SimplePractice Alternatives: 9 EHRs Therapists Switch To, and Why

Nearly every list of SimplePractice alternatives is published by a company that sells one, and the publisher’s own product tends to land in first place. We build websites for therapists and don’t sell an EHR. So this list is sorted by the thing that decides the answer: your reason for leaving.

The short version: TherapyAppointment, Sessions Health, Zanda, or Carepatron for a small caseload. TherapyNotes if most of your clients use insurance. For a growing group, TherapyNotes, TheraPlatform, or Zanda. Booking embedded on your own website points to TheraPlatform or PracticeQ, and a private-pay practice to Coral EHR or Jane.

SimplePractice pricing, and what changed on October 1, 2026

SimplePractice lists three plans: Starter at $49 a month, Essential at $79, and Plus at $99, each with a 30-day free trial. We checked every price here on September 30, 2026. A promotion was running that day, so these are the standard rates, and EHR prices change often. (Typed “simple practice alternatives” with a space? Same product. The company spells it as one word.)

On paper, Starter carries a lot. Telehealth and online appointment requests come with all three plans. So do the Professional Website, a one-page site you can run on your own domain, and an Inquiries page for prospective clients.

Two limits send people looking:

• The appointment-request widget, the embed code that puts scheduling on your own website, is on Plus only, per SimplePractice’s widget instructions.
• Clinicians can be added on Plus only. SimplePractice lists $74 a month per clinician for practices of two to five.

As of October 1, 2026, SimplePractice’s help center says claims cost $0.39 each on every plan for the first 250 claims a month, with lower rates above that. Old pricing varied by plan: $0.50 a claim on Starter, 10 included claims and then $0.35 on Essential, 35 included claims and then $0.25 on Plus. The included claims are gone. Insurance status checks cost $0.15 each on Starter and Essential, and stay free on Plus through March 31, 2027.

Here’s our arithmetic for 40 claims a month at those listed rates. Starter’s claim bill drops from $20.00 to $15.60. On Essential, it rises from $10.50 to $15.60, and on Plus, from $1.25 to $15.60.

Same change, three outcomes. Check your plan before you treat it as a reason to go.

What is the best alternative to SimplePractice?

There’s no single best alternative to SimplePractice, because the right pick depends on why you’re leaving. On published pricing and features: TherapyAppointment for a small caseload, TherapyNotes for insurance-heavy billing, Zanda for a growing group, TheraPlatform for booking embedded on your website, and Coral EHR for private pay only.

Most roundups get this wrong. They rank SimplePractice competitors from one to ten, as if a solo therapist with six clients a week and a five-clinician group were shopping for the same thing.

One limit on our side: we design websites. Everything below comes from each vendor’s own pricing pages and help center. We haven’t run a caseload through these products, and no pricing page tells you how a note editor feels at 6 p.m. on a Thursday. Use the free trials for that.

For products beyond these nine SimplePractice alternatives, see our guide to the best EHR systems for therapy practices.

If it costs too much for a small caseload

Say you see six clients a week. That’s roughly 24 to 26 sessions a month, and $49 to $99 of software feels heavy against it.

• TherapyAppointment prices by volume: $10 a month up to 10 sessions, $39 up to 39, and $59 from 40 on. Telehealth is an add-on ($15 a month for its integrated version, or $5 for a Zoom integration that uses your own Zoom license), and every plan is month-to-month. The catch, stated on its pricing page: once you move up a tier, you don’t move back down.
• Sessions Health is $0 for up to three clients. Professional is $39 with unlimited clients, and telehealth is a $10 add-on. That lands at $49, the same as SimplePractice Starter.
• Zanda (formerly Power Diary) lists Starter at $19 a month for one practitioner, with free and paid telehealth options.
• Carepatron has a Free plan with unlimited clients and 1GB of storage. Paid plans are $31 and $39 per user.

Our honest read: the gap between SimplePractice Starter and most of these is $10 to $30 a month. Don’t move a practice for $10. Move for $10 plus a second reason.

More options are in our guide to EHRs for solo therapists.

If most of your clients use insurance, price Therapy Notes first

Of the nine SimplePractice alternatives here, TherapyNotes publishes the lowest per-claim rate: 14 cents per electronic claim. ERAs are 14 cents per claim and real-time eligibility is 14 cents per request, all listed in TherapyNotes’ pricing article. The Solo plan is $69 a month with Basic Telehealth included.

Our arithmetic at 100 claims a month: $39.00 in claim fees at SimplePractice’s new rate, $14.00 at TherapyNotes. But TherapyNotes Solo is $69 against Starter’s $49, and it charges per ERA, so the real gap is smaller.

TherapyAppointment deserves a look too. It lists $0.15 a claim and says ERA processing and posting are free for every customer.

Ask each vendor to walk a rejected claim through in the demo. Our SimplePractice vs TherapyNotes comparison covers that pair in detail.

If you’re adding clinicians, compare the seat price

On Plus, SimplePractice lists $74 a month per clinician for practices of two to five. The alternatives price a seat differently:

• TherapyNotes Group: $79 for the first clinician and $50 for each one after. Non-clinical users are unlimited and included.
• TheraPlatform: Pro is $69 plus $39 per additional provider; Pro Plus is $79 plus $49. Basic can’t add providers.
• Zanda Growth: $49 base plus $19 per additional practitioner, the lowest seat price we found.
• Jane: the $79 Practice plan includes one full-time practitioner. Rates for additional practitioners didn’t load for us, so get those from Jane’s pricing page.

Seat price is the only group fact we could verify across the board. Supervision sign-off, role permissions, and payroll reports weren’t confirmed for any of these, so put them on your demo list. Then read our guide to EHRs for group practices.

If you want booking on your own website without the $99 plan

On SimplePractice, any plan lets you link to the Client Portal, but the embedded widget needs Plus. These SimplePractice alternatives document an embed of their own:

• TheraPlatform says it offers a website widget so new and existing clients can schedule on your site. Its pricing table shows the widget on every plan, including Basic at $39.
• PracticeQ (IntakeQ) gives you a booking widget to paste into your site’s HTML on its practice management plans. Starter is $59.90, which IntakeQ’s pricing page lists as a low-volume tier (25 appointments and 25 form submissions per 30 days). Pro is $84.90.
• Carepatron generates button or inline embed code. Which plan includes it, we couldn’t confirm.
• Jane provides embed codes for Book Online buttons, one for the clinic and one per practitioner.

TherapyNotes, Sessions Health, and TherapyAppointment document a portal link instead.

And a link is fine. A plain, well-placed button that opens the portal does the job, with one less third-party script on your page. The trade-off: the client leaves your site to book. Both methods are covered in our walkthrough of SimplePractice WordPress integration.

If you’re private pay and want less software

Coral EHR says it’s built for out-of-network, private-pay practices and doesn’t file insurance claims. Starter is $29 a month, video is built into every plan, and it handles Stripe payments, invoices, and private-pay superbills.

Jane lists Balance at $54 for one practitioner, capped at 20 appointments a month, and Practice at $79 with unlimited appointments. Online booking comes with every plan, and insurance billing is a $20 add-on you can skip.

The trade-off with Coral is plain. Join a panel later and it won’t file those claims, which means switching again.

Where Headway and Alma fit

By their own descriptions, Headway and Alma are insurance platforms with practice tools built in: they credential you, handle claims, and pay you. Headway charges no membership or subscription fee. Alma is a membership, listed at $1,140 a year and discounted to $600 for the first year as of September 30, 2026. Neither is a like-for-like EHR swap, so treat them as a decision about taking insurance.

What switching EHRs costs you beyond the subscription

Getting your data out. SimplePractice recommends exporting before you cancel and says data in a deleted account can’t be recovered. Its standard export covers client information only; reports and payment data are separate exports. Cancellation takes effect immediately, with no proration. So export first, open the files, and cancel last.

Getting your data in. We couldn’t verify import terms for any vendor here. Ask what imports (demographics, notes, documents), who does the work, and what it costs. The exit matters too: Sessions Health, TherapyAppointment, and Coral EHR document self-service exports.

Re-enrolling clients. Every current client needs a new portal invitation and login. Find out whether cards on file carry over.

Rebuilding your paperwork. Intake forms, consent documents, and note templates get set up again. Before any client data goes in, confirm the BAA is in place; each of the nine says it provides or will arrange one. (General information, not legal advice. Confirm with your own counsel or compliance resource.)

Updating your website. If your site embeds the SimplePractice widget or links to its portal, every “Book” button has to change on switch day.

Say your site has a button in the header, one on each of five service pages, and one in the footer. Add your Google Business Profile appointment link, your Psychology Today profile, and your email signature. Miss one, and a prospective client lands on a dead end at 11 p.m. We found no vendor statement on what a closed account’s booking link shows, so assume it stops working.

List every link before switch day. Swap them in one sitting, then test each on your phone. If you’re on a website maintenance plan, hand that list to whoever looks after your site.

When staying with SimplePractice is the right call

Staying is often the better move. It fits if:

• You’re solo on Starter and use its telehealth. The savings elsewhere are small, and a migration eats evenings you don’t have.
• Insurance claims on Starter now cost less: $0.39 each, down from $0.50.
• The Professional Website and Inquiries page cover what you need.
• Your real complaint is the website.

That last one deserves a second look. SimplePractice says pages can’t be added to the Professional Website. If you want service pages and a blog, that’s a website problem. Keep the EHR and put a full site in front of it. Website in a Week is a custom site in 7 days, and your portal link drops into it.

A new site won’t fix an EHR that doesn’t fit your billing, though. Be honest about which problem you have.

Questions therapists ask about SimplePractice alternatives

Is there a free alternative to SimplePractice?

Two of the nine list a $0 plan. Carepatron’s Free plan allows unlimited clients with 1GB of storage, and Sessions Health’s Freemium plan covers up to three clients. Read the limits before you build a practice on either.

How much does SimplePractice cost in 2026?

Standard SimplePractice pricing is $49 a month for Starter, $79 for Essential, and $99 for Plus, with a 30-day free trial. Adding clinicians requires Plus, listed at $74 a month per clinician for practices of two to five. We checked these on September 30, 2026.

Can I export my data if I leave SimplePractice?

Yes. SimplePractice recommends exporting before you cancel, because data in a deleted account can’t be recovered. The standard export includes client information only, so run the separate exports for reports and payment data as well.

Which alternatives let clients book from my own website?

TheraPlatform, PracticeQ, and Carepatron document embeddable booking code, and Jane provides Book Online button codes. The rest document a link, or we couldn’t confirm the method. Either way, the booking link or code on your site changes when you switch.

Choose among these SimplePractice alternatives by your reason for leaving, and ignore whoever ranked themselves first. If the switch means your booking links are about to change, or you’ve worked out that the website was the problem all along, get a custom quote through the Website Inquiry Form. It’s a free consultation, and we’ll tell you if staying put is the better call.