BreezyNotes vs Elation Health
Elation Health scores 7.0/10 vs 6.5/10. Best for: Independent primary care practices that want the cleanest charting interface without the clutter of features they won't use.
Elation Health scores higher overall at 7.0/10 vs 6.5/10. Buy Elation if you're an independent primary care practice that wants the cleanest charting interface in the market. Skip entirely if you're a therapist — this was not built for behavioral health workflows.
BreezyNotes 
Elation Health Rank
#36 of 41
Rank
#25 of 41
Features
14/18
Features
17/18
Starting at
$19/mo
Starting at
$349/mo
User reviews
4/5 (14)
User reviews
4.3/5 (93)
What they cost
| BreezyNotes | Elation Health | |
|---|---|---|
| Starting at | CA$19 /mo | $349 /mo |
| Free trial | 30 days | 30 days |
| Number of plans | 3 | 2 |
What the pricing really means
At first glance, BreezyNotes looks cheaper at $19/month vs $349/month. But sticker price is only part of the story. Look at what is included on the base plan, how many users you get, and whether you need add-ons to get the features you actually need. The $99/month plan that requires $200 in add-ons is actually more expensive than the $250/month plan that includes everything.
Where BreezyNotes wins
- Built specifically for Canadian therapists with Canadian billing codes and insurance workflows, which US-based EHRs typically do not support
- Pay-per-note pricing starts at $19/mo and scales with volume, so quiet months cost less instead of a flat fee you pay regardless
- Pricing is per practice, not per therapist, so adding clinicians does not multiply your monthly bill
- Customer support is consistently praised in reviews for being responsive and treating practices like partners, not ticket numbers
Where Elation Health wins
- Clinical-first design with a single-page chart that primary care docs love
- Best-in-KLAS 2023 for telehealth, powered by Zoom
- Open API with webhook catalog for custom integrations
- 30-day free trial with no credit card needed
Where BreezyNotes falls short
- Only 14 reviews on Capterra, which makes it hard to assess long-term reliability or know what happens when things go wrong
- No native mobile app, so charting between sessions means logging into a browser on your phone
- No e-prescribing or outcome measurement tools, so prescribers and researchers will need separate systems
- Client portal and appointment reminders are reported as not fully functional by some reviewers, with manual data entry still required in spots
Where Elation Health falls short
- Only 14 G2 reviews despite being a well-known platform
- Annual contracts required since September 2023 with no month-to-month option
- Starting at $349/provider/mo puts it in the expensive tier
- Built for primary care, not behavioral health or therapy workflows
Who is each product built for?
BreezyNotes
Target: 1-15 therapists
Buy BreezyNotes if you practice in Canada and need an EHR that understands Canadian insurance billing without workarounds. Skip if you are US-based, need e-prescribing, or want a platform with a larger user community and more reviews.
Elation Health
Target: 1-50 providers
Buy Elation if you're an independent primary care practice that wants the cleanest charting interface in the market. Skip entirely if you're a therapist — this was not built for behavioral health workflows.
Feature comparison
| Feature | BreezyNotes | Elation Health |
|---|---|---|
| Compliance & Security | ||
| HIPAA compliant | ||
| Telehealth / video sessions | ||
| Secure messaging | ||
| Scheduling & Clients | ||
| Online scheduling | ||
| Client portal | ||
| Intake forms / assessments | ||
| Automated reminders | ||
| Clinical | ||
| Progress notes / documentation | ||
| Treatment plans | ||
| E-prescribing | ||
| Outcome measures / assessments | ||
| Billing & Payments | ||
| Insurance billing / claims | ||
| Payment processing | ||
| Superbill generation | ||
| Automated billing | ||
| Platform | ||
| Group practice support | ||
| Mobile app | ||
| Integrations / API | ||
Common questions
Elation Health scores 7.0/10 vs BreezyNotes's 6.5/10 in our ranking. Elation Health is the better pick for 1-50 providers. BreezyNotes is better if you need canadian mental health professionals who need an ehr that handles canadian billing codes and insurance workflows out of the box.
BreezyNotes starts at $19/month. Elation Health starts at $349/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
BreezyNotes: Yes, 30-day free trial. Elation Health: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
BreezyNotes covers 14 of 18 features we track. Elation Health covers 17 of 18. Elation Health has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
No, BreezyNotes does not have a mobile app. Elation Health does have one.
Yes. The main effort is migrating your data (customer lists, job history, invoices). Plan for 1-2 weeks of overlap where you run both. Most healthcare practice management tools can import CSV data. Ask both vendors about migration support before you sign.
The bottom line
Pick BreezyNotes if...
Canadian mental health professionals who need an EHR that handles Canadian billing codes and insurance workflows out of the box.
Pick Elation Health if...
Independent primary care practices that want the cleanest charting interface without the clutter of features they won't use