twofold, “20,000 clinicians, 20 million notes” (July 2026)
  • Twofold, security page
  • Twofold, solutions page
  • Twofold Help Center, “Managing your subscription”

Upheal

  • Upheal, home page
  • Upheal, “The AI-native EHR for therapists and group practices”
  • Upheal, group practices page
  • Upheal, pricing page (US)
  • Upheal, pricing page (Canada)
  • Upheal Help Center, “Upheal’s free plan”
  • Upheal, free AI therapy notes page
  • Upheal Help Center, “$1/session EHR plan” (the 30-day trial)

Mentalyc

  • Mentalyc, home page
  • Mentalyc, pricing page (USD)
  • Mentalyc, AI note taker page
  • Mentalyc, FAQs
  • Mentalyc, security page

Freed

  • Freed, home page
  • Freed, pricing page (with its Monthly and Annually switch)
  • Freed, features page
  • Freed Help Center, “EHR Push”
  • Freed Help Center, frequently asked questions
  • Freed, AI scribe release notes
  • Freed, App Store listing (US)

Heidi

  • Heidi, pricing page (US, USD)
  • Heidi, pricing page (Canada, CAD)
  • Heidi Help Center, “Changing your Heidi subscription”
  • Heidi, “Heidi II is here” (October 20, 2026)
  • Heidi, Canadian compliance page
  • Heidi, coding page
  • Heidi, download page
  • Heidi, Chrome Web Store listing
  • Heidi, App Store listing (Canada)

Chartnote

  • Chartnote, home page
  • Chartnote, plans page
  • Chartnote, FAQ
  • Chartnote, HIPAA and security page
  • Chartnote Help Center, pricing and plans (USD)

Vero

  • Vero, pricing page and plan questions
  • Vero, homepage and its published offer details (prices in USD)
  • Vero, homepage questions
  • Vero, privacy policy
  • Vero Help Center, “Evidence Collections”
  • Vero Help Center, “Billing & Codes”

Québec’s rules for AI scribes

  • Gouvernement du Québec, “Projets de transcription par intelligence artificielle” (certified tools, updated September 21, 2026)

More alternatives for practice scribes.

Every alternatives page
Chartnote alternativesDeepCura alternativesDoximity Scribe alternativesFreed AI alternativesHealOS alternativesHeidi alternativesInsight Health alternativesiScribeHealth alternativesNivaran alternativesS10.AI alternativesScribe-X alternativesScribeMD alternativesSpeke AI alternativesSunoh alternativesWavo Health alternatives

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