Charm EHR vs SimplePractice (2026): which should you pick?

Pick Charm EHR if

• Fits if you run a psychiatry or medical practice that prescribes and orders labs
• Works for a practice that wants an AI scribe inside the EHR

Look elsewhere if

• Skip it if you need to know the price first, as the pricing page is a request form
• Not for you if you only do talk therapy, as it is a general medical EHR with a psychiatry page
• Watch out: what the free start includes is not stated
• Too light on detail for planning a budget: no per-provider or billing-claim rates are shown

Pick SimplePractice if

• Fits if you're a solo US therapist who bills insurance and wants claims in the same account as your notes
• Works for groups of up to five clinicians who want a published price: Plus is $99 plus $74 a clinician

Look elsewhere if

• Tight if you stay on Starter: reminders, calendar sync, secure messaging and treatment plans start on Essential at $79
• Pricey if you want AI notes, as Note Taker is $35 a month and Care Aide $59 plus $49 per extra clinician
• Watch out: claims are 39¢ each, cards 3.15% + 30¢, and every clinician pays a $20 yearly fee for CPT codes
• Watch out: ePrescribe is $49 a month plus an $89 setup fee, and group sessions and extra clinicians need Plus
• Not for you if your group has six or more clinicians and you want a price up front, as those go through sales

Charm EHR

• No prices are published: the pricing page is a request form.
• It is a general medical EHR with a psychiatry page, not built only for therapists.
• The site gives no billing-claim or per-provider rates, and what the free sign-up includes is not stated.

SimplePractice

• Insurance claims cost $0.39 each, card payments 3.15% + $0.30, and each clinician pays an annual $20 fee for CPT code access.
• Reminders, calendar sync and client messaging start on Essential; group sessions and extra clinicians need Plus.
• AI notes are extra: Note Taker is $35 a month, Care Aide $59 a month plus $49 per extra clinician. ePrescribe is $49 a month plus an $89 setup fee.
• The 50% discount applies only if a paid account starts within 7 days of the trial; groups of 6 or more clinicians are priced by sales.

Charm EHR

AI scribe and assistant

CharmAI Scribe helps write visit notes, and CharmAssist is a clinical assistant that can draft referral letters and read lab results.

Specialty SOAP templates

Custom SOAP templates tailored to a specialty, with decision trees to drill into chart annotations and a flowsheet for vitals and labs.

Private charting for psychiatry

The psychiatry page describes private charting that restricts psychotherapy notes to the treating psychiatrist.

E-prescribing and labs

Electronic prescriptions to over 70,000 pharmacies, plus lab interfaces for LabCorp, Quest and others over HL7.

Patient portal and billing

A patient portal for appointments, documents and questionnaires, plus practice management and a medical billing platform.

SimplePractice

Client portal and online booking

Clients request appointments online and complete paperless intake documents through a client portal website. Essential adds email, text and voice reminders and calendar sync.

Notes and treatment plans

Progress notes, a template library and measurement-based care come on every plan; customizable treatment plans and Wiley Treatment Planners start on Essential.

Built-in telehealth

Video sessions are included on every plan. Plus adds group appointments and group telehealth.

Insurance claims and payments

Claims are filed from the account at $0.39 each and clients pay online by card. Insurance Navigator, listed as coming soon, adds claim checks and benefits verification at $1.79 a claim.

Care Aide and Note Taker

Paid AI add-ons. Note Taker drafts progress notes from a recorded session or dictation; Care Aide adds live telehealth support, treatment plans in beta and client-ready summaries.

Clinician mobile app

An iPhone, iPad and Android app to manage the calendar, write and review session notes, share documents, send secure messages and take payments.

Charm EHR

Pricing could not be confirmed. See charmhealth.com.

SimplePractice

• Starter$49

  per month

  Unlimited clients, telehealth, progress notes, insurance claims, online payments, intake forms and a client portal. $24.50 a month for the first 3 months.

• Essential$79

  per month

  Adds free email, text and voice reminders, calendar sync, treatment plans, Wiley Treatment Planners and secure messaging. $39.50 for the first 3 months.

• Plus$99

  per month, plus $74 per additional clinician

  Adds group appointments, group telehealth, a premium support line and advanced analytics. $49.50 for the first 3 months; groups of 6+ can get custom pricing.

Charm EHR

No public discounts listed.

SimplePractice

• Other savings

  50% off the first 3 months

  Starting a paid account within 7 days of signing up halves the first 3 months: $24.50 for Starter, $39.50 for Essential and $49.50 for Plus, then the regular price.