Owl Practice vs TherapyNotes (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 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• Watch out: Enterprise needs at least 30 users, and full medical billing and credentialing go through partners at unpublished prices

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.

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.

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.

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.

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.

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.

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.

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.