10 Best SimplePractice Alternatives & Competitors (2026)
SimplePractice has long been a popular choice for solo practitioners and small mental health practices. But as your practice grows—or if costs become a concern—you might find yourself looking for SimplePractice alternatives that offer more flexibility, lower pricing, or features better suited to your specialty. Whether you’re a therapist, doctor, or allied health professional, the best medical software should fit both your workflow and your budget.
In this guide, we’ve rounded up the top SimplePractice competitors in 2026, including free options and paid plans that are often cheaper than SimplePractice. Let’s dive in.
Top 10 SimplePractice Alternatives in 2026
1. TheraNest
Best for: Therapists and small group practices who need robust billing and documentation.
Pricing: Starts at $39/month (billed annually) for solo practitioners. Free 21-day trial.
TheraNest offers a modern, intuitive interface with strong scheduling, telehealth, and insurance billing capabilities. It’s designed for mental health professionals but also works for general medical practices.
Pros
- Comprehensive billing and claims management
- Built-in client portal and telehealth
- Unlimited client intake forms
Cons
- Learning curve for advanced features
- Higher tiers can be expensive
2. TherapyNotes
Best for: Practices that prioritize note-taking and compliance.
Pricing: $49/month (single user) – includes telehealth and scheduling. Free trial available.
TherapyNotes is a veteran in this space, offering robust note templates, superb documentation tools, and strong EHR capabilities. It’s a favorite among therapists who want to stay audit-ready.
Pros
- Excellent note templates and customizability
- Integrated credit card processing
- Reliable customer support
Cons
- No free plan; limited trial
- Interface can feel outdated
3. Practice Better
Best for: Nutritionists, dietitians, and wellness coaches (but works for general medical).
Pricing: Starting at $39/month (solo). Free 14-day trial.
Practice Better combines EHR with client engagement tools, including forms, meal planning, and progress tracking. It’s a strong SimplePractice competitor for non-traditional medical fields.
Pros
- Unique wellness-specific features
- Beautiful client-facing portal
- Good value for solo practitioners
Cons
- Limited specialty templates for general medicine
- No native insurance billing in lowest tier
4. Kareo (by Tebra)
Best for: Small to mid-sized medical practices needing a complete practice management and EHR solution.
Pricing: Starts at $80/month per provider (billed annually). Free demo.
Kareo is a well-established platform that handles scheduling, billing, and clinical documentation for a wide range of medical specialties. It’s more expensive but offers deep functionality.
Pros
- Full practice management + EHR
- Excellent revenue cycle management
- Interoperability with labs and pharmacies
Cons
- Higher price point
- Not as intuitive as newer apps
5. Zanda
Best for: Allied health professionals (physiotherapy, psychology, speech therapy).
Pricing: This is a newer platform; pricing around $39/month (solo). Free trial.
Zanda (rebranded from Power Diary) offers a clean, modern interface with strong scheduling, automated reminders, and telehealth. It’s specifically built for allied health and is often cheaper than SimplePractice for similar core features.
Pros
- User-friendly and fast
- Great for multi-location practices
- Unlimited SMS reminders
Cons
- Fewer advanced EHR templates
- Still building out specialty features
6. Sessions Health
Best for: Solo practitioners on a tight budget.
Pricing: Free plan available (limited features). Paid plans start at $24/month.
Sessions Health is a budget-friendly SimplePractice alternative that covers scheduling, note-taking, billing, and telehealth. The free plan includes basic functionality for one provider.
Pros
- Free tier for start-ups
- Simple, clean interface
- No contract – month to month
Cons
- Limited customization
- Telehealth only on paid plans
7. WriteUpp
Best for: Multi-disciplinary clinics that need affordable scaling.
Pricing: Free for up to 3 practitioners (limited features). Pro plans start at £19/month (approx $24).
WriteUpp is a UK-based EHR but works globally. It’s very affordable and offers diary management, clinical notes, and invoicing. A great option if you’re starting small.
Pros
- Generous free plan
- Low-cost paid tiers
- Easy to use
Cons
- Less robust for US-based insurance billing
- Fewer integrations
8. DrChrono
Best for: Independent medical doctors and specialists who need a strong mobile app.
Pricing: Starts at $199/month for the full EHR + practice management (iPad version lower). Free demo.
DrChrono is a mature platform with excellent mobile capabilities, billing, and patient portal. It’s pricier but offers a comprehensive suite for modern practices.
Pros
- Top-rated iOS app
- Customizable templates
- Strong revenue cycle management
Cons
- Expensive for solo practitioners
- Steep learning curve
9. MEDITECH Expanse Ambulatory
Best for: Larger practices or those aligned with hospital systems.
Pricing: Custom quote (generally mid-to-high end).
MEDITECH is a heavyweight EHR used by large healthcare organizations. Their Ambulatory product offers a modern interface and deep interoperability, but it’s overkill for most small practices.
Pros
- Enterprise-grade security
- Excellent integration with hospitals
- Proven track record
Cons
- Not budget-friendly
- Complex deployment
10. OpenEMR
Best for: Tech-savvy practices that want a free, open-source EHR.
Pricing: Free (self-hosted). You’ll need hosting and IT support.
OpenEMR is the world’s most popular open-source healthcare technology. It offers scheduling, e-prescribing, billing, and a patient portal – all at no licensing cost. The trade-off is complexity.
Pros
- Completely free
- Full control over data and customization
- Large community support
Cons
- Difficult to set up and maintain
- Outdated user interface
- No official support (community forums)
Comparison Table: SimplePractice vs. Top Alternatives
| Software | Starting Price | Free Plan | Best For | Scheduling | Telehealth | Billing |
|---|---|---|---|---|---|---|
| SimplePractice | $49/month | No (trial only) | Solo therapists | ✓ | ✓ | ✓ |
| TheraNest | $39/month | 21-day trial | Therapists & groups | ✓ | ✓ | ✓ |
| TherapyNotes | $49/month | Trial only | Compliance-focused | ✓ | ✓ | ✓ |
| Practice Better | $39/month | 14-day trial | Wellness coaches | ✓ | ✓ | Limited |
| Kareo (Tebra) | $80/month | Free demo | Small medical practices | ✓ | ✓ | ✓ |
| Zanda | $39/month | Free trial | Allied health | ✓ | ✓ | ✓ |
| Sessions Health | $24/month | Free basic plan | Budget solo practitioners | ✓ | ✓ (paid) | ✓ |
| WriteUpp | Free (limited) | Yes (up to 3 users) | Multi-disciplinary clinics | ✓ | ✓ (Pro) | ✓ |
| DrChrono | $199/month | Free demo | Specialists / mobile-first | ✓ | ✓ | ✓ |
| MEDITECH | Custom | No | Large / hospital-based | ✓ | ✓ | ✓ |
| OpenEMR | Free | Yes (self-host) | Tech-savvy practices |