Elation Health vs Owl Practice
Both score 7.0/10. Compare features and pricing below.
Both score 7.0/10. 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.
Elation Health 
Owl Practice Rank
#25 of 41
Rank
#28 of 41
Features
17/18
Features
15/18
Starting at
$349/mo
Starting at
$25/mo
User reviews
4.3/5 (93)
User reviews
4/5 (72)
What they cost
| Elation Health | Owl Practice | |
|---|---|---|
| Starting at | $349 /mo | $25 /mo |
| Free trial | 30 days | 14 days |
| Number of plans | 2 | 4 |
What the pricing really means
At first glance, Owl Practice looks cheaper at $25/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 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 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 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
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?
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.
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 | Elation Health | 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
Both score 7.0/10. Elation Health fits 1-50 providers, while Owl Practice fits 1-10 clinicians. Pick based on your team size and the features you need most.
Elation Health starts at $349/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.
Elation Health: Yes, 30-day free trial. Owl Practice: Yes, 14-day free trial. Always test with your actual workflow before committing to an annual plan.
Elation Health covers 17 of 18 features we track. Owl Practice covers 15 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.
Yes, Elation Health 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 Elation Health if...
Independent primary care practices that want the cleanest charting interface without the clutter of features they won't use
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