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. Upheal: Upheal is an AI-native EHR for mental health therapists that records and transcribes sessions to auto-generate clinical progress notes. This comparison weighs them on pricing, features, and everyday workflow fit.
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 Upheal when group practices standardizing documentation and compliance across multiple clinicians 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.
Upheal is an AI-native EHR for mental health therapists that records and transcribes sessions to auto-generate clinical progress 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
Upheal is an AI-native electronic health record (EHR) platform built specifically for mental health therapists and behavioral health practices. It records and transcribes therapy sessions and then generates clinical progress notes formatted to a chosen template, typically within about a minute. Sessions can be captured through Upheal's built-in HIPAA-compliant telehealth video, in-person audio recording, dictation, or by uploading pre-recorded audio files; transcription supports multiple languages including English, Spanish, Portuguese, German, French, Italian, Mandarin, and Hindi. The platform offers numerous note formats such as SOAP, DAP, BIRP, GIRP, EMDR, intake, and mental status exam, plus customizable sections. Beyond documentation, it provides scheduling, client intake forms, billing and superbills, secure messaging, and compliance checking. A browser extension transfers notes into other EHRs and works alongside telehealth tools like Zoom and Google Meet. By default, audio recordings are deleted after transcription unless saved. It is aimed at solo therapists, group practices, and virtual care providers.
Best suited for
Aqua Voice is a free tier with paid upgrades (freemium); Upheal is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Aqua Voice | Upheal |
|---|---|---|
| Core capability | System-wide dictation that inserts text into any focused app (Gmail, Docs, Slack, code editors, AI chats) | AI-generated clinical progress notes in formats like SOAP, DAP, BIRP, and GIRP with customizable templates |
| Standout feature | Avalon proprietary speech-to-text model tuned for technical vocabulary, code, and prompt-style speech | Session capture via built-in HIPAA-compliant telehealth video, in-person audio, dictation, or uploaded recordings |
| Team usage | Custom dictionary for names, brands, and technical terms | Multi-language transcription (English, Spanish, Portuguese, German, French, Italian, Mandarin, Hindi) |
| Integrations | Natural-language editing commands like 'make this a list' or 'rephrase that' mid-dictation | Browser extension to transfer notes into other EHRs and use alongside Zoom and Google Meet |
| Languages & capture | Context awareness of on-screen content, including code syntax | Integrated practice management: scheduling, intake forms, billing/superbills, and secure messaging |
| Best-fit workflow | Multilingual input across dozens of languages | Automatic deletion of audio recordings after transcription unless explicitly saved |
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.
Upheal
Choose Upheal if you need therapists automating clinical progress notes after telehealth or in-person sessions — strengths include purpose-built for therapists with clinically structured note templates rather than generic meeting summaries.
Aqua Voice
Upheal
It depends on your workflow. Aqua Voice is strong for dictating emails, documents, and slack messages hands-free across desktop apps, while Upheal is strong for therapists automating clinical progress notes after telehealth or in-person sessions. Both transcribe and summarize meetings.
Aqua Voice is a free tier with paid upgrades and Upheal 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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