Best TherapyNotes alternatives in 2026

Looking for an alternative to TherapyNotes? Whether you've outgrown it, find the pricing steep, or just want to weigh your options, these are the strongest healthcare & medical alternatives in 2026 — ranked on pricing, features, and who each one fits best. TherapyNotes itself starts at from $49/mo, so we've flagged where each option is cheaper, simpler, or more specialized.

1
SimplePractice
Best for: therapists
Practice management for health & wellness. A popular healthcare alternative to TherapyNotes — from $29/mo. Particularly strong for therapists.
4.6From $29/moVisit
2
TheraNest
Best for: therapists
If TherapyNotes feels like overkill or over-budget, TheraNest is a leaner option. Practice management for therapists. Pricing: from $42/mo.
4.3From $42/moVisit
3
Jane
Best for: clinics
Jane goes head-to-head with TherapyNotes on features. Practice management you'll love. Best suited to clinics. From $79/mo.
4.8From $79/moVisit
4
Spruce Health
Best for: medical-practices
A well-rated healthcare pick. HIPAA-compliant communication. Spruce Health starts at from $24/user/mo, making it a credible TherapyNotes replacement.
4.6From $24/user/moVisit
5
Klara
Best for: medical-practices
Patient communication platform. A popular healthcare alternative to TherapyNotes — custom. Particularly strong for medical-practices.
4.5CustomVisit
6
Healthie
Best for: dietitians
If TherapyNotes feels like overkill or over-budget, Healthie is a leaner option with a genuinely usable free tier. EHR for nutrition & wellness. Pricing: free – $49/mo.
4.5Free – $49/moVisit
7
Luma Health
Best for: health-systems
Luma Health goes head-to-head with TherapyNotes on features. Patient engagement and access. Best suited to health-systems. Custom.
4.5CustomVisit
8
Elation Health
Best for: primary-care
A well-rated healthcare pick. EHR for primary care. Elation Health starts at custom, making it a credible TherapyNotes replacement.
4.4CustomVisit

Still considering TherapyNotes itself? Read our TherapyNotes review →

Frequently asked questions

What is the best TherapyNotes alternative?

SimplePractice is our top-rated TherapyNotes alternative for 2026. Practice management for health & wellness. From $29/mo.

Is there a free TherapyNotes alternative?

Yes — Healthie offers a free tier you can start on without a credit card.

Why switch from TherapyNotes?

Common reasons are price, a simpler feature set, better fit for a specific use case, or platform support. Each tool above notes where it has an edge over TherapyNotes.