Owl Practice vs TherapyAppointment (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 TherapyAppointment if

• Fits if you are a solo therapist who sees few clients and takes insurance
• Works for a group practice that wants reports by clinician and location

Look elsewhere if

• Pricey if you are busy: the $10 rate ends once you book more than 10 sessions
• Watch out: claims cost $0.15 each, benefit lookups $0.07 and payments 2.9% + $0.30
• Watch out: integrated telehealth is $15 a month per provider, and Zoom needs your own licence
• Pricey if you prescribe: e-prescribing is $65 a month per prescriber plus a $110 setup fee

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.

TherapyAppointment

• Insurance claims cost $0.15 each (paid to Office Ally) and benefit lookups $0.07; payments cost 2.9% + $0.30.
• Integrated telehealth is $15 a month per provider; Zoom integration is $5 plus your own Zoom for Healthcare license.
• E-prescribing is $65 a month per prescriber plus a $110 setup fee.
• Single sign-on on the Group plan is $5 a month per staff member.

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.

TherapyAppointment

Scheduling and reminders

Customizable availability, client self-scheduling, multiple locations, free appointment reminders and 2-way sync with Google, iCal and Outlook.

Client portal and messaging

A secure portal with unlimited client messaging, paperless intake with e-signatures, assessments and progress notes.

Insurance billing

Electronic claims, benefits verification, automatic ERA posting, and claim progress logs with notices for problem claims.

Reporting

Audit reports, earnings tracking and practice analytics; the Group plan adds financial and data reports by clinician and location.

Add-on tools

TA Integrated Telehealth, Zoom integration, AI Notes at $0.59 per chart note, e-prescribing and integrated payment processing.

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.

TherapyAppointment

• Solo Practice$10

  per month until you book more than 10 sessions

  Intro rate after the 30-day trial. It rises to $39 a month past 10 sessions, and to $59 past 39.

• Solo Practice (standard)$59

  per month, after booking 40 sessions

  Standard rate for solo clinicians once they book 40 sessions; every feature is included.

• Group Practice$59

  per month, plus $39 per additional clinician

  Unlimited sessions, payroll report summary, reports by clinician and location, supervisor sign-off and new-client triage.

• Edu & Non-ProfitCustom

  Special pricing for 501(c)(3) organizations, universities and training centers, quoted by sales.

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.

TherapyAppointment

• Nonprofit

  Special pricing for non-profits and schools

  501(c)(3) organizations, universities and training centers can ask sales for special pricing; the page gives no figures.