Aqua Voice: Aqua Voice is an AI-powered, system-wide voice dictation app that turns speech into refined text in real time across the apps you already use on Mac and iPhone. Twofold Health: An AI medical scribe that captures clinical conversations from in-person and telehealth sessions and generates formatted clinical notes. Which one wins depends on your platform mix, budget, and how hands-off you want notes to be.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Aqua Voice when dictating emails, documents, and slack messages hands-free across desktop apps matters most, and Twofold Health when telehealth providers capturing and documenting zoom, doxy, or google meet visits matters most. Run both through a week of actual calls to see which suits your workflow.
Aqua Voice is an AI-powered, system-wide voice dictation app that turns speech into refined text in real time across the apps you already use on Mac and iPhone.
An AI medical scribe that captures clinical conversations from in-person and telehealth sessions and generates formatted clinical notes.
Aqua Voice is an AI dictation tool built by Aqua Voice, Inc. (a Y Combinator startup) that converts spoken words into written text in real time. Rather than a standalone transcription window, it works system-wide: users hold a key (such as Space) and speak, and the dictated text is inserted into whatever app is in focus, including Gmail, Google Docs, Slack, code editors, and AI chat tools. It runs on macOS and iOS, with the iPhone app now live. Aqua is powered by Avalon, the company's proprietary speech-to-text model trained on prompt-style speech, code, and email, and it refines grammar and phrasing as you talk. It supports context awareness of on-screen content, a custom dictionary for technical terms and names, natural-language editing commands ("make this a list," "rephrase that"), style adaptation, and multilingual input across dozens of languages. It is aimed at developers, knowledge workers, and content creators who want a faster alternative to typing for emails, documents, messages, prompts, and code.
Best suited for
Twofold Health is an AI medical scribe for clinicians that listens to patient encounters and automatically drafts structured clinical documentation. It captures audio from in-person visits or telehealth sessions on Zoom, Doxy, Google Meet, and other video platforms, and also supports dictating a summary, uploading an existing recording, or uploading handwritten notes via OCR. From the captured audio it produces formatted notes in formats such as SOAP, DAP, BIRP, GIRP, intake, History and Physical, discharge summaries, progress notes, treatment plans, and referral letters. An in-app assistant can answer progress questions, suggest ICD/CPT codes, and generate homework ideas. It runs in any modern browser on macOS, Windows, or Linux, with native iOS and Android apps, and works with EHR systems including Epic, Cerner, Athena, and SimplePractice. Twofold is HIPAA compliant, provides a signed Business Associate Agreement, and states it does not use audio, transcripts, notes, or PHI to train AI models. It targets mental and behavioral health, primary care, psychiatry, and allied health providers.
Best suited for
Aqua Voice is a free tier with paid upgrades (freemium); Twofold Health is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Aqua Voice | Twofold Health |
|---|---|---|
| Core capability | System-wide dictation that inserts text into any focused app (Gmail, Docs, Slack, code editors, AI chats) | Captures audio from in-person visits and telehealth platforms (Zoom, Doxy, Google Meet) |
| Standout feature | Avalon proprietary speech-to-text model tuned for technical vocabulary, code, and prompt-style speech | Generates formatted clinical notes (SOAP, DAP, BIRP, GIRP, intake, H&P, discharge, progress notes) |
| Team usage | Custom dictionary for names, brands, and technical terms | Multiple capture modes: live session, dictated summary, audio upload, and handwritten-note OCR |
| Integrations | Natural-language editing commands like 'make this a list' or 'rephrase that' mid-dictation | In-app assistant for progress questions, ICD/CPT code suggestions, and homework ideas |
| Languages & capture | Context awareness of on-screen content, including code syntax | Works across browser (macOS, Windows, Linux) plus native iOS and Android apps |
| Best-fit workflow | Multilingual input across dozens of languages | EHR compatibility including Epic, Cerner, Athena, and SimplePractice |
Aqua Voice
Choose Aqua Voice if you need dictating emails, documents, and slack messages hands-free across desktop apps — strengths include low-friction, system-wide voice input that works inside existing apps with no per-app setup.
Twofold Health
Choose Twofold Health if you need mental and behavioral health clinicians automating session notes and treatment plans — strengths include hipaa compliant with a signed business associate agreement, and states it does not train ai models on phi.
Aqua Voice
Twofold Health
It depends on your workflow. Aqua Voice is strong for dictating emails, documents, and slack messages hands-free across desktop apps, while Twofold Health is strong for mental and behavioral health clinicians automating session notes and treatment plans. Both transcribe and summarize meetings.
Aqua Voice is a free tier with paid upgrades and Twofold Health is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
Often yes: teams combine tools when one handles capture and another handles analysis.
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