Best TherapyNotes Alternatives in 2026 — 5 Options for Therapists
TherapyNotes is a solid EHR, but it is not the right fit for every practice. Common reasons therapists switch: the interface feels dated, Wiley Planners are not needed, or the price is higher than alternatives. Here are the five best HIPAA-compliant alternatives.
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All platforms verified HIPAA-compliant with BAA programs · Updated July 2026
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Quick Answer
SimplePractice ($69/mo Essential) is the best TherapyNotes alternative for most therapists — more modern interface, polished telehealth, and 50% off your first 4 months. Sessions Health (free) is the best free option for solo practices. Jane App ($39 USD/mo) is the best choice if you want live phone support or run a multi-discipline practice — and it now includes online booking on all plans and automatic billing code suggestions.
SimplePractice
Best overall TherapyNotes alternative
From $29/mo (Essential $69/mo)
SimplePractice is the most popular switch from TherapyNotes. It has a more modern interface, lower starting price, and a polished mobile app. The main tradeoff: no Wiley Treatment Planners. If you do not rely on Wiley content, SimplePractice is the stronger platform for most solo practices.
Sessions Health
Best free TherapyNotes alternative
Free (solo) / $49/mo (group)
Sessions Health is a newer platform with a genuine free solo plan that includes a HIPAA BAA — rare in the EHR market. It covers scheduling, notes, telehealth, and a client portal. Less proven than SimplePractice or TherapyNotes, but a real option for budget-conscious therapists.
TheraNest
Best for mid-size group practices
From $39/mo
TheraNest scales better than TherapyNotes for practices with 5-20 clinicians. It has a full billing clearinghouse, progress note library, and client portal. The interface is older, but the functionality is solid for practices that prioritize billing over design.
Jane App
Best for multi-discipline practices & practices that want live phone support
From $39 USD/mo (~$54 CAD)
Jane App stands out for something neither TherapyNotes nor SimplePractice offers: unlimited live support via phone, email, and chat. It is excellent for multi-discipline practices (therapists who work alongside PTs, OTs, or other providers) and Canadian therapists. New in 2026: online booking included on all plans, Autocode for automatic billing code suggestions, Patient Overview for a unified view of patient data, and virtual assistant support for front desk tasks.
Headway
Best if insurance billing is your main pain point
Free (takes % of insurance payments)
Headway handles insurance credentialing and billing entirely — you see clients, they handle the paperwork. It is not a traditional EHR replacement (the clinical tools are basic), but for insurance-heavy practices overwhelmed by billing admin, it solves the core problem.
Why Therapists Switch from TherapyNotes
Interface feels outdated
TherapyNotes has a functional but older design. SimplePractice and Sessions Health both have more modern, mobile-friendly interfaces.
Do not need Wiley Treatment Planners
TherapyNotes' main advantage is built-in Wiley content. If you create your own templates or do not use structured treatment plans, you are paying for a feature you do not use.
Price
TherapyNotes starts at $49/month. SimplePractice's Starter plan is $29/month and Sessions Health offers a free solo plan.
No phone support needed
TherapyNotes' phone support is valuable for some practices — but if you prefer chat/email support, SimplePractice's support is comparable.
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FAQ — TherapyNotes Alternatives
What is the most popular alternative to TherapyNotes?
SimplePractice is the most commonly cited TherapyNotes alternative. It has a more modern interface, lower starting price, and covers all the same core HIPAA requirements. The main thing it lacks compared to TherapyNotes is Wiley Treatment Planners.
Is there a free alternative to TherapyNotes?
Yes — Sessions Health offers a free solo plan that includes scheduling, notes, telehealth, and a HIPAA BAA. It is a newer platform with fewer integrations than TherapyNotes, but a genuine free option for therapists watching costs.
Can I export my data from TherapyNotes to another platform?
Yes. TherapyNotes allows data export. Most therapists export client records as PDFs and re-enter active client information into the new platform. The process typically takes a few hours of administrative work. Plan for a transition window of 1-2 weeks.
Is SimplePractice cheaper than TherapyNotes?
SimplePractice Starter ($29/mo) is cheaper than TherapyNotes ($49/mo), but the Starter plan is missing telehealth, billing, and messaging. For an equivalent feature set, SimplePractice Essential ($69/mo) is more expensive than TherapyNotes. However, SimplePractice currently offers 50% off the first 4 months, making the effective price $34.50/mo for the first 4 months.
Does Jane App work for US therapists?
Yes — Jane App is available in the US and includes a HIPAA BAA for US-based therapists. It is most popular in Canada (where it was founded), but US therapists — especially those in multi-discipline practices or who want live phone support — use it successfully. New in 2026: online booking included on all plans, automatic billing code suggestions (Autocode), and virtual assistant support for front desk tasks.
What is the main reason therapists stay with TherapyNotes instead of switching?
Wiley Treatment Planners. TherapyNotes includes built-in access to Wiley Practice Planners, which provide structured, evidence-based treatment plan templates for depression, anxiety, trauma, and dozens of other presenting problems. No other major EHR includes Wiley content — if structured treatment planning is part of your clinical workflow, TherapyNotes is the clear choice.