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Head-to-head · Therapy Notes Software

ICANotes vs Owl Practice

  • Updated Oct 2026
  • Both researched from official sources
  • 3 checks side by side
Higher score ICANotes #4 in Therapy Notes Software 8.4/10 Free plan · 30-day trial Free planFree trial✓ 2 of 4 features Visit ICANotes
Owl Practice #8 in Therapy Notes Software 7.9/10 14-day trial Free trial✓ 1 of 4 features Visit Owl Practice

ICANotes leads on 1 check, Owl Practice on 0, and 2 are even. Who comes out ahead on the 3 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreICANotes · 8.4/10
  • Free planonly ICANotes
  • Free trialboth
  • Most featuresICANotes · 2 of 4

ICANotes scores higher on our rubric for therapy notes software: 8.4 against 7.9 out of 10; our editors rank them #4 and #8.

ICANotes offers free plan; Owl Practice doesn't.

ICANotes is the better fit for clinicians who want behavioral-health documentation depth. Owl Practice is the better fit for small practices prioritizing scheduling and client access.

  • ICANotes fits best

    Clinicians who want behavioral-health documentation depth

  • Owl Practice fits best

    Small practices prioritizing scheduling and client access

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 ICANotes 8.4/10 Visit ↗ Owl Practice 7.9/10 Visit ↗
At a glance
Editor score 8.4 7.9
Ranking #4 in Therapy Notes Software #8 in Therapy Notes Software
Best for Clinicians who want behavioral-health documentation depth Small practices prioritizing scheduling and client access
Pricing model Free plan + paid Paid
Starting price $25/user/mo —
Free plan ✓ (best) —
Free trial 30 days 14 days
Free trial length 30 days · no card needed 14 days · no card needed
Deployment Cloud Cloud
Platforms Web Web
Support Email, Live chat, Phone, Tickets, Docs · 24/7 Email, Live chat, Docs
Compliance HIPAA GDPR, 2FA
Integrations 4 integrations 3 integrations
Built for Solo, Small business, Mid-market, Enterprise Solo, Small business, Mid-market
Features ICANotes 2/4 · Owl Practice 1/4
Note templates Not checked yet Not checked yet
Treatment plans Not checked yet Not checked yet
Client portal ✓ (best) Not checked yet
Telehealth ✓ ✓
Specs
Mobile access Not checked yet Not checked yet
Our review
Pros
  • Behavioral-health templates, treatment plans, and clinical rating scales
  • Scheduling, client portal, telehealth, claims, and payment tools
  • Electronic prescribing, lab integration, and AI-assisted documentation
  • Online booking, recurring appointments, rescheduling, and waitlist management
  • Client portal supports forms, secure messaging, and document sharing
  • Combines session notes, payments, and telehealth with practice management
Cons
  • Prescribing plans cost $138 or $213 per user monthly
  • No mobile apps; deployment is cloud-based with web and API access
  • Notes-only tiers focus on documentation rather than broader practice tools
  • Web-only access may not fit teams seeking a desktop or mobile app
  • Group pricing is custom rather than presented as a standard plan
  • HIPAA compliance is not among its stated compliance features
Our verdict

ICANotes is a cloud-based electronic health record and practice-management platform for behavioral-health professionals, including therapists, psychiatrists, social workers, and group practices. Its core documentation tools include…

Read the review →

Owl Practice is a cloud-based practice management system for psychologists, social workers, therapists, and mental health clinics, with a focus on Canadian practices. It brings scheduling, client records, session notes, intake forms,…

Read the review →
  1. ICANotesTherapy Notes Software 8.4Free plan · 30-day trial
  2. Owl PracticeTherapy Notes Software 7.914-day trial

Strengths and trade-offs

  • ICANotes — where it wins

    • Behavioral-health templates, treatment plans, and clinical rating scales
    • Scheduling, client portal, telehealth, claims, and payment tools
    • Electronic prescribing, lab integration, and AI-assisted documentation

    Where it doesn't

    • Prescribing plans cost $138 or $213 per user monthly
    • No mobile apps; deployment is cloud-based with web and API access
    • Notes-only tiers focus on documentation rather than broader practice tools
  • Owl Practice — where it wins

    • Online booking, recurring appointments, rescheduling, and waitlist management
    • Client portal supports forms, secure messaging, and document sharing
    • Combines session notes, payments, and telehealth with practice management

    Where it doesn't

    • Web-only access may not fit teams seeking a desktop or mobile app
    • Group pricing is custom rather than presented as a standard plan
    • HIPAA compliance is not among its stated compliance features
  • ICANotes8.4/10 · Free plan · 30-day trial

    Deep behavioral-health documentation with scheduling, telehealth, claims, and prescribing options.

    Visit ICANotesFull verdict →
  • Owl Practice7.9/10 · 14-day trial

    Scheduling, client access, notes, payments, and telehealth in one cloud-based system.

    Visit Owl PracticeFull verdict →

More comparisons

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update