Head-to-head · Mental Health EHR Software
Foothold AWARDS vs TherapyNotes
Foothold AWARDS leads on 0 checks, TherapyNotes on 0, and 1 is even. Who comes out ahead on the 1 yes/no, price and count check where we have data for both products. The editor score weighs everything else too.
Our verdict
- Highest scoreFoothold AWARDS · 8.6/10
- Free trialonly TherapyNotes
Foothold AWARDS scores higher on our rubric for mental health ehr software: 8.6 against 8.5 out of 10; our editors rank them #4 and #5.
Foothold AWARDS is the better fit for mid-size and enterprise behavioral-health providers. TherapyNotes is the better fit for practices wanting a mature, full-featured practice EHR.
- Foothold AWARDS fits best
Mid-size and enterprise behavioral-health providers
- TherapyNotes fits best
Practices wanting a mature, full-featured practice EHR
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Side by side
| Feature | Foothold AWARDS 8.6/10 Visit ↗ | TherapyNotes 8.5/10 Visit ↗ |
|---|---|---|
| At a glance | ||
| Editor score | 8.6 | 8.5 |
| Ranking | #4 in Mental Health EHR Software | #5 in Mental Health EHR Software |
| Best for | Mid-size and enterprise behavioral-health providers | Practices wanting a mature, full-featured practice EHR |
| Pricing model | Paid | Paid |
| Starting price | Pricing on request | — |
| Free plan | Not checked yet | — |
| Free trial | — | 30 days |
| Deployment | Cloud | Cloud, Mobile |
| Platforms | Web | Web, iOS, Android |
| Support | Email, Live chat, Phone, Tickets, Docs | Phone, Email · 24/7 |
| Compliance | HIPAA, 2FA | HIPAA, 2FA |
| Built for | Mid-market, Enterprise | Solo, Small business, Mid-market, Enterprise |
| Features Foothold AWARDS 0/6 · TherapyNotes 0/6 | ||
| Telehealth included | Not checked yet | Not checked yet |
| E-prescribing | Not checked yet | Not checked yet |
| Insurance billing | Not checked yet | Not checked yet |
| Client portal | Not checked yet | Not checked yet |
| Mobile app | Not checked yet | Not checked yet |
| Mental health templates | Not checked yet | Not checked yet |
| Our review | ||
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| Cons |
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| Our verdict | Foothold AWARDS combines electronic health records and case management for human services agencies, including behavioral-health providers and organizations serving people with developmental disabilities, supportive housing, or homelessness… Read the review → |
TherapyNotes brings practice management and electronic health records together for behavioral health providers, from solo practitioners to group practices. Its scope covers recurring and one-time appointments, clinical documentation,… Read the review → |
Strengths and trade-offs
Foothold AWARDS — where it wins
- Configurable intake, assessments, service plans, and referral tracking
- Combines outcome reporting, scheduling, billing, and electronic claims
- HIE interoperability plus role-based permissions, audit trails, and adaptive MFA
Where it doesn't
- Pricing requires contacting Foothold Technology
- Designed for multi-program agencies, not a narrow clinical workflow
- Browser-based access; no native mobile app is verified
TherapyNotes — where it wins
- Combines scheduling, clinical notes, billing, and claims management
- Client portal supports intake forms and online appointment changes
- Includes basic telehealth, with mobile apps and 24/7 support
Where it doesn't
- There is no free plan
- Appointment reminders and card processing have separate usage fees
- Premium Telehealth is an additional paid add-on
- Foothold AWARDS8.6/10 · Pricing on request
A configurable EHR for behavioral-health agencies coordinating services, outcomes, and billing.
Visit FootholdFull verdict → - TherapyNotes8.5/10 · 30-day trial
A full-featured behavioral health EHR for solo clinicians and group practices.
Visit TherapyNotesFull verdict →
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Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
Last updated · How we research and update






