Cliniko vs Owl Practice
Cliniko scores 7.8/10 vs 7.0/10. 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 7.0/10. 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 
Owl Practice Rank
#9 of 41
Rank
#28 of 41
Features
14/18
Features
15/18
Starting at
$45/mo
Starting at
$25/mo
User reviews
4.5/5 (227)
User reviews
4/5 (72)
What they cost
| Cliniko | Owl Practice | |
|---|---|---|
| Starting at | $45 /mo | $25 /mo |
| Free trial | 30 days | 14 days |
| Number of plans | 4 | 4 |
What the pricing really means
At first glance, Owl Practice looks cheaper at $25/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 Owl Practice wins
- Built specifically for Canadian mental health professionals. PIPEDA/PHIPA compliance, Canadian billing codes, and provincial insurance requirements are all native, not bolted on
- Measurement-based care tools on the Pro plan let you track client outcomes with standardized assessments, which most competitors charge extra for or skip entirely
- Admin staff accounts are free. You only pay per clinician who sees clients, which saves real money in a group practice
- APA-endorsed, which gives it credibility if you are a psychologist looking for something vetted by your professional association
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 Owl Practice falls short
- Small review count (72 on Capterra). The user community is much smaller than SimplePractice or TherapyNotes, so you will find fewer tutorials and forum answers
- No mobile app. Managing your schedule between sessions means logging into a browser
- Insurance claims cost $0.25 each and eligibility checks $0.15 each on top of your monthly fee. Those per-transaction costs add up if you file 100+ claims a month
- The introductory pricing ($25/month for Starter) jumps significantly after the promo period, so check the regular rates before committing
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.
Owl Practice
Target: 1-10 clinicians
Buy Owl Practice if you are a Canadian therapist or psychologist who needs PIPEDA compliance and Canadian billing built in from day one. Skip it if you are US-based or want a large user community with plenty of third-party resources.
Feature comparison
| Feature | Cliniko | Owl Practice |
|---|---|---|
| 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 Owl Practice's 7.0/10 in our ranking. Cliniko is the better pick for 1-25 clinicians. Owl Practice is better if you need canadian psychologists and therapists who want an ehr built for their regulatory and billing requirements without paying us-centric software prices.
Cliniko starts at $45/month. Owl Practice starts at $25/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. Owl Practice: Yes, 14-day free trial. Always test with your actual workflow before committing to an annual plan.
Cliniko covers 14 of 18 features we track. Owl Practice covers 15 of 18. Owl Practice 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. Owl Practice 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 Owl Practice if...
Canadian psychologists and therapists who want an EHR built for their regulatory and billing requirements without paying US-centric software prices