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Head-to-head · Therapy Notes Software

TherapyNotes vs Owl Practice

  • Updated Oct 2026
  • Both researched from official sources
  • 2 checks side by side
Higher score TherapyNotes #1 in Therapy Notes Software 8.8/10 30-day trial Free trial✓ 1 of 4 features Visit TherapyNotes
Owl Practice #8 in Therapy Notes Software 7.9/10 14-day trial Free trial✓ 1 of 4 features Visit Owl Practice

TherapyNotes leads on 0 checks, Owl Practice on 0, and 2 are 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 scoreTherapyNotes · 8.8/10
  • Free trialboth

TherapyNotes scores higher on our rubric for therapy notes software: 8.8 against 7.9 out of 10; our editors rank them #1 and #8.

TherapyNotes is the better fit for practices wanting a full-service therapy EHR. Owl Practice is the better fit for small practices prioritizing scheduling and client access.

  • TherapyNotes fits best

    Practices wanting a full-service therapy 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 TherapyNotes 8.8/10 Visit ↗ Owl Practice 7.9/10 Visit ↗
At a glance
Editor score 8.8 7.9
Ranking #1 in Therapy Notes Software #8 in Therapy Notes Software
Best for Practices wanting a full-service therapy EHR Small practices prioritizing scheduling and client access
Pricing model Paid Paid
Starting price — —
Free plan — —
Free trial 30 days 14 days
Free trial length 30 days 14 days · no card needed
Deployment Cloud, Mobile Cloud
Platforms Web, iOS, Android Web
Support Phone, Email · 24/7 Email, Live chat, Docs
Compliance HIPAA, 2FA GDPR, 2FA
Built for Solo, Small business, Mid-market, Enterprise Solo, Small business, Mid-market
Features TherapyNotes 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
  • Combines scheduling, clinical notes, insurance claims, and billing
  • Client portal supports digital intake, forms, and appointment changes
  • Includes basic telehealth, with mobile apps and 24/7 support
  • 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
  • Appointment reminders and card processing have separate usage fees
  • Premium Telehealth is an optional add-on
  • Solo plan is single-user
  • 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

TherapyNotes brings practice management and electronic health records together for behavioral health providers, including solo practitioners and group practices. Its core workflow covers recurring and one-time appointments, clinical…

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. TherapyNotesTherapy Notes Software 8.830-day trial
  2. Owl PracticeTherapy Notes Software 7.914-day trial

Strengths and trade-offs

  • TherapyNotes — where it wins

    • Combines scheduling, clinical notes, insurance claims, and billing
    • Client portal supports digital intake, forms, and appointment changes
    • Includes basic telehealth, with mobile apps and 24/7 support

    Where it doesn't

    • Appointment reminders and card processing have separate usage fees
    • Premium Telehealth is an optional add-on
    • Solo plan is single-user
  • 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