Cliniko alternatives
4 Best Cliniko Alternatives in 2026
Cliniko is a polished, well-loved platform for allied-health clinics, especially in the UK, Australia, and Canada. But it is built for clinics: pricing is tiered by practitioner count, there is no free plan, and much of its clinic tooling is more than a solo coach or cash-pay practitioner needs. These are the best Cliniko alternatives in 2026, ranked honestly, starting with the simplest option for solos and cash-pay work, and noting where Cliniko itself is still the stronger clinic choice.
Last updated June 2026.
Soap Notes
Best for solo cash-pay practitioners and coaches, with no per-practitioner fees
Soap Notes brings notes, scheduling, invoicing, and a secure client portal into one simpler tool, with structured SOAP session notes and a genuinely free plan. It's the standout choice if you don't bill insurance, which describes most coaches and many cash-pay therapists, because you skip the clinical and claims overhead and keep pricing flat and low.
Jane
A polished platform for allied-health clinics like physio, massage and chiropractic, with charting and an insurance-billing add-on. Priced per practitioner.
Best for: Multi-practitioner allied-health clinics
Soap Notes vs Jane →SimplePractice
An established EHR for licensed clinicians, with insurance billing, claims, and telehealth built in. Powerful, but priced per clinician with no free plan.
Best for: Insurance-billing therapists and clinical practices
Soap Notes vs SimplePractice →Practice Better
A nutrition-focused platform with meal plans, telehealth, and detailed client tracking. Deep wellness tooling, with client-tiered pricing.
Best for: Nutritionists and health coaches
Soap Notes vs Practice Better →How we picked
We're the makers of Soap Notes, so we rank it first, but only for the audience it genuinely fits, and we're upfront about where each other tool is stronger. Every option here is a real, current product, and the notes below reflect each tool's own site as of November 2026.
What each one costs
Verified on each vendor's own pricing page in November 2026.
| Tool | Cheapest paid plan | Unlimited clients |
|---|---|---|
| Soap Notes | Free, up to 5 active clients | $45/mo, or $450/yrTeams is quoted on request rather than listed. No per-practitioner charge on Standard. |
| Cliniko | $45/mo, one practitioner | $95/mo, two to five practitionersUnlimited patients, admin users, reception users and locations on every tier. Priced purely by practitioner count, so it steps to $145 at six. 30-day trial, no card required, no free plan. |
| Jane | CAD $59/mo, 20 appointments | CAD $79/mo (Practice)Prices in Canadian dollars. Balance caps at one practitioner and 20 appointments a month. Insurance billing is a CAD $20/mo add-on. No free plan and no free trial. |
| SimplePractice | $49/mo (Starter) | $99/mo (Plus)Group practices pay $99 for the first practitioner and from $74 for each one after. AI tools are separate, at $35/mo for Note Taker or $59/mo for Care Aide. 30-day trial, no free plan. |
| Practice Better | Free (Sprout, 3 clients) | $99/mo (Plus)Starter is $35/mo but caps at 10 clients, Professional $69/mo at 300. Annual billing is lower. 14-day trial on most paid plans. |
Every figure comes from the vendor's own pricing page, checked in November 2026. Jane publishes in Canadian dollars and the rest in US dollars, so convert before comparing the two columns across rows.
The practitioner count is the whole pricing story
Cliniko charges by how many practitioners you have, and nothing else moves the bill. One practitioner is $45 a month. Two takes you to $95, and that tier covers you up to five. Six steps to $145. So the second person you hire costs more than the first one did, while your caseload, your locations and your reception staff cost nothing.
That last part is worth saying plainly, because it is where Cliniko is genuinely generous. Every tier includes unlimited patients, unlimited admin and reception users, and unlimited locations. If your practice is growing in clients rather than clinicians, Cliniko does not charge you for growth at all.
For one practitioner the monthly price is identical to ours, $45 either way. We are cheaper annually, at $450 a year, and free below five active clients. The gap only really opens once you add clinicians, because our Standard plan does not price per practitioner. Below that, pick on fit rather than on price.
Source: Cliniko pricing
What leaving Cliniko actually involves
Exports sit under Settings, then Data exports. You choose a data type and a date range. Administrator accounts get the feature in full, and bookkeeper accounts get limited access, so check which one you hold before you plan a migration. Most data comes out as CSV, in two variants: a spreadsheet version that keeps long record IDs readable, and a data-file version that keeps them numeric for scripts. Patient attachments come out as ZIP files foldered per patient, split across several files when the export is large.
Cancellation takes effect immediately rather than at the end of the billing period, and Cliniko does not refund a part-used month. The account drops to a read-only state where only administrators can sign in. Cliniko then keeps your account data for at least a year, and an administrator can log in and export during that window.
That is a better exit than most platforms on this page offer, and you should know it before you move rather than after. Run your exports while the account is still live, and keep your own copies. Whatever your board requires you to retain, it requires of you and not of your software vendor.
Sources: Cliniko: export your data, Cliniko: cancel your subscription
When to stay on Cliniko
If you run a clinic with front-desk staff, the unlimited admin and reception users on every tier are hard to beat, and none of the tools on this page match that without charging per seat somewhere. The same goes for multiple locations, which Cliniko includes rather than sells as an upgrade.
A practice that needs clinic tooling is also a practice that will outgrow a simpler product quickly, and migrating twice costs more than paying for the right thing once. Soap Notes suits the solo and cash-pay end of this list. If you are reading the pricing table above and the number that matters to you is the six-practitioner tier, we are not the answer and Cliniko probably is.