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Carepatron vs TherapyNotes (2026): which should you pick?

As of Oct 24, 2026, we pick Carepatron: it is second in our ranking of therapy and clinic software, and it grades higher too, 2.6 against 2.2.

Checked Oct 24, 2026 · graded Oct 24, 2026 by ToolGPA

Carepatron grades higher on value for money and the free plan. They get the same grade on features, ease of use and platforms.

Price, platforms and features side by side. The table says where each price was read and when.

Carepatron

Practice management with a free plan, AI scribe and telehealth

Free plan · from $31/mo

TherapyNotes

Behavioral health EHR with notes, insurance billing and client portal

Free trial · from $69/mo

Which one is for you

Pick Carepatron if

  • Fits if you're a solo practitioner who wants to start on a free plan with unlimited clients
  • Works for mixed practices of therapists, allied health and wellness staff under one account

Look elsewhere if

  • Tight if you're staying free: 100 appointments a month, 1 GB of storage, and no reminders or calendar sync
  • Watch out: claims start at 25¢ each and insurance checks cost 15¢, and neither is on the free plan
  • Pricey if you grow, as every practitioner is a paid seat and ePrescribing through DoseSpot is $39 a month per user
  • Not for you if you need roles and permissions, white labeling or the API, which are only on Advanced at $39 a user
  • Watch out: Plus includes 150 texts a month per user, and each one past that costs 5¢

Pick TherapyNotes if

  • Fits if you're a solo therapist billing insurance who wants a phone line answered at any hour
  • Works for behavioral health groups with many billers and schedulers, as non-clinical users aren't charged

Look elsewhere if

  • Pricey if you're solo, as $69 a month is near the top of what this category charges
  • Watch out: Group and Enterprise rise to $89 plus $60 per extra clinician from 1 December 2026
  • Watch out: eligibility checks and reminders are 14¢ each, e-claims 25¢ from December, mailed claims $1, cards 3.1% + 30¢
  • Pricey if you want more than the basics: TherapyFuel AI is $40 a clinician, ePrescribe $65, and HD or group telehealth $15
  • Watch out: Enterprise needs at least 30 users, and full medical billing and credentialing go through partners at unpublished prices

How we grade them

2.6GPACarepatronGood2.2GPATherapyNotesFair
Value for money
CPlus is $31 a user a month on yearly billing, $39 monthly, between this category's cheaper quarter ($25) and its middle ($39). Every practitioner is a paid seat, and claims, extra texts and ePrescribing cost more on top.
DSolo is $69 a month for one user, in the dearest tenth of this category, which starts at $59.90. Much is then per use: 14¢ an eligibility check or reminder, 25¢ an e-claim from December. Group goes from $79 plus $50 a clinician to $89 plus $60 on 1 December 2026.
Free plan and trial
BThe free plan keeps unlimited clients, telehealth, the client portal, online payments and the AI scribe, so one person could run a small practice on it. It stops at 100 appointments a month and 1 GB of storage, with no reminders or calendar sync.
CA 30-day free trial on every plan, and no free plan. The listing doesn't say whether the trial asks for a card. Classroom accounts are free, but they leave out billing.
Features
BOnline booking, an AI scribe, note templates, treatment plans, telehealth, invoicing, claims with ERA posting, a client portal and custom workflows. Nothing in the listing is missing from the job; the limits are which plan you're on.
BNotes you can rearrange, a group note wizard, an outcome measure library, electronic and paper claims, eligibility checks, ERAs, a client portal, telehealth and a mobile app. The therapy-practice job is covered; full medical billing goes through partners.
Ease of use
CNo App Store rating on record. Booking pages, intake forms, note templates and workflows all need setting up, and the onboarding manager is only on Advanced.
CNo App Store rating on record. Note templates, payers and claims take setting up, though 24/7 live phone and email support comes with every plan.
Platforms and integrations
BWeb, iPhone and Android, with DoseSpot and Google Analytics, and an API on Advanced. No desktop app, and the integration list is short.
BWeb, plus an iPhone, iPad and Android companion app for the agenda, messages and telehealth. No desktop app, and the listing names no integrations or API.
Best forsolo practitioners who want to start freebehavioral health practices that bill insurance

The GPA is the average of the five grades: an A is 4 points, an F is none. The full reasons are on each tool's page: Carepatron and TherapyNotes. How we grade

Price against what you get

Carepatron starts at $31 a month for each person and scores 2.7 out of 4 on features, ease of use and platforms. TherapyNotes starts at $69 a month and scores 2.7.

They score the same, and Carepatron starts $38 a month lower. Of the other therapy and clinic software on the chart, none scores higher than Carepatron for less, and 1 scores higher than TherapyNotes for less.

Features, ease of use and platforms, averaged

C2.0B3.0A4.0$10$20$50$100More for lessCosts more, scores moreCosts less, scores lessCosts more, scores lessCarepatronTherapyNotes

What paid plans start at, a month (each step along is roughly double) →

  • The best score at each price
  • Has a free plan
  • No free plan
The full chart of therapy and clinic software, and the best at every price

Where they differ

  • Carepatron also covers appointment booking.
In commonWebiOSAndroidAI featuresTranscriptionClinical notesInsurance billingTelehealth

At a glance

CarepatronTherapyNotes
PricingFree planFree trial
Starts at$31 per user / month, billed yearly ($39 billed monthly)$69 per month (Solo, one user)
Free planUnlimited clients, telehealth, client portal, online payments and the AI scribe, with up to 100 appointments, 1 GB of storage and 100 emails a month per user.None
Free trial14-day free trial of the paid features, no credit card required30-day free trial on every plan
Web
iOS
Android
Made byCarepatron LimitedTherapyNotes, LLC
Price read fromcarepatron.comsupport.therapynotes.com
CheckedOct 24, 2026Oct 24, 2026

Worth knowing

Carepatron

  • The free plan has no appointment reminders or calendar sync and stops at 100 appointments and 1 GB of storage.
  • Paid plans are charged per user. Texts beyond the monthly allowance cost $0.05 each, and ePrescribing through DoseSpot is $39 a month per user.
  • Electronic claims start at $0.25 each and manual insurance checks cost $0.15 each; neither is on the free plan.
  • Roles and permissions, white labeling and API access are only on Advanced.

TherapyNotes

  • Group and Enterprise rates rise to $89 for the first clinician plus $60 per additional from 1 December 2026; Solo stays at $69.
  • Much is billed per use: 14¢ per eligibility check or text and voice reminder, 25¢ per e-claim from December, $1 per mailed claim, 3.1% + 30¢ per card payment.
  • TherapyFuel AI is $40 per clinician a month, ePrescribe $65 per prescriber a month, and Premium Telehealth $15 per clinician a month.
  • Enterprise needs at least 30 users. Full medical billing and credentialing come through partners, at prices not published.

Key features

Carepatron

Online booking and reminders
Clients book from an online page or an embed on your site. Paid plans add calendar sync, email and SMS reminders, group appointments and booking approval rules.
AI scribe and clinical notes
An AI medical scribe drafts notes from sessions, alongside a template library, customizable notes, signatures and locking, and treatment plans. Group notes need Plus.
Telehealth video
One-on-one video sessions on every plan, including the free one; group telehealth and in-call chat start on Plus.
Invoicing and insurance
Online card payments and automated invoicing on all plans. Paid plans add superbills, CMS-1500 forms, electronic claims from $0.25 each and ERA posting.
Client portal and messaging
Clients sign intake forms, message the practice securely and pay through a portal. Plus adds a HIPAA-encrypted email integration, bulk sending and a shared inbox.
Workflows and API
Custom workflows run 2,000 times a month per user on Plus and without limit on Advanced, which also opens the Carepatron API.

TherapyNotes

Clinical notes and outcome measures
Progress, intake and consultation notes whose sections can be rearranged or added to, a group progress note wizard, a play therapy template and an outcome measure library.
TherapyFuel AI tools
A $40-per-clinician add-on whose Scribe transcribes sessions to draft notes. Once one clinician has it, the whole practice can generate client history summaries and contact notes.
Insurance billing
Electronic and paper claims, secondary claims, real-time eligibility checks and electronic remittance advice, each charged per use, with card payments that can be charged automatically overnight.
TherapyPortal
A custom client portal for secure messages, documents, forms and outcome measures, which can be sent to every active client at once.
Telehealth
Basic telehealth is free for two participants in standard definition. Premium, at $15 per clinician a month, allows 16 participants in full HD with screen sharing and captions.
Mobile app and support
An iPhone, iPad and Android companion app for the agenda, client details offline, messaging and telehealth, plus 24/7 live phone and email support for every user.

Plans

Carepatron

  • Free$0

    Unlimited clients, telehealth, client portal, online payments and the AI scribe; 100 appointments, 1 GB of storage, no reminders or calendar sync.

  • Plus$31

    per user / month, billed yearly ($39 billed monthly)

    Unlimited appointments and storage, calendar sync, reminders, group telehealth and notes, shared inbox, custom branding and 150 texts a month per user.

  • Advanced$39

    per user / month, billed yearly ($49 billed monthly)

    Adds roles and permissions, white labeling, API access, Google Analytics, 90-day deleted-data retention, an onboarding manager and premium support.

TherapyNotes

  • Solo$69

    per month for 1 user

    For a provider who is the only user on the account. Unlimited clients, appointments and notes, client portal, basic telehealth and 24/7 support.

  • Group$79

    per month, plus $50 per additional clinician

    Unlimited non-clinical users such as billers and schedulers. Rises to $89 plus $60 per additional clinician from 1 December 2026.

  • Enterprise$79

    per month, plus $50 per additional clinician

    Group rates for accounts of at least 30 users, with a designated account manager. Same 1 December 2026 rise as Group.

Ways to pay less

Carepatron

  • Annual discount

    Save 20% with yearly billing

    Carepatron's pricing page lists 20% off for paying yearly: Plus is $31 per user a month instead of $39, and Advanced $39 instead of $49.

  • Other savings

    50% off the first 6 months

    A limited offer on the pricing page halves paid plans for the first 6 months, for example Plus at $15.50 per user a month on yearly billing; no end date is given.

  • Other savings

    October offer: $1 a month for 3 months

    A banner offers $1 a month for the first 3 months, or 50% off the first year, ending 30 October 2026.

TherapyNotes

  • Education

    Free classroom accounts

    TherapyNotes is free for simulated practices in a classroom, whatever the class size; these accounts leave out insurance and other billing features.

Common questions

Which is cheaper, Carepatron or TherapyNotes?

As of Oct 24, 2026, Carepatron starts at $31 per user / month, billed yearly ($39 billed monthly), and TherapyNotes starts at $69 per month (Solo, one user). One is priced for each person and the other is not, so which costs less depends on how many of you use it.

Which has a free plan, Carepatron or TherapyNotes?

As of Oct 24, 2026, only Carepatron has a free plan. TherapyNotes does not, though it has a free trial.

More comparisons

How this page was made

  • The verdict at the top follows a fixed rule. When both tools are in the same category and either is in our top three for it, the verdict follows that ranking: the higher-placed tool is our pick. The top three weigh who each tool suits as well as its grades, so a pick can go against the GPA. Otherwise the page does not pick one and says which grades higher: the higher GPA first; on a tie, the one with a free plan, then the one that starts cheaper in dollars a month, counted the same way for both; if they are still level, what the choice depends on.
  • The grades are our own, from each tool’s review or report card. The GPA is their average.
  • Prices, plans and platforms come from each tool’s listing. The table above says where each price was read and when.
  • The differences and the answers to the questions are worked out from those listings.
How we review and grade