# Columbia Protocol vs Bells

The clearest difference is rating: Bells at 4.8 against Columbia Protocol's 4.4. Bells also leads on update cadence (every 3 weeks vs every 6 weeks). Columbia Protocol's advantage is device support (3 vs 1) and iOS requirement (14.0 vs 16.0). On price, ratings volume, ads and in-app purchases there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Bells holds the better App Store score, 4.8 against 4.4. Both are backed by a comparable volume of ratings — 12 and 11 respectively.

Columbia Protocol ships an update every 6 weeks, Bells every 3 weeks. The most recent releases landed on September 15, 2026 and September 18, 2026 respectively.

## The numbers

| Metric | Columbia Protocol | Bells |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.4 (12 ratings)](https://appshunter.io/ios/app/columbia-protocol/id1450966911/reviews) | **[4.8 (11 ratings)](https://appshunter.io/ios/app/bells-assisted-documentation/id1535244986/reviews)** |
| Number of ratings | **12** | 11 |
| Positive reviews | 50.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 6 weeks | **Every 3 weeks** |
| Monetization | Free | Free |
| Size | 7 MB | 53 MB |
| Requires iOS | **14.0** | 16.0 |
| Devices | **iPhone, iPad, iPod** | iPhone |
| Age rating | 12+ | 17+ |
| Developer | [PSS Chute Software](https://appshunter.io/developer/1019573904) | [Remarkable Health, LLC.](https://appshunter.io/developer/1353826159) |

## What reviewers say

### Columbia Protocol

[App page](https://appshunter.io/ios/app/columbia-protocol/id1450966911)

This application provides a standardized tool for assessing suicide risk through a series of questions. It is designed for widespread use to aid in suicide prevention, offering guidance for low or moderate risk responses.

**Highlights:** Suicide risk assessment, Evidence-supported tool, Simple question series, Global usability, Mental health referral guidance

**Features:** macOS Compatibility

**In-app purchases:** none


### Bells

[App page](https://appshunter.io/ios/app/bells-assisted-documentation/id1535244986)

This AI-powered tool streamlines documentation for service providers, automating data capture and syncing it to client EHRs. It optimizes note quality with clinically relevant language, saving time for QA teams and improving reimbursement processes.

**Highlights:** AI-assisted note optimization, Automatic EHR data syncing, Clinically relevant language training, Grammar and spelling assistance, Client event reminders, Scribbles for quick notes

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is Columbia Protocol free?

Columbia Protocol is free to download, with no in-app purchases.

### Is Bells free?

Bells is free to download, with no in-app purchases.

### Which has better reviews, Columbia Protocol or Bells?

Bells is rated higher. Columbia Protocol averages 4.4 out of 5 from 12 ratings, while Bells averages 4.8 from 11 ratings.

### Do Columbia Protocol or Bells have ads?

Neither Columbia Protocol nor Bells shows ads.

### Which is updated more often, Columbia Protocol or Bells?

Columbia Protocol ships an update every 6 weeks, and Bells every 3 weeks. Most recently, Columbia Protocol was updated on September 15, 2026 and Bells on September 18, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*
