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Head-to-head · Mental Health EHR Software

Foothold AWARDS vs TherapyNotes

  • Updated Oct 2026
  • Both researched from official sources
  • 1 check side by side
Higher score Foothold AWARDS #4 in Mental Health EHR Software 8.6/10 Pricing on request ✓ 0 of 6 features Visit Foothold
TherapyNotes #5 in Mental Health EHR Software 8.5/10 30-day trial Free trial✓ 0 of 6 features Visit 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

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 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
Pros
  • 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
  • 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
Cons
  • Pricing requires contacting Foothold Technology
  • Designed for multi-program agencies, not a narrow clinical workflow
  • Browser-based access; no native mobile app is verified
  • There is no free plan
  • Appointment reminders and card processing have separate usage fees
  • Premium Telehealth is an additional paid add-on
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 →
  1. Foothold AWARDSMental Health EHR Software 8.6Pricing on request
  2. TherapyNotesMental Health EHR Software 8.530-day trial

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

More comparisons

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update