If you’re a therapist, dietitian, or health pro who’s been using SimplePractice, you know the drill: solid EHR, checks a lot of boxes, all-in-one. But at some point “solid” starts to feel limiting. Maybe the price is creeping up. Maybe the interface feels clunky. Either way—there are better options.
Here they are.
This post breaks down the top SimplePractice alternatives, what they’re good at, who they’re best for, and how to make the switch without a migraine.
What are the best SimplePractice alternatives at a glance?
| Platform | Starting Price | Key Feature | HIPAA/BAA |
|---|---|---|---|
| Ensora Health | $29/month | Affordable multi-user, integrated billing | ✅ Security page |
| TherapyNotes | $59/month (solo) | Best-in-class documentation and billing | ✅ BAA info |
| Jane App | $39/month | Multi-discipline support, beautiful UI | ✅ HIPAA page |
| Sessions Health | $39/month | Minimalist, therapist-designed, client-simple | ✅ Compliance info |
| Tebra | Custom pricing | Robust medical-model billing and e-prescribe | ✅ BAA page |
| Healthie | Free–$45+/month | Built for RDs: food logging, supplement integrations | ✅ Security page |
| Practice Better | Free–$25+/month | Health coaches and dietitians, Fullscript + Zoom integrations | ✅ Privacy & Security |
The 7 Best Alternatives to SimplePractice
1. Ensora Health
Best for: Group practices on a budget
Ensora Health (which includes TheraNest for mental health and Fusion for rehab therapy) is purpose-built for behavioral health and therapy practices. The pricing is competitive for multi-clinician setups, and integrated billing is included rather than bolted on. The interface is functional but less refined than some competitors—navigating to billing takes more steps than SimplePractice’s one-click dashboard. If you’re running a group practice and watching overhead, it earns its spot.
Price: Starts at $29/month | HIPAA/Security info
2. TherapyNotes
Best for: Detailed documentation lovers
TherapyNotes is the industry leader in clinical note-taking and behavioral health billing, and that reputation is earned. SOAP notes, DAP notes, BIRP templates, and outcome measures like PHQ-9 and GAD-7 are all built in. The interface is utilitarian—it prioritizes function over aesthetics, which is the right call for a documentation-heavy workflow. The BAA must be actively downloaded and signed (it is not automatic), so make a note to do that before you import any client data.
Price: $59/month for solo | BAA instructions
3. Jane App
Best for: Multidisciplinary practices (PTs, RDs, therapists under one roof)
Jane is one of the cleanest, most intuitive EHR interfaces on this list—clients consistently report the booking portal feels modern and easy. It handles multiple disciplines well, which makes it a standout choice if your practice crosses specialties. The one caveat: some U.S.-based insurance billing features are less streamlined than platforms built exclusively for the American market, so if heavy insurance work is central to your workflow, test that specifically before committing.
Price: $39/month base | HIPAA page
4. Sessions Health
Best for: Solo therapists who want simplicity
Sessions Health was co-founded and designed by a psychotherapist, and it shows. The interface is clean and minimal, the client portal is straightforward, and the telehealth is built directly into the platform (no Zoom juggling required). It’s intentionally focused on mental health only, which means it’s not diluted by features aimed at other industries. If you’re a solo therapist who wants everything to just work without a steep learning curve, this is worth a serious look.
Price: $39/month | Compliance page
5. Tebra
Best for: Medical-model practices needing robust billing
Tebra is built for practices that operate closer to a clinical/medical model—think e-prescribing, advanced insurance billing workflows, and robust revenue cycle management. It meets HITRUST, AICPA, and NIST security standards in addition to HIPAA, which matters if you’re operating at scale or working with institutional payers. It can feel like overkill for a solo wellness provider or health coach, and pricing is custom (translation: not cheap). But for practices where billing complexity is the primary pain point, it’s worth the conversation.
Price: Custom pricing | BAA page | Security page
6. Healthie
Best for: Nutritionists, dietitians, and integrative care providers
Healthie is the platform most purpose-built for the nutrition and wellness space on this list. Food logging, supplement integration, client programs, and Fullscript connectivity are all native features—not add-ons. It’s HITRUST R2 certified on top of standard HIPAA compliance, which is a meaningful security designation. The free plan is genuinely useful for solo practitioners getting started, though paid plans are where the real workflow tools unlock. Less well-suited for traditional therapy documentation.
Price: Free basic; paid from $45/month | HIPAA/Security page | BAA
7. Practice Better
Best for: Health coaches, dietitians, and functional medicine practitioners
Practice Better is the most well-rounded option for non-therapy health and wellness providers. Client communication tools, program and course builders, Fullscript integration, Zoom connectivity, and a mobile app that clients actually use—it’s a strong all-in-one for practitioners whose workflow doesn’t center on clinical notes. The free tier supports up to 3 clients, which makes it genuinely low-risk to test. The pricing tiers get more nuanced at the upper end, so compare carefully against your actual feature needs before upgrading.
Price: Free (1–3 clients); paid plans from $25/month | Privacy & Security
What does SimplePractice actually offer, and when is it not enough?
SimplePractice earns its popularity. It covers HIPAA-compliant scheduling, built-in telehealth, charting, billing, insurance features, and a secure client portal—all in one place. It’s especially attractive to solo and small group practices because the all-in-one approach reduces the number of tools you’re managing.
But one-size-fits-all has limits. When the pricing starts to feel misaligned with what you actually use, when the interface slows down your workflow, or when your specialty needs features SimplePractice wasn’t designed for—it’s worth looking at whether there’s a better fit.
What should you consider before switching EHRs?
Before you cancel anything, ask the right questions. A better platform won’t fix a bad match.
Is it HIPAA-compliant? Non-negotiable. If you’re storing protected health information (PHI), you need a platform that will sign a Business Associate Agreement (BAA). Don’t assume—verify. If a platform can’t clearly tell you how they handle PHI, that’s a red flag.
Is the interface user-friendly for both you and your clients? You’ll be the primary user, but if your clients are confused by the portal, that friction costs you. Test both the backend and the client-facing experience before you commit.
Does it scale as you grow? Right now you might be solo. But if you add support staff or bring on another clinician, you want an EHR that handles user permissions, multi-provider scheduling, and group billing without requiring a workaround.
Does it integrate with your existing tools? Your EHR should connect cleanly to your booking flow, payment processing, telehealth setup, and website—not require you to manually bridge six platforms. Pay special attention to how the scheduling widget embeds on your website.
How responsive is customer support? Everything works until something breaks. Waiting 48+ hours on a billing error during a busy week is not a minor inconvenience. Check real reviews, not just testimonial pages.
Are you locked into a contract? Some platforms are month-to-month; others have cancellation terms that aren’t obvious until you read the fine print. Know what you’re agreeing to before you migrate.
What are the biggest mistakes when switching EHRs?
Switching platforms is a business decision, not just a tech swap. These are the mistakes that create the most unnecessary pain.
Not exporting your data before you leave. Export everything before you touch the new platform: client records, treatment notes, billing history, intake forms, documents. Some systems make exporting easy; others make it a project. Don’t discover that mid-migration.
Assuming the new platform is HIPAA-compliant without confirming it. A polished interface is not compliance. Confirm a BAA exists, that it covers your actual use case, and that the platform encrypts PHI properly. The fact that a platform markets to therapists or dietitians does not automatically mean it meets HIPAA standards.
Not walking through the client portal experience yourself. Before you send clients through a new intake flow, go through it yourself from their perspective. Can they book without friction? Fill out intake forms without confusion? Access telehealth without five steps? If the answer to any of those is no, factor that into your decision.
Skipping onboarding and support research. Even good platforms have a learning curve. Does the platform offer training? Live onboarding? A help center that’s actually current? Ask before you migrate—not after you’re deep in support tickets.
Why I trust these recommendations
These aren’t platforms I found by doing a quick search. My recommendations are based on 14+ years of building websites for health and wellness practitioners—dietitians, therapists, physical therapists, functional medicine providers—and the direct feedback I receive from clients who use these tools every day. I’ve watched which platforms create friction (broken booking widgets, client portal confusion, scheduling embeds that fall apart on mobile) and which ones integrate cleanly into a professional website and workflow. I also track industry reputation closely and pay attention when patterns emerge in what practitioners report. I don’t recommend a platform I’d be embarrassed to put in front of a client.
Your website and your EHR need to work together
Your EHR isn’t your whole online presence—it’s one piece of the system. Your website is what gets you found on Google, builds trust before someone ever books, and makes it frictionless to take that first step toward working with you.
If you’re switching EHRs, it’s the right moment to ask: is your scheduling widget actually embedded cleanly? Does your “book now” flow connect to the right place? Is the experience consistent from the moment someone lands on your site to the moment they complete intake?
Your tools should support your workflow, not create gaps in it. If your site is due for a refresh alongside your EHR switch, that’s a conversation worth having.
3-Step Migration Checklist for SimplePractice Users
Step 1: Export and organize your data. Before canceling or reducing access to your current EHR, export all client records, session notes, billing history, intake forms, and any uploaded documents. Store them in a labeled, organized folder. Confirm your export is complete and readable before you proceed.
Step 2: Set up and verify your new platform before going live. Create your account, configure your settings, sign your BAA, test the client portal end-to-end (including booking, intake forms, and telehealth), and connect your payment processor. Do not send clients to a new system until you have personally tested the entire intake and booking experience from their perspective.
Step 3: Communicate the change to active clients and update your website. Send a short, professional note to current clients explaining the transition, what they need to do (create a new account, complete a new intake form, etc.), and when the switch takes effect. Then update every place your old booking link appears: your website, your email signature, your Google Business Profile, and any directory listings.
