Owl Practice vs Sessions Health (2026): which should you pick?

Pick Owl Practice if

• Fits if you see couples, families or groups and want them in one telehealth call
• Works for Canadian practices that need data kept in Canada and support in French

Look elsewhere if

• Tight if you're on Growth, which stops at 20 sessions a month and has no client online booking
• Pricey if you want secure messaging and clinical measures, which need Professional at CA$100 plus tax
• Watch out: prices are published only in Canadian dollars; the US site shows none and offers a demo
• Skip it if you want a phone app, as none is named on its pages
• Watch out: there are no one-off add-ons, so one feature can mean a whole plan up, and group practices get custom quotes

Pick Sessions Health if

• Fits if you're an insurance-based therapist who files lots of claims and watches the per-claim fee
• Works for group practices with billers and admins, who cost nothing on Professional

Look elsewhere if

• Tight if you're staying free: 3 active clients, one practitioner and no administrator accounts
• Pricey if you want telehealth and AI notes, at $10 and $35 a month per practitioner on top of the plan
• Skip it if you want a phone app, as it runs only in the browser
• Watch out: claims are 19¢ to 25¢ each, eligibility checks 15¢, and cards 2.9% + 30¢ through Stripe
• Watch out: text reminders sent outside the US may cost extra, and telehealth calls hold 4 people at most

Owl Practice

• The published prices are the Canadian site's, in CAD plus tax; the US site, Owl Practice Suite, shows no prices and offers a demo or free start.
• Growth stops at 20 sessions a month; online booking needs Advanced, and secure messaging and clinical measures need Professional.
• Features come only with plan tiers, with no one-off add-ons; group practices get custom quotes.
• It runs in the browser; no native mobile apps are named on its pages.

Sessions Health

• The free plan stops at 3 active clients and has no administrator accounts.
• Telehealth ($10 a month) and AI Assist ($35 a month) are charged per practitioner, on top of the plan.
• Card payments run through Stripe at 2.9% + $0.30; text reminders sent outside the US may cost extra.
• It runs only in the browser; no mobile apps are listed.

Owl Practice

Scheduling and online booking

Rooms, waitlists, recurring sessions, couples and family bookings, and iCal or Google Calendar sync. Client online booking starts on Advanced.

Notes and clinical measures

A note template library, custom and handwritten notes, supervision support, and 85+ clinical measures that score themselves, subscales included.

Telehealth for families and groups

Video sessions with a waiting room and in-session chat, for individuals, couples, families and groups, with a supervisor able to join.

Secure messaging and portal

A client portal for booking, forms and payments; Professional adds secure conversations that clients can start, with read receipts and two-way documents.

Billing and insurance claims

Invoices, card and ACH payments, sliding-scale fees and split billing. The US edition files claims to 5,000+ payers and checks benefits with 2,000+.

Zencare directory (US)

Owl Practice Suite pairs the EHR with Zencare, a therapist directory and marketing service, plus out-of-network benefit checks and courtesy claims for private-pay clients.

Sessions Health

Notes, forms and assessments

Custom forms, note templates, treatment plans and questionnaires from a template library, auto-scored assessments, and loading a new note from the previous one.

Insurance billing

Batch electronic claims from $0.25 down to $0.19 each by volume, ERAs, secondary claims, incident-to billing, real-time eligibility at $0.15 a report, and courtesy billing.

Scheduling and reminders

Two-way or one-way calendar sync, customizable email and text reminders, client time zones and online appointment requests.

Client portal

Paperless intake with e-signature, secure messaging, online scheduling and payments, with handling for minors, couples and conjoint clients.

Telehealth add-on

$10 a month per practitioner for browser video with up to 4 participants, a waiting room, screen sharing and chat; other video tools can be linked in reminders for free.

AI Assist

$35 a month per practitioner: AI notes from a session summary, an audio upload or a live scribe of telehealth and in-person sessions, plus pre-session and treatment summaries.

Owl Practice

• GrowthCA$60

  per month plus tax, for up to 20 sessions a month

  All core features for therapists starting out or working part-time: calendar, notes, telehealth, client portal, payments and free email and SMS reminders.

• AdvancedCA$80

  per month plus tax

  Unlimited sessions, client online booking, circle of care, and customizable intake and consent forms.

• ProfessionalCA$100

  per month plus tax

  Adds shareable video links, secure messaging, couples and family conversations, clinical measures and medication tracking.

• Group PlusCustom

  Negotiated by number of clinicians, for multi-therapist practices; Group Plus Video adds integrated telehealth.

Sessions Health

• Freemium$0

  Up to 3 clients and 1 practitioner, with notes, scheduling, payments, insurance billing and the client portal; no administrator accounts.

• Professional$39

  per month, plus $29 per additional practitioner

  Unlimited clients, unlimited administrators at no cost, and every core feature. Telehealth, claims and AI Assist are add-ons.

Owl Practice

• Other savings

  60% off the first 3 months

  On the Canadian pricing page, solo plans signed up by October 31 are 60% off for 3 months (Growth CA$24, Advanced CA$32, Professional CA$40), with a free month of Smart Notes.

• Other savings

  $100 off for each referred therapist

  Owl's Refer a Friend program takes $100 off the subscription for every referred therapist who signs up; partner Canadian associations also offer discounts.

Sessions Health

No public discounts listed.