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  • What to Look for in an AlternativeWhat to Look for in an Alternative
  • Common Mistakes to AvoidCommon Mistakes to Avoid

Best SimplePractice Alternatives of 2026: Which is Right for Your Practice?

Matt Church, M.S., Editor at ChoosingTherapy.com, Headshot

Author: Matthew Church, M.S.

Matt Church, M.S., Editor at ChoosingTherapy.com, Headshot

Matthew Church M.S.

Matt has 7+ years of mental health experience. As Mental Health Technology Editor, he’s spent the past two years testing online therapy platforms, EHRs, practice management tools, and more to help providers and clients make informed choices

See My Bio Editorial Policy
Headshot of Melissa Boudin, PsyD

Medical Reviewer: Melissa Boudin, PsyD Licensed medical reviewer

Headshot of Melissa Boudin, PsyD

Melissa Boudin PsyD

Dr. Boudin, a clinical psychologist with 15+ years experience, specializes in depression, anxiety, trauma, and grief, with additional focus on improving mental health access and resources.

See My Bio Editorial Policy
Published: December 23, 2025

ChoosingTherapy.com may earn commissions from the companies reviewed when you click links on this page. Learn more about our editorial standards, review process, and advertising policy.

  • My Best PracticeMy Best Practice
  • CarepatronCarepatron
  • Ensora HealthEnsora Health
  • TherapyNotesTherapyNotes
  • Sessions HealthSessions Health
  • Practice BetterPractice Better
  • JaneJane
  • What to Look for in an AlternativeWhat to Look for in an Alternative
  • Common Mistakes to AvoidCommon Mistakes to Avoid

I’ve spent years using and evaluating how therapy EHRs perform in real clinical workflows, gaining deep understanding of what SimplePractice does well and what can make therapists look for alternatives. If you’re looking for a SimplePractice alternative, you are likely considering what EHR option fits your practice most closely, whether that means prioritizing lower costs, simpler billing, better customization, or different tools altogether.

When considering an alternative, the SimplePractice the plan that fits most small practices best is the Essential plan. This plan is a strong, well-rounded EHR option that includes telehealth, a client portal, paperless intake, a directory listing, and automated billing workflows for $79 monthly. For many practices, those features and price point work exceptionally well. But no EHR is perfect, and finding what option is best for you is always relative to the your individual needs of your practice.

If you’re comparing SimplePractice alternatives, here are a few things worth thinking about before switching:

  • How much customization do you need? (forms, notes, workflows, automations)
  • How important are billing tools? (cost per claim, unlimited billing, clearinghouse fees)
  • Do you value built-in marketing tools like a website builder or directory listing?
  • What sort of client experience do you need? (consumer-style portals, mobile apps, and reminders vs. basic scheduling, forms, and telehealth)
  • Are mobile apps for providers and clients a priority?
  • How sensitive are you to monthly cost vs. feature trade-offs?

And as you weigh your options, remember the economics of your practice. One new (or retained) client can represent $500–$1,000 or more in yearly revenue, and your time also has value. That means choosing an EHR that saves you an hour or more of admin time a month, or offers a smoother intake flow that helps you retain clients, can matter more than saving $10–$20 in a monthly price difference between EHRs.

With that in mind, here are eight strong alternatives to SimplePractice, each with different strengths depending on your workflow, budget, and practice type.

My Best Practice

My Best Practice gives therapists strong documentation tools and their notes, assessments, and treatment plans can all be customized in simple, intuitive ways. Also, their built-in agendas, homework, and progress-tracking fields make it easy to plan and conduct well-structured sessions. My Best Practice’s base plan with telehealth starts at $59 per month. SimplePractice, on the other hand, has stronger mobile apps and better built-in business tools like a website builder, therapist directory, client announcements, and advanced calendar features. SimplePractice’s Essentials plan starts at $79 per month.

Image of My Best Practice main dashboard
Image of My Best Practice client portal
Image of My Best Practice to do list
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Advantages of My Best Practice:

  • More flexibility when customizing notes, assessments, and treatment plans
  • Agenda, homework, and outcome-tracking are built directly into documentation
  • Direct, hands-on onboarding and optional white-glove migration services

Limitations Compared to SimplePractice:

  • No built-in marketing features (website builder, directory, announcements)
  • The overall design is simpler and more utilitarian

Pricing for My Best Practice vs SimplePractice

PlanMy Best PracticeSimplePractice Essential
Base Plan w/ Telehealth$59 monthly$79 monthly
Claim Cost20 included claims, then $0.35 each.10 included claims, then $0.35 each
ERA Cost$0.35 eachIncluded
Eligibility checks$0.35 each$0.15 each
Additional clinicians+$19 monthly eachRequires Plus plan ($99 base + $74 monthly for each added provider)
Get StartedMy Best PracticeSimplePractice

To make the difference clearer, here are a few real-world scenarios:

For a solo practice that offers both in-person and telehealth sessions and is all-cash, the total cost ends up being about $79 monthly with SimplePractice Essential but only about $59 monthly with My Best Practice. If that same practice starts billing ~40 insurance sessions per month, total costs rise to roughly $95 monthly with SimplePractice and $80 monthly with My Best Practice. In that situation, My Best Practice stays about $15 monthly cheaper, or roughly $180 per year in savings.

For a 3-clinician practice offering telehealth and processing ~200 insurance sessions per month, SimplePractice Plus (required for group practices) works out to roughly $288 monthly, including claims and eligibility checks. With My Best Practice, using its unlimited billing add-on, the total is about $236 monthly. That saves a little over $50 monthly, or roughly $600 per year, as long as your claim volume stays about that high. In general, My Best Practice’s unlimited claims option becomes cost-effective once you’re above roughly 150 insurance sessions per month (about 300 total claim + ERA events).

All of my math is below if you’d like to review it.

My Best Practice Vs. SimplePractice: Which Should I Choose?

My Best Practice is ideal for therapists who value structure, documentation flexibility, and predictable billing costs. Particularly those who submit a high volume of insurance claims or prefer a no-frills interface.

Therapists who rely heavily on mobile apps or want an all-in-one ecosystem with built-in marketing and business tools plus a more polished client experience may prefer SimplePractice.

My Best Practice is a strong choice for:

  • Solo practitioners who want lower monthly software costs for features similar to SimplePractice
  • Insurance-heavy practices that benefit from unlimited-claim pricing
  • Clinicians who don’t need marketing tools or advanced mobile features

Visit our full review of My Best Practice for more insight.

Carepatron

Carepatron EHR gives therapists a lot of value at a low cost. It includes all the basics you’d need to run a practice, plus access to a large community library of shared document templates so you can start with ready-made intake forms and notes instead of building everything from scratch. Most practices will land on Carepatron’s Essential plan at $29 per month. Compared to SimplePractice, you give up things like advanced reporting and built-in marketing tools (directory, website builder), but SimplePractice’s closest comparable plan starts at $79 monthly for a similar set of core features.

Image of Carepatron Calendar
Image of Carepatron Forms
Image of Carepatron AI scribe note
Image of Carepatron client list
Click here for the previous slide. Click here for the next slide.

Advantages of Carepatron:

  • Lower monthly costs, often saving ~$50 monthly/~$600 annually over SimplePractice for similar features
  • Very large community template library for notes and intake docs, so you can often find ready-made forms instead of building from scratch

Limitations Compared to SimplePractice:

  • No marketing tools like a client directory or website builder
  • Reporting and analytics are limited, especially for more complex practices
  • Fewer advanced automation options and less emphasis on mobile app

Pricing for Carepatron vs SimplePractice

PlanCarepatron EssentialSimplePractice
Base Plan w/ Telehealth$29 monthly$79 monthly
Claim Cost$0.25 each10 included claims, then $0.35 each
Eligibility checks$0.15 each$0.15 each
Additional clinicians+$29 monthly eachRequires Plus plan ($99 base + $74 monthly for each added provider)
Get StartedCarepatronSimplePractice

To make the difference clearer, here are a few real-world scenarios:

For a solo practice that offers both in-person and telehealth sessions and is all-cash, the total cost ends up being about $79 monthly with SimplePractice Essential, but only about $29 per month with Carepatron Essential. If that same practice starts billing around 40 insurance claims per month, total costs rise to roughly $95 monthly with SimplePractice and closer to $40 monthly with Carepatron. In that situation, Carepatron can save a little more than $50 per month, or over $600 per year for a feature set that’s much the same.

For a 3-clinician practice that offers telehealth and submits around 200 insurance claims per month, SimplePractice Plus (required for group practices) works out to roughly $280 monthly once claim fees are included. With Carepatron, the same setup comes out closer to $140 monthly. That’s a difference of about $140 per month, or more than $1,600 per year. This is a good deal of savings for practices that are comfortable skipping SimplePractice’s built-in marketing tools and more advanced reporting.

All of my math is below if you’d like to review it.

Carepatron Vs. SimplePractice: Which Should I Choose?

Carepatron is ideal for therapists who want an affordable, easy-to-use EHR with a modern interface and a large library of ready-made templates. It works especially well as an affordable option for solo practitioners who don’t need advanced marketing tools or complex reporting. The overall workflow is simple, approachable, and budget-friendly, making it a strong fit for early-stage practices or clinicians.

Therapists who rely on advanced reporting, built-in marketing tools (directory, website builder), or a more robust client engagement experience may prefer SimplePractice.

Carepatron is a strong choice for:

  • Solo practitioners who want to keep software costs low while still getting essential features
  • Therapists who appreciate a large community template library instead of building forms from scratch

Visit our full Carepatron review for more insight.

Ensora Health (formerly TheraNest)

Ensora Health is an excellent SimplePractice alternative for many therapists, though cost is mostly the same. Most solo and small practices will choose Ensora Health’s Advanced plan which costs $71 per clinician, including telehealth. This is the closest match to SimplePractice’s Essential plan at $79 monthly. For insurance-heavy practices, Ensora’s Premier plan at $89 per clinician adds unlimited claims, eligibility checks, and reminders, which is something SimplePractice doesn’t offer at any tier. In exchange, you give up SimplePractice’s built-in marketing tools and more refined client experience.

1. Image of Ensora Health client list
2. Image of Ensora Health client face sheet
Image of Ensora Health client ledger
Click here for the previous slide. Click here for the next slide.

Advantages of Ensora Health:

  • Highly customizable intake forms, notes, and treatment workflows
  • Good operational features for growing practices, including group reports and great team workflows
  • Offers a plan with unlimited claims processing

Limitations Compared to SimplePractice:

  • No built-in marketing tools like a website builder, directory, or client announcements
  • Client experience and mobile apps feel more utilitarian compared to SimplePractice

Pricing for Ensora Health vs SimplePractice

PlanEnsora Health Advanced PlanSimplePractice Essential Plan
Base Plan w/ Telehealth$71 monthly (includes $12 telehealth add-on)$79 monthly
Claim Cost30 claims/mo included; then $0.23 each10 included claims, then $0.35 each
Eligibility checks30/mo/practice included; then $0.25 each$0.15 each
Additional clinicians+$71 monthly eachRequires Plus plan ($99 base + $74 monthly for each added provider)
Get StartedEnsora HealthSimplePractice

To make the difference clearer, here are a few real-world scenarios:

For a solo practice that offers both in-person and telehealth sessions and is all-cash, they’d spend about $79 monthly with SimplePractice Essential and about $71 monthly with Ensora’s Advanced plan (which includes custom forms, online booking, and basic reporting). That’s a very small savings of around $8 per month, or just under $100 per year, for a similar core feature set. The answer here basically comes down to your personal preference.

For a 3-clinician practice that offers telehealth and submits around 200 insurance claims per month, SimplePractice Plus (required for group practices) comes out to roughly $288 monthly once claim fees are included. With Ensora Premier, which includes unlimited claims and eligibility checks for each clinician, the same setup costs about $267 monthly. That’s a difference of roughly $20 per month, or about $250 per year.

All of my math is below if you’d like to review it.

Ensora Health Vs. SimplePractice: Which Should I Choose?

Ensora Health is a great SimplePractice alternative for therapists who want an EHR that closely mirrors SimplePractice’s core capabilities but with more of a focus on customization and practice operations (or personal preference). While Ensora averages to be slightly more affordable overall, the price difference is not very large between the two.

Therapists who rely on built-in marketing features (directory, website builder), or more robust client-engagement tools may prefer SimplePractice.

Ensora is a strong choice for:

  • Solo or group practices that want a SimplePractice-style workflow at a slightly lower monthly price
  • Therapists who want a straightforward, therapy-first platform without extra marketing tools

Visit our full review of Ensora Health for more details.

TherapyNotes

TherapyNotes gives therapists a straightforward, no-fuss solution while managing to shave off the overall cost compared to SimplePractice. Most solo clinicians will land on the Solo plan at $69 monthly. SimplePractice’s closest comparable option is its Essential plan at $79 monthly, which adds built-in marketing tools, more advanced reporting features, and a higher-end client experience, but is slightly more expensive for many insurance-billing practices.

Image of TherapyNotes main dashboard
Image of TherapyNotes sample treatment plan
Image of TherapyNotes calendar
Image of TherapyNotes sample client face sheet
Click here for the previous slide. Click here for the next slide.

Advantages of TherapyNotes:

  • Strong insurance billing tools with inexpensive electronic claims and eligibility checks
  • Very low-fuss to get started

Limitations Compared to SimplePractice:

  • Interface and client experience are not as “pretty” as SimplePractice
  • Fewer customization options for note templates and intake workflows
  • No built-in marketing too (directory, website builder, etc)
  • Mobile experience is functional but not as refined as SimplePractice’s apps

Pricing for TherapyNotes vs SimplePractice

PlanTherapyNotes SoloSimplePractice Essential Plan
Base Plan w/ Telehealth$69 monthly$79 monthly
Claim Cost$0.14 per claim + $0.14 per ERA10 included claims, then $0.35 each
Eligibility checks$0.14 each$0.15 each
Additional cliniciansRequires Group plan: $79 first, $50 each additionalRequires Plus plan ($99 base + $74 monthly for each added provider)
Get StartedTherapyNotesSimplePractice

To make the difference clearer, here are a few real-world scenarios:

For a solo practice that offers both in-person and telehealth sessions and is all-cash, TherapyNotes costs $69 monthly, compared to $79 monthly on SimplePractice Essential. If that same practice processes around 40 insurance claims per month, TherapyNotes comes out to about $80 monthly, while SimplePractice totals roughly $89.50 monthly. TherapyNotes is about $9 cheaper per month at that volume, or a little over $100 per year, while still covering many of the same core features. Keep in mind, you’re saving a bit, but missing out on all of SimplePractice’s more advanced features, such as advanced reporting capabilities, in-depth scheduling customization, and other time-saving features.

For a 3-clinician practice that offers telehealth and submits around 200 insurance claims per month, SimplePractice Plus (required for group practices) comes out to roughly $288 monthly once claim fees are included, while I TherapyNotes totals about $235 monthly. That’s a difference of roughly $53 per month, or about $630 per year. Again however, you are missing out on all of SimplePractice’s more advanced features.

All of my math is below if you’d like to review it.

TherapyNotes Vs. SimplePractice: Which Should I Choose?

TherapyNotes is best for clinicians who want a straightforward, focused EHR that makes structured documentation and insurance billing as straightforward as possible.

Therapists who prioritize a more modern client experience or built-in marketing tools (directory, website builder) may still prefer SimplePractice.

TherapyNotes is a strong choice for:

  • Therapists who prefer structured, discipline-aligned note templates over heavy customization
  • Insurance-billing clinicians who want low per-claim fees
  • Therapists who don’t need business-building tools or advanced reporting.

Visit our full TherapyNotes review for a deeper breakdown of features.

Sessions Health

Sessions Health offers a simple EHR that covers the essentials while remaining a straightforward system. Most practices will choose Session Health’s Professional plan at $39 monthly. Compared to SimplePractice, you give up built-in marketing tools (directory, website builder) and some advanced automation, but SimplePractice’s closest comparable plan starts at $79 monthly.

Image of Sessions Health main calendar
Image of Sessions Health adding a session to calendar
Click here for the previous slide. Click here for the next slide.

Advantages of Sessions Health:

  • Significantly more affordable overall than SimplePractice
  • One main plan with clear pricing instead of multiple tiers and add-ons
  • Very straightforward design

Limitations Compared to SimplePractice:

  • No built-in marketing tools (no directory, website builder, or branding suite)
  • Less advanced automation and reporting
  • Fewer customization options for templates and forms

Pricing for Sessions Health vs SimplePractice

PlanSessions Health ProfessionalSimplePractice Essential Plan
Base Plan w/ Telehealth$49 monthly (includes telehealth add-on)$79 monthly
Claim Cost$0.25 per claim10 included claims, then $0.35 each
Eligibility checks$0.15 each$0.15 each
Additional clinicians+$39 monthly per clinician (includes telehealth add-on)Requires Plus plan ($99 base + $74 monthly for each added provider)
Get StartedSessions HealthSimplePractice

To make the difference clearer, here are a few real-world scenarios:

For a solo practice that offers both in-person and telehealth sessions and is all-cash, Sessions Health costs $49 monthly, compared to $79 monthly on SimplePractice Essential. If that same practice begins billing around 40 insurance claims per month, Sessions Health comes out to about $59 monthly, while SimplePractice totals roughly $89.50 monthly. Sessions Health is about $30 cheaper per month at that volume, or roughly $360 per year, while still covering the core clinical and billing features most solo practices need.

For a 3-clinician practice submitting around 200 insurance claims per month, SimplePractice Plus (required for group practices) comes out to roughly $288 monthly once claim fees are included. With Sessions Health, the same setup totals about $177 monthly. That’s a difference of roughly $111 per month, or about $1,332 per year. This is a good deal of savings for practices that don’t mind the simpler, more minimalist design of Sessions Health.

All of my math is below if you’d like to review it.

Sessions Health Vs. SimplePractice: Which Should I Choose?

Sessions Health is best for therapists who want a straightforward EHR that avoids complexity and keeps monthly costs low.

Therapists who want more advanced automations, built-in marketing tools (directory, website builder), or a more feature-rich client experience may prefer SimplePractice.

Sessions Health is a great choice for:

  • Solo or small practices that value simplicity over advanced features
  • Early-stage practices that need very low costs
  • Therapists who don’t need built-in marketing tools or heavy-duty automations

Visit our full review of Sessions Health for more details.

Practice Better

Practice Better EHR goes a bit beyond standard documentation and billing. It includes tools for programs, courses, wellness tracking, habit and goal monitoring, and client-engagement features that SimplePractice doesn’t offer at all. Most therapy practices will choose Practice Better’s Professional plan at $69 monthly for solo clinicians. Compared to SimplePractice, Practice Better is usually the more expensive option once you factor in insurance billing through Claim.MD, but it includes unique features that may justify the higher price for clinicians running hybrid therapy-plus-wellness practices or other unique setups.

SimplePractice’s closest comparable plan is Essential at $79 monthly, which includes built-in insurance billing (with claim fees), a wider ecosystem of practice-management tools, and stronger marketing options like its directory and website builder

Image of Practice Better dashboard
Image of Practice Better calendar
Image of Practice Better form and template builder
Image of Practice Better third party integrations
Click here for the previous slide. Click here for the next slide.

Advantages of Practice Better:

  • Robust tools for mental health programs, courses, challenges, group curriculum, and wellness coaching
  • Built-in food journals, habit tracking, goal setting, and other holistic client-engagement tools
  • Excellent, deeply customizable documentation features

Limitations Compared to SimplePractice:

  • Higher total cost for most therapy-only practices, especially those billing insurance
  • Insurance billing requires an extra Claim.MD subscription
  • Marketing tools are limited compared to SimplePractice’s directory and website builder

Pricing for Practice Better vs SimplePractice

PlanPractice Better ProfessionalSimplePractice Essential Plan
Base Plan w/ Telehealth$69 monthly$79 monthly
InsurancePricing through Claim.MD. Best plan varies by volume.10 included claims, then $0.35 each
Claim.MD PlansBasic $30: best for <50 sessions/mo
$0.30 per claim/ERA
Small Volume $60: best for 50–160 sessions/mo
100 claims, 100 ERAs included
$0.50 per claim/ERA
Unlimited $120: best for 160+ sessions/mo
N/A
Eligibility checksBasic: $0.30 each
Small Volume: $0.50 each
$0.15 each
Additional cliniciansRequires Teams plan ($155 base for 2 providers + $50 for each added provider)Requires Plus plan ($99 base + $74 monthly for each added provider)
Get StartedPractice BetterSimplePractice

To make the difference clearer, here are a few real-world scenarios:

For a solo practice that offers both in-person and telehealth sessions and is all-cash, Practice Better Professional costs $69 monthly, compared to $79 monthly on SimplePractice Essential. For a cash-pay therapist who doesn’t need SimplePractice’s advanced marketing tools, Practice Better saves about $10 per month, but only if you aren’t billing insurance. If you start seeing ~40 insurance sessions per month, Practice Better with the Claim.MD Small Volume plan (the best fit at this billing level), total monthly costs end up around $120, whereas SimplePractice Essential totals roughly $96. That means Practice Better is about $24 more per month (around $290 per year). That price difference makes sense when you consider the specialized client engagement tools that Practice Better offers.

For a 3-clinician practice SimplePractice Plus (required for group practices) works out to roughly $288 monthly once claim fees are included. With Practice Better Teams, which is best paired with Claim.MD Unlimited at this volume, the total comes out closer to $325 monthly. That makes Practice Better about $37 more per month, or roughly $440 more per year, for a comparable setup. Practices would choose Practice Better at this level only if they specifically need its wellness programs, courses, or advanced client-engagement features.

All of my math is below if you’d like to review it.

Practice Better Vs. SimplePractice: Which Should I Choose?

Practice Better is ideal for clinicians who offer more than traditional talk therapy, such as those who incorporate coaching, nutrition, lifestyle interventions, self-guided programs, or group curriculum. Its unique tools make it one of the best platforms for hybrid therapy-and-wellness practices, but it usually costs more than SimplePractice for clinicians billing insurance.

Therapists who want the lowest cost, rely heavily on insurance billing, or prefer built-in marketing tools may find SimplePractice the better fit.

Practice Better is a great choice for:

  • Therapists who run courses, programs, or structured curriculums+
  • Clinicians blending therapy with coaching, integrative health, or nutrition support
  • Providers who want a strong client-engagement toolkit (habit tracking, journaling, goal setting)

Visit our full Practice Better review for more insight.

Jane

Jane.app EHR offers useful features for in-person or hybrid clinics, and flexible client-communication and reporting tools for managing more complex therapy practices. Most therapists will choose Jane’s Practice plan at $79 monthly, which unlocks insurance billing via a paid Jane add-on plus a Claim.MD subscription. Compared to SimplePractice, Jane offers some features that might be desirable for some, but tends to cost more for insurance-billing practices and doesn’t include built-in marketing tools like a directory or website builder.

Image of creating a treatment plan in Jane
Image of creating a progress note in Jane
Image of using the template library in Jane
Image of Jane client face sheet
Click here for the previous slide. Click here for the next slide.

Advantages of Jane:

  • Strong features for in-person clinics, including room/equipment tracking and on-site self-check-in
  • Highly customizable scheduling and automated reminders
  • Helpful for multidisciplinary or hybrid care settings

Limitations Compared to SimplePractice:

  • No built-in marketing tools (directory, website builder)
  • Insurance billing requires two separate fees: Jane’s add-on plus a Claim.MD subscription
  • Often more expensive than SimplePractice for insurance-billing practices

Pricing for Jane vs SimplePractice

PlanJane PracticeSimplePractice Essential Plan
Base Plan w/ Telehealth$79 monthly$79 monthly
InsurancePricing through Claim.MD. Best plan varies by volume.10 included claims, then $0.35 each
Claim.MD PlansBasic $30: best for <50 sessions/mo
$0.30 per claim/ERA
Small Volume $60: best for 50–160 sessions/mo
100 claims, 100 ERAs included
$0.50 per claim/ERA
Unlimited $120: best for 160+ sessions/mo
N/A
Eligibility checksBasic: $0.30 each
Small Volume: $0.50 each
$0.15 each
Additional clinicians+$17.50 monthly for each part-time provider
+$35 monthly for each full-time provider
Requires Plus plan ($99 base + $74 monthly for each added provider)
Get StartedJaneSimplePractice

To make the difference clearer, here are a few real-world scenarios:

For a solo practice offering both in-person and telehealth sessions and not billing insurance, the cost is the same on both SimplePractice and Jane platforms: $79 monthly for the base plan. For the same practice billing around 40 insurance claims per month, SimplePractice Essential totals about $89.50 monthly, while Jane comes out closer to $111 monthly. That’s a difference of roughly $21 per month, or around $250 per year, in SimplePractice’s favor.

For a 3-clinician practice submitting 200 insurance claims per month, SimplePractice Plus comes out to roughly $288 monthly. With Jane Practice, the cost for the same practice—using Claim.MD Unlimited—comes out closer to $299 monthly. That’s still a small difference, but SimplePractice remains around $11 per month cheaper, or roughly $130 per year, while also providing stronger built-in billing features and marketing tools.

All of my math is below if you’d like to review it.

Jane Vs. SimplePractice: Which Should I Choose?

Jane is a strong option for practices that operate primarily in person and want polished scheduling tools, room/equipment tracking, and flexible client-facing features that support a busy clinic environment. It’s especially appealing for multidisciplinary or wellness-integrated teams that benefit from its operational workflow features.

Therapists who bill moderate-to-high insurance volume may find SimplePractice more affordable.

Jane is a great choice for:

  • Clinics that prioritize in-person workflow tools like room tracking or self-check-in
  • Practices that need robust scheduling and reminder automation
  • Providers who prefer Jane’s clean interface and customization options

Dive into more details in our full review of Jane.

What to Look for in a SimplePractice Alternative

Choosing an alternative to SimplePractice is about more than finding the lowest cost option. It’s about finding a system that actually fits the way your practice works. Before choosing one of the SimplePractice competitors we’ve outlined above, it helps to get clear on a few core questions that determine whether an alternative will truly improve your workflow.

Here are questions to consider when choosing an EHR:

1. Does it support the way you document and run sessions?

Some EHRs are highly structured (great for insurance-heavy work); others lean into flexibility and customization, or client engagement and business building. Make sure the alternative supports the type of notes, treatment plans, and outcomes you rely on most.

2. How does it handle insurance billing and claim costs?

EHRs often take different approaches to insurance billing costs. SimplePractice has tiered insurance billing, with lower-cost pricing plans having higher cost-per-claim fees. Other systems may offer bundles or unlimited claim options. Look at both the monthly plan cost and the per-claim fee, especially if you bill insurance frequently.

3. What’s included in the base plan vs. locked behind paid upgrades?

A low price is only meaningful if the features you need are actually available at that proice. Common “gotchas” include:

  • Telehealth is only offered as a paid add-on
  • Reminders, messaging, or other bits of common functionality are not included in the base price
  • No included insurance eligibility checks

4. How strong are the mobile and client-facing experiences?

If clients self-schedule, join telehealth on their phones, or complete intakes online, the portal and mobile app matter as much as the backend clinicians use.

5. Will it scale if your practice grows?

Solo plans can differ greatly from group plans in both cost and features offered. If you think you might expand your practice, be sure to check how an EHR handles:

  • Additional provider pricing
  • Supervisor/biller/scheduler roles
  • Permission controls
  • Admin dashboards

Common Mistakes to Avoid When Switching From SimplePractice

Switching EHRs can solve real frustrations, but it can also create new ones if you’re not careful. Here are the pitfalls clinicians run into most often when switching.

Choosing the Cheapest Plan Without Checking Features Gaps

A cheap plan sounds great until you realize you can’t do insurance checks, telehealth, or reminders without upgrading.

Not Considering the Client Experience

Tools like appointment reminders, simple scheduling, and a clean client portal can make a major difference in client engagement, attendance, and satisfaction. SimplePractice has one of the best client-facing experiences in the EHR space, including a strong mobile app and an included directory listing for generating referrals. When comparing SimplePractice alternatives, make sure the client portal, telehealth workflow, and reminders feel just as smooth. Otherwise, you may end up with more no-shows and more troubleshooting messages than before.

Ignoring Migration Best Practices

Before committing to an EHR, take time to understand exactly how your existing data will move over, what’s included in onboarding, and whether anything will require much manual input. A well-planned migration saves hours of cleanup later.

Before switching EHRs, confirm:

  • How your client data will export
  • Whether the new EHR charges for migration or client import
  • How much help you’ll get importing note templates and forms

Why You Can Trust My Advice

I continuously test every EHR in this guide, setting the up and using them the way clinicians actually use them in practice. Each EHR comparison is based on firsthand experience and scoring is based on ChoosingTherapy.com’s objective scoring criteria, supported by verified pricing, direct conversations with companies, and user feedback. While SimplePractice is one of the most recognizable and widely-used mental health EHRs, it isn’t the only strong option. Many providers find they prefer deeper customization, simpler billing, stronger group-practice tools, or lower monthly costs. Our goal is to give you clear, reliable information so you can choose the platform that best supports your practice and the people in your care.

Matt Church, M.S., Editor at ChoosingTherapy.com, Headshot Matthew Church, M.S.

Detailed Cost Breakdowns

My Best Practice vs SimplePractice – Detailed Cost Breakdown

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Assumptions used in these examples:

  • Telehealth is enabled for all relevant clinicians.
  • Each insurance session generates 1 claim + 1 ERA (so 2 billable “events” in My Best Practice).
  • Eligibility checks are run occasionally, not per session, so we treat them as a small additional cost that doesn’t change the overall comparison.

Scenario 1: Solo cash-pay practice (in-person + telehealth, no insurance billing)

My Best Practice

  • Base plan: $39 monthly
  • Telehealth add-on (1 provider): $20 monthly
  • Insurance billing: not used
  • Total for My Best Practice: $59 monthly

SimplePractice Essential

  • Base plan (telehealth included): $79 monthly
  • Total for SimplePractice: $79 monthly
  • So for a solo cash-pay practice, My Best Practice is about $20 cheaper monthly, or ~$240 per year.

Scenario 2: Solo practice with ~40 insurance sessions per month

My Best Practice

  • Base plan: $39 monthly
  • Telehealth add-on: $20 monthly
  • Insurance events per month:
    • 40 sessions = 40 claims + 40 ERAs = 80 billable events
    • 20 events included in plan
    • 60 remaining events × $0.35 = $21.00
  • Total for My Best Practice: $80 monthly

SimplePractice Essential

  • Base plan (telehealth included): $79 monthly
  • Claims:
    • 40 sessions = 40 claims
    • 10 included, 30 extra × $0.35 = $10.50
    • ERAs: included with claim submissions
    • Eligibility checks: (up to 40) × $0.15 = $6.00
  • Total for SimplePractice: $95.50 monthly

So at ~40 insurance sessions per month, My Best Practice is about $15 cheaper monthly, or roughly $180 per year.

Scenario 3: 3-clinician practice with ~200 insurance sessions per month

My Best Practice (with unlimited billing add-on)

  • Base plan (first clinician): $39 monthly
  • Additional clinicians: 2 × $19 = $38 monthly
  • Telehealth add-on: 3 providers × $20 = $60 monthly
  • Unlimited billing add-on (claims + ERAs + checks): $99 monthly
  • Total for My Best Practice: $236 monthly

SimplePractice Plus (required for group practices)

  • Base price (first clinician): $99 monthly
  • Additional clinicians: 2 × $74 = $148 monthly
  • Total subscription: $247 monthly
  • Claims:
    • 200 sessions = 200 claims
    • 35 included, 165 extra × $0.25 = $41.25
    • ERAs: included with claim submissions
    • Eligibility checks: included on Plus plan
  • Total for SimplePractice: $288.25 monthly

So, for this 3-clinician, insurance-heavy practice, My Best Practice is about $52 cheaper monthly, or roughly $600 per year.

Carepatron vs SimplePractice – Detailed Cost Breakdown

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Assumptions used in these examples:

  • Telehealth is enabled for all relevant clinicians.
  • Each insurance session generates 1 claim + 1 eligibility check.
  • ERAs are included with claim submissions with both EHRs.
  • Carepatron charges separately for both claims and eligibility checks.
  • We use Carepatron Essential ($29) and SimplePractice Essential ($79) for solo users, and SimplePractice Plus for group practices.

Scenario 1: Solo, Cash-Pay Therapist (No Insurance)

Carepatron Essential

  • Base subscription: $29 monthly
  • Telehealth: included
  • Total: $29 monthly

SimplePractice Essential

  • Base subscription: $79 monthly
  • Telehealth: included
  • Total SimplePractice cost: $79 monthly

For this practice, Carepatron could save roughly $50 monthly or $600 annually.

Scenario 2: Solo Therapist, 40 Insurance Claims Monthly

Carepatron Essential

  • Base plan: $29 monthly
  • Telehealth: included
  • Insurance billing:
    • Claims: 40 × $0.25 = $10.00
    • Eligibility checks: 40 × $0.15 = $6.00
  • Total for Carepatron: $29 + $10 + $6 = $45 monthly

SimplePractice Essential

  • Base plan (telehealth included): $79 monthly
  • Claims:
    • 10 included
    • 30 extra × $0.35 = $10.50
  • Eligibility checks:
    • 40 × $0.15 = $6.00
  • Total for SimplePractice: $79 + $10.50 + $6 = $95.50 monthly

Carepatron is about $50 cheaper monthly, or roughly $600 per year, for a solo clinician billing ~40 insurance sessions.

Scenario 3: 3-clinician practice with ~200 insurance sessions per month

Carepatron (3× Essential plans)

  • Base subscription: 3 clinicians × $29 = $87 monthly
  • Telehealth: included
  • Insurance billing:
    • Claims: 200 × $0.25 = $50.00
    • Eligibility checks: 200 × $0.15 = $30.00
  • Total for Carepatron: $87 + $50 + $30 = $167 monthly

SimplePractice Plus (required for group practices)

  • Base subscription (first clinician): $99 monthly
  • Additional clinicians: 2 × $74 = $148 monthly
  • Combined subscription: $237 monthly
  • Claims:
    • 35 included
    • 165 extra × $0.25 = $41.25
  • Eligibility checks: included
  • Total for SimplePractice: $237 + $41.25 = $288.25 monthly

Carepatron is about $121 cheaper monthly, or roughly $1,455 per year, for a 3-clinician practice handling ~200 insurance sessions monthly.

Ensora Health vs SimplePractice – Detailed Cost Breakdown

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Assumptions used in these examples:

  • Telehealth is enabled for all relevant clinicians.
  • Each insurance session generates 1 claim + 1 eligibility check.
  • ERAs are included with claim submissions for both Ensora and SimplePractice.
  • Ensora Advanced charges per-claim and per-check; Ensora Premier includes unlimited claims/checks.

We compare:

  • Ensora Advanced ($59 + $12 telehealth) for solo users
  • Ensora Premier ($89, telehealth included) for multi-clinician insurance-billing practices
  • SimplePractice Essential ($79) for solo users
  • SimplePractice Plus ($99 + $74 per added clinician) for group practices

Scenario 1: Solo, Cash-Pay Therapist (No Insurance)

Ensora Advanced

  • Base subscription: $59 monthly
  • Telehealth add-on: $12 monthly
  • Total for Ensora: $71 monthly

SimplePractice Essential

  • Base subscription (telehealth included): $79 monthly
  • Total for SimplePractice: $79 monthly
  • Ensora saves about $8 monthly, or just under $100 annually, for a comparable setup.

Scenario 2: Solo Therapist, ~40 Insurance Sessions Monthly

Ensora Advanced

  • Base subscription: $59 monthly
  • Telehealth add-on: $12 monthly
  • Insurance billing:
  • Claims:
    • 40 sessions = 40 claims
    • 30 included
    • 10 extra × $0.23 = $2.30
  • Eligibility checks:
    • 40 sessions = 40 checks
    • 30 included
    • 10 extra × $0.25 = $2.50
  • Total for Ensora: $59 + $12 + $2.30 + $2.50 = $75.80 monthly

SimplePractice Essential

  • Base subscription (telehealth included): $79 monthly
  • Claims:
    • 10 included
    • 30 extra × $0.35 = $10.50
  • Eligibility checks:
    • 40 × $0.15 = $6.00
  • Total for SimplePractice: $79 + $10.50 + $6 = $95.50 monthly

Ensora is about $20 cheaper monthly, or roughly $240 per year, for a solo clinician billing ~40 insurance sessions.

Scenario 3: 3-Clinician Practice, ~200 Insurance Sessions Monthly

Ensora Premier

  • Per-provider cost: $89 monthly
  • 3 clinicians = 3 × $89 = $267 monthly
  • Telehealth: included
  • Insurance billing: unlimited claims + checks
  • Total for Ensora: $267 monthly

SimplePractice Plus (required for group practices)

  • 1st clinician: $99 monthly
  • Additional clinicians: 2 × $74 = $148 monthly
  • Subscription total: $247 monthly
  • Insurance:
    • 35 claims included, 165 extra × $0.25 = $41.25
    • Eligibility checks: included
  • Total for SimplePractice: $247 + $41.25 = $288.25 monthly

Ensora is about $20 cheaper monthly, or roughly $240 per year, for a solo clinician billing ~40 insurance sessions.

TherapyNotes vs SimplePractice – Detailed Cost Breakdown

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Assumptions used in these examples:

  • Telehealth is enabled for all clinicians.
  • Each insurance session generates 1 claim + 1 ERA.
    • TherapyNotes charges $0.14 for each of those events.
    • SimplePractice ERA cost is included with paid claims.
  • Eligibility checks are not included in these calculations for either EHR, since clinicians run them at varying intervals.
  • TherapyNotes pricing:
    • Solo subscription: $69 monthly
    • Group subscription: $79 monthly + $50 for each additional provider

Scenario 1: Solo, Cash-Pay Therapist (No Insurance)

TherapyNotes

  • Base subscription: $69 monthly
  • Telehealth: included
  • Total: $69 monthly

SimplePractice Essential

  • Base subscription: $79 monthly
  • Total: $79 monthly

TherapyNotes is $10 cheaper monthly, or about $120 per year, for a solo cash-pay clinician. But, its client-facing features don’t feel as high-end, and you’re missing out on an included directory listing with SimplePractice.

Scenario 2: Solo Therapist, ~40 Insurance Sessions Monthly

TherapyNotes

  • Base subscription: $69 monthly
  • Insurance billing:
  • 40 sessions = 40 claims × $0.28 = $11.20
  • Total for TherapyNotes: $69 + $11.20 = $80.20 monthly

SimplePractice Essential

  • Base subscription: $79 monthly
  • Claims:
    • 10 included
    • 30 extra × $0.35 = $10.50
  • Total for SimplePractice: $79 + $10.50 = $89.50 monthly

TherapyNotes is about $9 cheaper monthly, or ~$110 per year, for a solo clinician billing around 40 sessions.

Scenario 3: 3-Clinician Practice, ~200 Insurance Sessions Monthly

TherapyNotes Group

  • First clinician: $79
  • Two additional clinicians: 2 × $50 = $100
  • Insurance billing:
  • 200 sessions × $0.28 = $56
  • Total TherapyNotes cost: $179 + $56 = $235 monthly

SimplePractice Plus (required for group practices)

  • 1st clinician: $99 monthly
  • Additional clinicians: 2 × $74 = $148 monthly
  • Subscription total: $247 monthly
  • Insurance:
  • 35 claims included, 165 extra × $0.25 = $41.25
  • Total for SimplePractice: $247 + $41.25 = $288.25 monthly

TherapyNotes is about $53 cheaper monthly, or roughly $630 per year, for a 3-clinician practice billing ~200 insurance sessions monthly.

Sessions Health vs SimplePractice – Detailed Cost Breakdown

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Assumptions used in these examples:

  • Telehealth is enabled for all clinicians.
  • Each insurance session generates 1 claim.
  • ERAs are included in the claim cost with both platforms.
  • Eligibility checks are not included in these calculations for either EHR, since clinicians run them at varying intervals.
  • We use Sessions Health Professional ($39) and SimplePractice Essential ($79) for solo comparisons, and SimplePractice Plus for group practices.

Scenario 1: Solo, Cash-Pay Therapist (No Insurance)

Sessions Health

  • Base subscription: $39 monthly
  • Telehealth add-on: $10 monthly
  • Total: $49 monthly

SimplePractice Essential

  • Base subscription (telehealth included): $79 monthly
  • Total: $79 monthly

Sessions Health saves about $30 monthly (~$360 annually).

Scenario 2: Solo Therapist, ~40 Insurance Sessions Monthly

Sessions Health

  • Base plan: $39 monthly
  • Telehealth: $10 monthly
  • Claims: 40 × $0.25 = $10.00
  • Total: $59 monthly

SimplePractice Essential

  • Base plan: $79 monthly
  • Claims:
    • 10 included
    • 30 extra × $0.35 = $10.50
  • Total: $89.50 monthly

Sessions Health is still about $30 cheaper monthly (~$350 annually) at this volume.

Scenario 3: 3-Clinician Practice, ~200 Insurance Sessions Monthly

Sessions Health

  • Base subscriptions:
    • 1st clinician: $39
    • Additional clinicians: 2 × $29 = $58
  • Telehealth: 3 × $10 = $30 monthly
  • Claims: 200 × $0.25 = $50.00
  • Total: $177 monthly

SimplePractice Plus (required for group practices)

  • Base subscription: $99 monthly
  • Additional clinicians: 2 × $74 = $148 monthly
  • Claims:
    • 35 included
    • 165 extra × $0.25 = $41.25
  • Total: $288.25 monthly

Sessions Health is about $111 cheaper monthly, or roughly $1,330 per year, for a 3-clinician insurance-billing practice.

Practice Better vs SimplePractice – Detailed Cost Breakdown

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Assumptions used in these examples:

  • Telehealth is included for both systems.
  • Each insurance session generates 1 claim + 1 ERA (so Practice Better always incurs two billable events per session).
  • Eligibility checks are excluded since clinicians run them at varying intervals.
  • Claim.MD is required for all Practice Better insurance billing.
  • Claim.MD tier selection is based on the cheapest appropriate plan at each claim volume:
    • ~40 sessions/month – Claim.MD Basic ($30/mo, $0.30 per claim + $0.30 per ERA).
    • ~200 sessions/month – Claim.MD Unlimited ($120/mo).
    • Between 50-160 insurance sessions – Claim.MD’s Small Volume plan becomes the better deal.
  • We use Practice Better Professional ($69) vs. SimplePractice Essential ($79) for solo comparisons.
  • For group practices, we use Practice Better Teams ($155 for first 2 clinicians + $50 each additional clinician) vs. SimplePractice Plus.

Scenario 1: Solo, Cash-Pay Therapist (No Insurance)

Practice Better Professional

  • Base subscription: $69 monthly

SimplePractice Essential

  • Base subscription: $79 monthly

Practice Better saves about $10 monthly (~$120 annually).

Scenario 2: Solo Therapist, ~40 Insurance Sessions Monthly

Claim.MD Plan Used:

  • Basic Plan ($30/month) — cheapest option for this volume.

Practice Better Professional

  • Base subscription: $69 monthly
  • Claim.MD Basic: $30 monthly
  • Insurance billing:
    • 40 sessions = 40 claims + 40 ERAs = 80 events
    • 80 × $0.30 = $24.00
  • Total Practice Better cost: $69 + $30 + $24 = $123 monthly

SimplePractice Essential

  • Base plan: $79 monthly
  • Claims:
    • 10 included
    • 30 extra × $0.35 = $10.50
  • Total: $89.50 monthly

SimplePractice is about $33.50 cheaper monthly (~$402 annually) at this volume.

Scenario 3: 3-Clinician Practice, ~200 Insurance Sessions Monthly

Claim.MD Plan Used:

  • Unlimited Plan ($120/month) — cheapest option for 200 sessions (which equals 400 events).

Practice Better Teams

  • Practice Better Teams (first 2 clinicians): $155 monthly
  • Additional clinician: $50 monthly
  • Claim.MD Unlimited: $120 monthly
  • Total Practice Better cost: $155 + $50 + $120 = $325 monthly

SimplePractice Plus (required for group practices)

  • Base subscription: $99 monthly
  • Additional clinicians: 2 × $74 = $148 monthly
  • Claims:
    • 35 included
    • 165 extra × $0.25 = $41.25
  • Total: $288.25 monthly

SimplePractice is roughly $36.75 cheaper monthly (~$441 annually) for a 3-clinician practice billing ~200 monthly insurance sessions.

Jane vs SimplePractice – Detailed Cost Breakdown

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Assumptions used in these examples:

  • Insurance billing requires Jane Insurance Add-On:
    • $20 monthly for the first provider + $5 for each additional provider
  • Jane requires an external Claim.MD subscription.
    • ~40 sessions/month – Claim.MD Basic ($30/mo, $0.30 per claim + $0.30 per ERA)
    • ~200 sessions/month – Claim.MD Unlimited ($120/mo)
    • Between 50-160 insurance sessions – Claim.MD’s Small Volume plan becomes the better deal.
  • Each insurance session generates 1 claim + 1 ERA.
  • Eligibility checks are ignored because cadence varies, and counts are similar between EHRs.
  • Solo comparisons use Jane Practice ($79) vs SimplePractice Essential ($79).
  • Group comparisons use Jane Thrive ($99 + added clinicians) vs SimplePractice Plus ($99 + added clinicians).

Scenario 1: Solo, Cash-Pay Therapist (No Insurance)

Jane Practice

  • Base subscription: $79 monthly

SimplePractice Essential

  • Base subscription: $79 monthly

At this level, Jane and SimplePractice cost the same, but SimplePractice offers more built-in marketing tools, while Jane offers more customizable branding and a better client-facing interface.

Scenario 2: Solo Therapist, ~40 Insurance Sessions Monthly

Claim.MD Plan Used:

  • Basic Plan ($30/month) — cheapest option for this volume

Jane Practice

  • Base subscription: $79 monthly
  • Insurance billing add-on: $20 monthly
  • Claim.MD Basic plan: $30 monthly
  • Insurance costs (Claim.MD Basic):
  • Claims: 40 × $0.30 = $12
  • Total Jane cost: $79 + $20 + $30 + $12 = $141 monthly

SimplePractice Essential

  • Base plan: $79 monthly
  • Claims:
    • 10 included
    • 30 extra × $0.35 = $10.50
  • Total: $89.50 monthly

At ~40 insurance sessions per month, Jane costs $141 monthly and SimplePractice costs $89.50 monthly. Jane is ~$51 more expensive per month (~$610 per year). Jane is not cost-efficient for insurance-billing solos unless specific features are essential.

Scenario 3: 3-Clinician Practice, ~200 Insurance Sessions Monthly

Claim.MD Plan Used:

  • Unlimited Plan ($120/month) — cheapest option for 200 sessions (which equals 400 events).

Jane Practice

  • Base subscription (first clinician): $79 monthly
  • Additional clinicians: 2 × $35 = $70 monthly
  • Insurance billing add-on:
  • First provider: $20 monthly, additional providers: 2 × $5 = $10 monthly
  • Claim.MD Unlimited plan: $120 monthly
  • Insurance costs:
  • Total Jane cost: $79 + $70 + $20 + $10 + $120 = $299 monthly

SimplePractice Plus (required for group practices)

  • Base subscription: $99 monthly
  • Additional clinicians: 2 × $74 = $148 monthly
  • Claims:
    • 35 included
    • 165 extra × $0.25 = $41.25
  • Total: $288.25 monthly

SimplePractice is roughly $10 cheaper monthly (~$120 annually) for a 3-clinician practice billing ~200 monthly insurance sessions.

Sources

ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • Church, M. (2025). SimplePractice Review: Is It Right for Your Practice? Retrieved from: https://www.choosingtherapy.com/simplepractice-review/

  • Church, M. (2025). My Best Practice Review: Pros & Cons, Cost, & Who It’s Right For. Retrieved from: https://www.choosingtherapy.com/my-best-practice-review/

  • Church, M. (2025). Carepatron Review: Pros & Cons, Cost, & Who It’s Right For. Retrieved from: https://www.choosingtherapy.com/carepatron-review/

  • Church, M. (2025). Ensora Mental Health Review: Pros & Cons, Cost, & Who It’s Right For. Retrieved from: https://www.choosingtherapy.com/ensora-mental-health-review/

  • Church, M. (2025). TherapyNotes Review: Pros & Cons, Cost, & Who It’s Right ForFor. Retrieved from: https://www.choosingtherapy.com/therapynotes-review/

  • Church, M. (2025). Sessions Health Review: Pros & Cons, Cost, & Who It’s Right ForFor. Retrieved from: https://www.choosingtherapy.com/sessions-health-review/

  • Church, M. (2025). Practice Better Review: Pros & Cons, Cost, & Who It’s Right ForFor. Retrieved from: https://www.choosingtherapy.com/practice-better-review/

  • Church, M. (2025). Jane App EHR Review: Pros & Cons, Cost, & Who It’s Right ForFor. Retrieved from: https://www.choosingtherapy.com/jane-app-review/

  • Church, M. (2025). Best Mental Health EHRs: Top Picks for Therapists & Practices. Retrieved from: https://www.choosingtherapy.com/best-mental-health-ehr/

Show more Click here to open the article sources container.

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