Cliniko vs ICANotes
Cliniko scores 7.8/10 vs 6.5/10. Best for: Physiotherapy and allied health clinics that want a clean interface with all features unlocked on every plan and no per-feature upsells.
Cliniko scores higher overall at 7.8/10 vs 6.5/10. Buy Cliniko if you want the cleanest interface in allied health with zero feature gating and stable pricing. Skip if you bill US insurance directly or need a platform with a large review base to validate before buying.
Cliniko 
ICANotes Rank
#9 of 41
Rank
#37 of 41
Features
14/18
Features
16/18
Starting at
$45/mo
Starting at
$35/mo
User reviews
4.5/5 (227)
User reviews
3.8/5 (130)
What they cost
| Cliniko | ICANotes | |
|---|---|---|
| Starting at | $45 /mo | $35 /mo |
| Free trial | 30 days | 0 days |
| Number of plans | 4 | 5 |
What the pricing really means
At first glance, ICANotes looks cheaper at $35/month vs $45/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 Cliniko wins
- Every plan gets the full feature set with no feature gating, so you are not paying more just to unlock telehealth or notes
- Prices have not changed since 2011, which is rare in SaaS and means no surprise annual increases
- 4.9/5 ease-of-use score on Capterra, which is the highest in allied health practice management
- 30-day free trial is enough time to actually migrate data and test with real patients before committing
- Unlimited locations included on all plans, which matters for clinics expanding to a second site
Where ICANotes wins
- Point-and-click note builder genuinely reduces documentation to 2-3 minutes per session, which users consistently confirm in reviews
- Over 100 built-in clinical assessments with automatic scoring and trend tracking tied directly to treatment plans
- E-prescribing with EPCS and lab integration on the Prescribing plan, so psychiatrists can handle everything in one system
- Part-time pricing starts at $35/mo for clinicians with lighter caseloads, which is rare in behavioral health EHRs
Where Cliniko falls short
- Only 23 reviews on Capterra means the 4.7 rating is based on a thin sample compared to competitors with 200+ reviews
- No built-in insurance billing or clearinghouse integration, so US practices billing insurance need a separate tool
- Jump from $45 Solo to $95 Team is a big leap just for adding one more practitioner
- SMS reminders are billed separately by country, and costs are not published upfront on the pricing page
Where ICANotes falls short
- Interface looks like it was built in the 1990s and has not had a visual refresh, which multiple Capterra reviewers call out
- No native mobile app, so mobile access requires Microsoft Remote Desktop or a browser, which is clunky
- Telehealth is a $10/mo per user add-on, not included, and the $99 activation fee on prescribing plans adds up
- Appointment scheduler is reported as slow by multiple reviewers, with lag when booking or rearranging sessions
Who is each product built for?
Cliniko
Target: 1-25 clinicians
Buy Cliniko if you want the cleanest interface in allied health with zero feature gating and stable pricing. Skip if you bill US insurance directly or need a platform with a large review base to validate before buying.
ICANotes
Target: 1-30 clinicians
Buy ICANotes if speed of documentation is your top priority and you will trade a modern interface for 3-minute progress notes. Skip if you care about design, need a mobile app, or want telehealth included.
Feature comparison
| Feature | Cliniko | ICANotes |
|---|---|---|
| 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
Cliniko scores 7.8/10 vs ICANotes's 6.5/10 in our ranking. Cliniko is the better pick for 1-25 clinicians. ICANotes is better if you need behavioral health clinicians who dread documentation and want to cut note-writing time from 30 minutes to under 5 minutes per session.
Cliniko starts at $45/month. ICANotes starts at $35/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
Cliniko: Yes, 30-day free trial. ICANotes: No free trial. Always test with your actual workflow before committing to an annual plan.
Cliniko covers 14 of 18 features we track. ICANotes covers 16 of 18. ICANotes has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, Cliniko has a mobile app. ICANotes does not.
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 Cliniko if...
Physiotherapy and allied health clinics that want a clean interface with all features unlocked on every plan and no per-feature upsells.
Pick ICANotes if...
Behavioral health clinicians who dread documentation and want to cut note-writing time from 30 minutes to under 5 minutes per session.