Owl Practice vs TherapyNotes
TherapyNotes scores 8.2/10 vs 7.0/10. 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 7.0/10. 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.
Owl Practice 
TherapyNotes Rank
#28 of 41
Rank
#3 of 41
Features
15/18
Features
17/18
Starting at
$25/mo
Starting at
$69/mo
User reviews
4/5 (72)
User reviews
4.4/5 (1052)
What they cost
| Owl Practice | TherapyNotes | |
|---|---|---|
| Starting at | $25 /mo | $69 /mo |
| Free trial | 14 days | 30 days |
| Number of plans | 4 | 3 |
What the pricing really means
At first glance, Owl Practice looks cheaper at $25/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 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 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 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
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?
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.
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 | Owl Practice | 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 Owl Practice's 7.0/10 in our ranking. TherapyNotes is the better pick for 1-50 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.
Owl Practice starts at $25/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.
Owl Practice: Yes, 14-day free trial. TherapyNotes: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
Owl Practice covers 15 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.
No, Owl Practice does not have a mobile app. TherapyNotes 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 Owl Practice if...
Canadian psychologists and therapists who want an EHR built for their regulatory and billing requirements without paying US-centric software prices
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.