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Head-to-head · Therapy Notes Software

Sessions Health vs Owl Practice

  • Updated Oct 2026
  • Both researched from official sources
  • 2 checks side by side
Higher score Sessions Health #6 in Therapy Notes Software 8.1/10 Free plan · 30-day trial Free planFree trial✓ 1 of 4 features Try Sessions Health
Owl Practice #8 in Therapy Notes Software 7.9/10 14-day trial Free trial✓ 1 of 4 features Visit Owl Practice

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

Our verdict

  • Highest scoreSessions Health · 8.1/10
  • Free planonly Sessions Health
  • Free trialboth

Sessions Health scores higher on our rubric for therapy notes software: 8.1 against 7.9 out of 10; our editors rank them #6 and #8.

Sessions Health offers free plan; Owl Practice doesn't.

Sessions Health is the better fit for solo clinicians starting with a free EHR. Owl Practice is the better fit for small practices prioritizing scheduling and client access.

  • Sessions Health fits best

    Solo clinicians starting with a free EHR

  • 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 Sessions Health 8.1/10 Visit ↗ Owl Practice 7.9/10 Visit ↗
At a glance
Editor score 8.1 7.9
Ranking #6 in Therapy Notes Software #8 in Therapy Notes Software
Best for Solo clinicians starting with a free EHR Small practices prioritizing scheduling and client access
Pricing model Free plan + paid Paid
Starting price $39/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, Docs Email, Live chat, Docs
Compliance HIPAA, 2FA GDPR, 2FA
Integrations 5 integrations 3 integrations
Built for Solo, Small business, Mid-market Solo, Small business, Mid-market
Features Sessions Health 1/4 · Owl Practice 1/4
Note templates Not checked yet Not checked yet
Treatment plans Not checked yet Not checked yet
Client portal Not checked yet Not checked yet
Telehealth ✓ ✓
Specs
Mobile access Not checked yet Not checked yet
Our review
Pros
  • Free plan includes core EHR and practice-management features for one practitioner
  • Combines clinical notes, forms, scheduling, client portal, payments, and claims
  • Syncs with Google, Outlook, and Apple calendars, plus Stripe and Claim.MD
  • 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
  • Free plan is limited to three clients
  • Integrated telehealth is an optional paid add-on
  • Professional costs $39 monthly, with additional practitioners at $29 each
  • 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

Sessions Health brings EHR and practice-management tasks together in a web-based platform for mental health professionals, including solo clinicians and group practices. Its scope spans appointment scheduling, customizable reminders, a…

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. Sessions HealthTherapy Notes Software 8.1Free plan · 30-day trial
  2. Owl PracticeTherapy Notes Software 7.914-day trial

Strengths and trade-offs

  • Sessions Health — where it wins

    • Free plan includes core EHR and practice-management features for one practitioner
    • Combines clinical notes, forms, scheduling, client portal, payments, and claims
    • Syncs with Google, Outlook, and Apple calendars, plus Stripe and Claim.MD

    Where it doesn't

    • Free plan is limited to three clients
    • Integrated telehealth is an optional paid add-on
    • Professional costs $39 monthly, with additional practitioners at $29 each
  • 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

More comparisons

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update