TherapyNotes alternatives
7 TherapyNotes alternatives from our directory, ranked by AIOP Score, with published pricing, HIPAA BAA status, best fit and when to switch. Admin and operations only.
TherapyNotes listingFacts last checked up to 2026-10-21 · ranked by AIOP Score
About TherapyNotes
Full listing →9.3/10From $69/moBAA available
- Pricing
- Solo $69/mo; Group $79/mo first clinician + $50 each additional; non-clinical users free (vendor)
- HIPAA BAA
- Yes – BAA built into Terms of Service for covered entities (vendor support FAQ)
- Best fit
- Therapists and behavioral health groups up to roughly 10–15 clinicians
- Last checked
- 2026-10-15 · support.therapynotes.com · BAA: support.therapynotes.com
Why practices look for TherapyNotes alternatives
- ePrescribe is a $65/prescriber/mo add-on, and TherapyFuel AI notes are reported at $40/clinician/mo.
- Premium telehealth is $15/clinician/mo; basic telehealth is free.
- Our listing positions it for therapists and behavioral health groups up to roughly 10–15 clinicians, so larger groups may want to compare.
Stay with TherapyNotes if…
You want free non-clinical users, low per-claim fees ($0.14, third-party review) and a BAA built into the Terms of Service.
Quick picks
- Highest AIOP Score: PracticeQ (IntakeQ) (10.0/10). Starter $59.90/mo (25 appointments, 50 SMS, 25 form submissions per practitioner/mo).
- Vendor states a BAA on every plan or account: PracticeQ (IntakeQ), Carepatron, SimplePractice and Sessions Health.
- Free plan, tier or free use: Carepatron and Sessions Health. A free tier isn't always covered by the BAA, so read the BAA line for each.
7 alternatives, ranked
All EHR & Practice Management tools →- From $59.90/moBAA available
- Pricing
- Starter $59.90/mo (25 appointments, 50 SMS, 25 form submissions per practitioner/mo); Pro $84.90/mo (500 appointments, 300 SMS, 500 form submissions); 1 practitioner + up to 10 free assistant accounts; extra practitioner $25/mo (Starter) or $30/mo (Pro); Engage add-on from $99.90/mo; 2-week free trial (vendor site)
- HIPAA BAA
- Yes – HIPAA compliant with BAA, listed in every plan (vendor site)
- Best for
- Solo and small practices that want heavy intake automation and forms; prescribers who want flat-price eRx with EPCS
- Last checked
- · www.practiceq.com
- Free plan · from $0BAA available
- Pricing
- Free plan $0 (unlimited clients, AI scribe, telehealth, 1GB storage); Plus $31/user/mo, Advanced $39/user/mo billed monthly, 20% off yearly; intro discounts often shown (vendor site)
- HIPAA BAA
- Yes – BAA accepted automatically at signup on all plans, including Free; HIPAA compliant, SOC 2 Type II (vendor help center)
- Best for
- Solo and small therapy practices wanting a low-cost start; PMHNPs via the eRx add-on
- Last checked
- · www.carepatron.com · BAA: help.carepatron.com
- From $49/moBAA available
- Pricing
- Starter $49/mo, Essential $79/mo, Plus $99/mo; team members only on Plus ($74/clinician/mo for 2–5 clinicians); eligible new customers 50% off for 3 months if they subscribe in the first 7 days of the 30-day trial (vendor site)
- HIPAA BAA
- Yes – BAA accepted automatically at signup on all plans; HIPAA compliant and HITRUST certified (vendor support)
- Best for
- Therapy-heavy practices that want a polished plug-and-play EHR; prescribers via the ePrescribe add-on
- Last checked
- · support.simplepractice.com · BAA: support.simplepractice.com
- Free plan · from $0BAA available
- Pricing
- Freemium $0 (up to 3 clients); Professional $39/mo, +$29/mo per additional practitioner; 30-day free trial (vendor site)
- HIPAA BAA
- Yes – BAA accepted automatically at signup, including trial accounts, and covers all features (vendor help center)
- Best for
- Solo and small therapy practices that bill insurance
- Last checked
- · www.sessionshealth.com · BAA: support.sessionshealth.com
- From $75/moBAA available
- Pricing
- Non-Prescribing $75/mo; Part-Time Prescribing $138/mo; Full-Time Prescribing $213/mo (vendor blog); 30-day free trial
- HIPAA BAA
- Yes – BAA offered to customers; published BAA PDF (vendor site)
- Best for
- Psychiatrists and PMHNPs, solo to group
- Last checked
- · www.icanotes.com · BAA: www.icanotes.com
- From $29BAA available
- Pricing
- Essentials $29, Advanced $59, Premier $89 per therapist/mo (one month free on annual); 21-day free trial; $19.50/yr AMA CPT fee (vendor site)
- HIPAA BAA
- Yes – BAA provided to customers, including during trials; HIPAA compliant and HITRUST certified (vendor)
- Best for
- Solo to group therapy practices that bill insurance
- Last checked
- · ensorahealth.com · BAA: experience.ensorahealth.com
- QuoteBAA unverified
- Pricing
- Custom quote
- HIPAA BAA
- unverified – no standalone public BAA page found in this check; confirm with vendor
- Best for
- Behavioral health practices scaling from solo to group
- Last checked
- · www.valant.io
TherapyNotes vs the top 3 at a glance
 TherapyNotes |  PracticeQ (IntakeQ) |  Carepatron |  SimplePractice | |
|---|---|---|---|---|
| Pricing | Solo $69/mo; Group $79/mo first clinician + $50 each additional; non-clinical users free (vendor) | Starter $59.90/mo (25 appointments, 50 SMS, 25 form submissions per practitioner/mo); Pro $84.90/mo (500 appointments, 300 SMS, 500 form submissions); 1 practitioner + up to 10 free assistant accounts; extra practitioner $25/mo (Starter) or $30/mo (Pro); Engage add-on from $99.90/mo; 2-week free trial (vendor site) | Free plan $0 (unlimited clients, AI scribe, telehealth, 1GB storage); Plus $31/user/mo, Advanced $39/user/mo billed monthly, 20% off yearly; intro discounts often shown (vendor site) | Starter $49/mo, Essential $79/mo, Plus $99/mo; team members only on Plus ($74/clinician/mo for 2–5 clinicians); eligible new customers 50% off for 3 months if they subscribe in the first 7 days of the 30-day trial (vendor site) |
| Built-in AI | TherapyFuel AI notes $40/clinician/mo (third-party review) | No native AI scribe (third-party review) | AI Scribe 3.0 (transcription, SOAP/DAP/BIRP drafts, ICD-10 capture) included on all plans, including Free, at no extra cost (vendor) | Note Taker AI notes $35/mo per clinician; Care Aide AI suite $59/mo (vendor site) |
| e-Prescribing / EPCS | Add-on – ePrescribe $65/prescriber/mo; controlled substances no extra fee (vendor/third-party) | Add-on – e-prescribe $65/mo per prescriber, same price with controlled substances (EPCS; DEA required); ID.me identity proofing included; up to 5 supporting staff free, $5/mo each after (vendor support) | Add-on – ePrescribe via DoseSpot $39/user/mo on paid plans; EPCS supported after identity proofing and two-factor setup (vendor) | Add-on – ePrescribe $49/mo per clinician + $89 one-time setup fee, on all plans; controlled substances (EPCS) after identity proofing and token registration (vendor support); PDMP add-on reported separately |
| Telehealth | Basic telehealth free; Premium $15/clinician/mo (vendor) | Yes – included on every plan (in-house, Zoom or Google Meet) (vendor site) | Yes – included on all plans; group telehealth on Plus and up (vendor site) | Yes – included on all plans (vendor site); group telehealth is a $20/mo per clinician add-on on Essential, included on Plus (vendor support) |
| Billing & claims | $0.14 per electronic claim, ERA and eligibility check (third-party review) | Claims & superbills with clearinghouse integrations, invoicing and payments included on every plan (vendor site) | Superbills and CMS-1500 on Free; electronic claims from $0.25/claim and eligibility checks $0.15/check on paid plans (vendor site) | Insurance Essentials claims from $0.39/claim ($0.50/claim on Starter); card processing 3.15% + $0.30 (vendor support) |
| HIPAA BAA | Yes – BAA built into Terms of Service for covered entities (vendor support FAQ) | Yes – HIPAA compliant with BAA, listed in every plan (vendor site) | Yes – BAA accepted automatically at signup on all plans, including Free; HIPAA compliant, SOC 2 Type II (vendor help center) | Yes – BAA accepted automatically at signup on all plans; HIPAA compliant and HITRUST certified (vendor support) |
| Best fit | Therapists and behavioral health groups up to roughly 10–15 clinicians | Solo and small practices that want heavy intake automation and forms; prescribers who want flat-price eRx with EPCS | Solo and small therapy practices wanting a low-cost start; PMHNPs via the eRx add-on | Therapy-heavy practices that want a polished plug-and-play EHR; prescribers via the ePrescribe add-on |
| Last checked | · source | · source | · source | · source |
| Next step | Full listing Visit site ↗ | Full listing Visit site ↗ | Full listing Visit site ↗ | Full listing Visit site ↗ |
Related comparisons
Facts come from vendor pages and third-party reviews, as labeled on each line. “Unverified” means we couldn't confirm it. Get the BAA for the exact plan you buy and confirm pricing with the vendor before you switch.
Frequently asked questions
What are the best TherapyNotes alternatives for a small practice?
Ranked by AIOP Score among the 7 alternatives we track: PracticeQ (IntakeQ) (10.0), Carepatron (9.8), SimplePractice (9.7) and Sessions Health (9.5). The score is editorial and calculated from published pricing, BAA status, small-practice fit, setup and features. Sponsorship never affects it.
Which TherapyNotes alternatives include a BAA on every plan?
Per the vendors' own pages: PracticeQ (IntakeQ), Carepatron, SimplePractice and Sessions Health. Confirm the BAA covers the exact plan you buy.
Does TherapyNotes offer a HIPAA BAA?
Our data says: Yes – BAA built into Terms of Service for covered entities (vendor support FAQ). Last checked 2026-10-15.
Is there a free alternative to TherapyNotes?
Carepatron and Sessions Health list a free plan, tier or free use. Check whether the free option is covered by a BAA before using it with patient information.
Disclaimer: This site covers administrative and operational workflows only. It is not clinical, legal, or compliance advice. Pricing and BAA status come from vendor sites or third-party reviews as of the date shown and can change – confirm directly with each vendor and your compliance advisor before using any tool with protected health information.