Cliniko vs TherapyNotes
TherapyNotes scores 8.2/10 vs 7.8/10. Best for: Behavioral health clinicians who spend too much time on documentation and want an EHR that was actually designed around therapy notes, not adapted from a general medical template.
TherapyNotes scores higher overall at 8.2/10 vs 7.8/10. Buy TherapyNotes if documentation and insurance billing are your top priorities and you want a platform that thinks like a clinician. Skip if you need integrations with external tools or if per-message reminder costs would eat into your margins.
Cliniko 
TherapyNotes Rank
#9 of 41
Rank
#3 of 41
Features
14/18
Features
17/18
Starting at
$45/mo
Starting at
$69/mo
User reviews
4.5/5 (227)
User reviews
4.4/5 (1052)
What they cost
| Cliniko | TherapyNotes | |
|---|---|---|
| Starting at | $45 /mo | $69 /mo |
| Free trial | 30 days | 30 days |
| Number of plans | 4 | 3 |
What the pricing really means
At first glance, Cliniko looks cheaper at $45/month vs $69/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 TherapyNotes wins
- Purpose-built for behavioral health notes with structured templates that match how therapists actually document, not generic medical forms bolted on
- Insurance billing and ERA posting are genuinely good, with electronic claim submission and automated payment reconciliation
- E-prescribing with EPCS included in the base price, so psychiatrists do not need a separate add-on
- Capterra 4.7 with nearly 1,000 reviews is one of the highest satisfaction scores in the category
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 TherapyNotes falls short
- No open API, so you cannot connect to tools they have not pre-built integrations for
- Per-text reminder charges of $0.14 each add up fast if you send confirmations and follow-ups to every client
- Premium telehealth is a $15/clinician/mo add-on on top of the base price, while competitors include it
- Mobile app only launched January 2026 and is still maturing compared to SimplePractice's years-old app
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.
TherapyNotes
Target: 1-50 clinicians
Buy TherapyNotes if documentation and insurance billing are your top priorities and you want a platform that thinks like a clinician. Skip if you need integrations with external tools or if per-message reminder costs would eat into your margins.
Feature comparison
| Feature | Cliniko | TherapyNotes |
|---|---|---|
| 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
TherapyNotes scores 8.2/10 vs Cliniko's 7.8/10 in our ranking. TherapyNotes is the better pick for 1-50 clinicians. Cliniko is better if you need physiotherapy and allied health clinics that want a clean interface with all features unlocked on every plan and no per-feature upsells.
Cliniko starts at $45/month. TherapyNotes starts at $69/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. TherapyNotes: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
Cliniko covers 14 of 18 features we track. TherapyNotes covers 17 of 18. TherapyNotes 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. TherapyNotes does too.
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 TherapyNotes if...
Behavioral health clinicians who spend too much time on documentation and want an EHR that was actually designed around therapy notes, not adapted from a general medical template.