ChiroHD vs Cliniko (2026): which should you pick?
As of Nov 13, 2026, Cliniko grades higher than ChiroHD: 2.4 against 1.6 out of 4.0.
Checked Oct 24, 2026 and Nov 13, 2026 · graded Oct 24, 2026 and Nov 13, 2026 by ToolGPA
ChiroHD grades higher on features. Cliniko grades higher on value for money, the free plan and platforms. They get the same grade on ease of use.
Price, platforms and features side by side. The table says where each price was read and when.
Cliniko
Practice management for allied health clinics, priced by practitioners
Which one is for you
Pick ChiroHD if
- Fits if you run a chiropractic office that wants charting and scheduling together
- Works for multi-location practices that want one view
Look elsewhere if
- Pricey if you add the patient app and mass messaging, which start on Scale at $509
- Skip it if you're not a chiropractor, since it is built for chiropractic
- Watch out: setup is $799, data migration $499, and texts cost $0.03 each
- Tight if you need forms, which are a $39 a month add-on on Entry and Scale
- Not for you if you need weekend support, as it is weekdays 9am to 5pm Eastern
Pick Cliniko if
- Fits if you run an allied health clinic with classes such as pilates as well as one-on-one visits
- Works for clinics with lots of reception and admin staff, since only practitioners are charged
Look elsewhere if
- Not for you if you bill US insurance from inside the app, as claims come only through third-party apps
- Skip it if you want AI notes built in or a native phone app; neither is on Cliniko's own feature pages
- Watch out: prices step up in bands, so a clinic of 6 pays $145 a month, the same as one of 8
- Watch out: SMS reminders use prepaid credits at 10¢ a message, and connected apps may charge their own fees
- Watch out: telehealth stays locked during the trial until you add a card
How we grade them
| 1.6GPAChiroHDWeak | 2.4GPAClinikoFair | |
|---|---|---|
| Value for money | D$299 a month on the Entry plan, against $95 where the dearest tenth of therapy tools starts, plus $799 to set up and $499 to move data. | B$95 a month covers two to five practitioners, so $19 each for a clinic of five, inside this category's cheaper quarter ($25). One practitioner pays $45, above the middle ($39), and the bands jump: six pay the same $145 as eight. |
| Free plan and trial | FNo free plan and no trial are on record for this product. | CA 30-day trial with no payment details. Telehealth stays locked until you put a card on file, though, and there's no free plan unless you're a charity or a school. |
| Features | BSOAP charting, scheduling, billing and insurance claims, a patient app and messaging, and multi-location views. Custom forms, and texting setup, cost extra. | CCalendar, online bookings, classes, telehealth, configurable notes with body charts, forms, invoicing, stock and a public API. The listing's own gap keeps it here: no insurance claim filing or AI scribe of its own, only through third-party apps. |
| Ease of use | CSetup and data migration are quoted as paid onboarding; no store rating on record. | CNo App Store rating on record. Note templates, forms and SMS credits need setting up, and claims or AI notes mean picking and linking a connected app. |
| Platforms and integrations | CWeb only, with links to CLA Synapse and Go High Level. | BWeb, with a public API, Xero sync and a directory of 94 connected apps. There are no native mobile apps; the calendar and notes are pages in a phone's browser. |
| Best for | EHR and scheduling for chiropractic offices | allied health clinics that also run classes |
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: ChiroHD and Cliniko. How we grade
Price against what you get
ChiroHD starts at $299 a month and scores 2.3 out of 4 on features, ease of use and platforms. Cliniko starts at $45 a month and scores 2.3.
They score the same, and Cliniko starts $254 a month lower. Of the other therapy and clinic software on the chart, 13 score higher than ChiroHD for less, and 8 score higher than Cliniko for less.
Features, ease of use and platforms, averaged
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
Where they differ
- ChiroHD also covers insurance billing and review collection.
- Cliniko also covers invoicing, telehealth and class booking.
At a glance
| ChiroHD | Cliniko | |
|---|---|---|
| Pricing | Paid | Free trial |
| Starts at | $299 per month, annual plan paid monthly ($289 if paid up-front) | $45 per month (1 practitioner) |
| Free plan | None | None |
| Free trial | None listed | 30-day free trial, no payment details needed |
| Web | ||
| Made by | ChiroHD | Cliniko |
| Price read from | chirohd.com | cliniko.com |
| Checked | Nov 13, 2026 | Oct 24, 2026 |
Worth knowing
ChiroHD
- Setup costs $799 for implementation plus $499 for data migration, as one-time fees.
- Custom digital patient forms are a $39 a month add-on on Entry and Scale; the texting compliance setup (A2P 10DLC) is $45.
- Support is by email or in-app chat on weekdays, 9am to 5pm Eastern.
Cliniko
- Prices step up in bands: a clinic with 6 practitioners pays $145 a month, the same as one with 8.
- SMS reminders use prepaid credits at 10¢ per message; connected third-party apps may charge their own fees.
- Cliniko's feature pages list no insurance claim filing or AI scribe of its own; those come from third-party connected apps.
- There are no native mobile apps; the calendar and notes are mobile-friendly pages in the browser.
Key features
ChiroHD
- SOAP charting
- Custom smart-note buttons, macro chaining and auto-complete for SOAP notes, plus chief complaint history and subluxation findings.
- Scheduling
- Per-provider calendars, unlimited appointment types and sub-types, and drag-and-drop booking, with text reminders.
- Billing and insurance claims
- Integrated payments plus insurance claim management and tracking are listed on the Entry plan.
- Patient app and messaging
- From Scale up, the SKED mobile app, 2-way texting, mass SMS, email and push notifications keep patients in contact.
- Reactivation and AI
- Performance adds recall sequences and drip campaigns. Autopilot adds the SPARK engine and a chatbot for website visitors.
- Multi-location view
- Franchises and multi-office groups can see every location on one dashboard or open a single location's data.
Cliniko
- Calendar and online bookings
- Clients book and cancel online around the clock. The calendar handles repeat appointments, wait lists, multiple locations, time zones, and groups or classes such as pilates.
- Telehealth
- Video consultations are built in. During the free trial they unlock only once a credit card is on file.
- Treatment notes and forms
- Fully configurable note templates, body charts, draft notes, letters and medical alerts, plus online intake forms and questionnaires that save to the patient record.
- Invoicing, payments and stock
- Invoices from the calendar, online payments, prepayments, concessions, statements, product sales with stock levels, expenses, and automatic sync to Xero.
- Reminders and SMS
- Automated SMS and email reminders and follow-ups, bulk SMS and two-way replies logged on the client record, using prepaid credits at 10¢ a message.
- API and connected apps
- A public API, and a directory of 94 connected apps, mostly third-party, for AI notes and receptionists, booking sites, exercise programs and reporting.
Plans
ChiroHD
Entry$299
per month, annual plan paid monthly ($289 if paid up-front)
The ChiroHD EHR: scheduling, billing, records, care plans, 2-way texting, reminders and online scheduling. Texts cost $0.03 each.
Scale$509
per month, annual plan paid monthly ($489 if paid up-front)
Entry plus SKED: patient mobile app, mass SMS, email and push, and a Google review booster. 8,500 texting credits a month.
Performance$599
per month, annual plan paid monthly ($569 if paid up-front)
Scale plus reactivation and recall sequences, drip campaigns, custom digital forms and CLA Synapse and Go High Level links. 12,500 credits.
Autopilot$759
per month, annual plan paid monthly ($719 if paid up-front)
Performance plus the SPARK AI reactivation engine, a website chatbot, managed services and concierge support. 15,000 credits a month.
Cliniko
1 practitioner$45
per month for 1 practitioner
Every feature, with unlimited patients, admin and reception users, locations and file storage.
2 to 5 practitioners$95
per month for up to 5 practitioners
Same features as every plan; the price covers any number of practitioners from 2 to 5.
6 to 8 practitioners$145
per month for up to 8 practitioners
Same features as every plan, for clinics of 6 to 8 practitioners.
9 to 12 practitioners$195
per month for up to 12 practitioners
Same features as every plan, for clinics of 9 to 12 practitioners.
13 to 25 practitioners$295
per month for up to 25 practitioners
Same features as every plan, for clinics of 13 to 25 practitioners.
26 to 200 practitioners$395
per month for up to 200 practitioners
Same features as every plan, for clinics of 26 to 200 practitioners.
Ways to pay less
ChiroHD
- Other savings
New graduate pricing
ChiroHD's pricing FAQ says it offers special pricing for new chiropractic graduates; the amount is not listed there.
Cliniko
- Annual discount
One month free with annual billing
Cliniko's pricing FAQ says paying annually gives one month free every year, on top of the initial trial.
- Nonprofit
Free for charities and educational institutions
Registered charities and educational institutions can use Cliniko free; they arrange the free subscription by contacting the company.
Common questions
Which is cheaper, ChiroHD or Cliniko?
As of Nov 13, 2026, Cliniko is cheaper to start with: $45 a month, against $299 a month for ChiroHD. ChiroHD starts at $299 per month, annual plan paid monthly ($289 if paid up-front), and Cliniko starts at $45 per month (1 practitioner).
Which has a free plan, ChiroHD or Cliniko?
As of Nov 13, 2026, neither ChiroHD nor Cliniko has a free plan. Cliniko 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.