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Head-to-head · Chiropractic Practice Software

ChiroSpring 360 vs zHealthEHR

  • Updated Oct 2026
  • Both researched from official sources
  • 8 checks side by side
Higher score ChiroSpring 360 #2 in Chiropractic Practice Software 9.3/10 Paid ✓ 6 of 6 features Visit ChiroSpring
zHealthEHR #6 in Chiropractic Practice Software 8.8/10 Paid ✓ 6 of 6 features Visit zHealthEHR

ChiroSpring 360 leads on 1 check, zHealthEHR on 0, and 7 are even. Who comes out ahead on the 8 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreChiroSpring 360 · 9.3/10
  • Lowest starting priceChiroSpring 360 · $49/mo

ChiroSpring 360 scores higher on our rubric for chiropractic practice software: 9.3 against 8.8 out of 10; our editors rank them #2 and #6.

ChiroSpring 360 is cheaper to start at $49/user/mo against $119/user/mo.

ChiroSpring 360 is the better fit for growing practices needing broad automation. zHealthEHR is the better fit for small practices wanting affordable mobile EHR.

  • ChiroSpring 360 fits best

    Growing practices needing broad automation

  • zHealthEHR fits best

    Small practices wanting affordable mobile EHR

Advertiser disclosure: iTechGuides is reader-supported. Vendors can pay for top positions in our rankings and for a place on other products' pages, and we may earn a commission when you click some links. Bought places stand at the number bought; this page and our disclosure say so. Paying vendors may get a fuller, more detailed review from our editors, and that review can change their score. How we rank.

Side by side

Feature ChiroSpring 360 9.3/10 Visit ↗ zHealthEHR 8.8/10 Visit ↗
At a glance
Editor score 9.3 8.8
Ranking #2 in Chiropractic Practice Software #6 in Chiropractic Practice Software
Best for Growing practices needing broad automation Small practices wanting affordable mobile EHR
Pricing model Paid Paid
Starting price $49/mo (best) $119/user/mo
Free plan — —
Free trial — —
Deployment Cloud, Mobile Cloud, Mobile
Platforms Web, iOS, Android Web, iOS, Android
Support Phone, Docs Email, Phone, Docs · 24/7
Compliance HIPAA HIPAA
Integrations 2 integrations 1 integrations
Built for Solo, Small business, Mid-market, Enterprise Solo, Small business, Mid-market
Features ChiroSpring 360 6/6 · zHealthEHR 6/6
Chiropractic workflows ✓ ✓
Patient records ✓ ✓
Care plans ✓ ✓
SOAP notes ✓ ✓
Automated reminders ✓ ✓
Insurance billing ✓ ✓
Our review
Pros
  • Combines scheduling, SOAP notes, treatment plans, billing, and payments
  • Supports claims, ERA posting, denial management, and insurance verification
  • Adds AI Scribe, chart summaries, reminders, and patient engagement tools
  • Core chiropractic workflows include SOAP notes, care plans, and patient charts.
  • Includes claims, billing, payment processing, reminders, and online booking.
  • Web, iOS, and Android apps support mobile patient and provider access.
Cons
  • No free plan is available
  • The listed integration set focuses on ChiroSpring Pay and Trizetto
  • Several capabilities are separate paid products or add-ons
  • No free plan is available.
  • The listed integration is limited to Google Calendar.
  • Professional costs $249 per provider monthly, versus $119 for Essentials.
Our verdict

ChiroSpring 360 is cloud-based practice management software for chiropractors and chiropractic practices. It brings together appointment scheduling, online appointment requests, digital intake, customizable SOAP notes, treatment plans,…

Read the review →

zHealthEHR is a cloud-based practice management and EHR platform for chiropractors and other wellness providers. It brings scheduling, online booking, digital intake, online check-in, patient charts, customizable SOAP notes, care plans,…

Read the review →
  1. ChiroSpring 360Chiropractic Practice Software 9.3Paid
  2. zHealthEHRChiropractic Practice Software 8.8Paid

Strengths and trade-offs

  • ChiroSpring 360 — where it wins

    • Combines scheduling, SOAP notes, treatment plans, billing, and payments
    • Supports claims, ERA posting, denial management, and insurance verification
    • Adds AI Scribe, chart summaries, reminders, and patient engagement tools

    Where it doesn't

    • No free plan is available
    • The listed integration set focuses on ChiroSpring Pay and Trizetto
    • Several capabilities are separate paid products or add-ons

  • zHealthEHR — where it wins

    • Core chiropractic workflows include SOAP notes, care plans, and patient charts.
    • Includes claims, billing, payment processing, reminders, and online booking.
    • Web, iOS, and Android apps support mobile patient and provider access.

    Where it doesn't

    • No free plan is available.
    • The listed integration is limited to Google Calendar.
    • Professional costs $249 per provider monthly, versus $119 for Essentials.

More comparisons

All chiropractic practice software comparisons → · Full ranking →

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update