TherapyNotes alternatives
4 Best TherapyNotes Alternatives in 2026
TherapyNotes is a robust, established EHR for mental-health practices, but it is built and priced for insurance-billing clinicians. There is no free plan, pricing is per clinician, and a lot of its depth — claims, e-prescribing, clinical templates — goes unused if you run a cash-pay or coaching practice. That mismatch is why so many practitioners look for a TherapyNotes alternative: something simpler and cheaper that still documents sessions properly. These are the best TherapyNotes alternatives in 2026, ranked honestly, starting with the option most cash-pay and coaching practices move to.
Last updated June 2026.
Soap Notes
Best for cash-pay therapists and coaches who don't bill insurance
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.
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 →TheraNest
A mental-health practice platform with a low entry price, though telehealth, self-scheduling, and e-prescribing are paid add-ons that stack up. Built around insurance billing.
Best for: Mental-health practices that bill insurance
Soap Notes vs TheraNest →Healthie
A telehealth-first platform for dietitians, with meal plans and insurance superbills. Strong nutrition workflows; unlimited clients only on higher tiers.
Best for: Dietitians and nutrition practices
Soap Notes vs Healthie →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; pricing and feature notes reflect each tool's own site as of June 2026 and can change.
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