Cliniko alternatives: 11 therapy practice management tools compared
Clinics leave Cliniko when the bill follows headcount, when text messages and telehealth turn into extra steps, or when payers and paperwork sit in another country. Some want a free core to start on, some want insurance claims in the same screen, and some want a vendor closer to their own jurisdiction.
Short answer: The first three alternatives to Cliniko in our therapy practice management software ranking are Halaxy, Zanda and Noterro. Ranking order favours the challenger over the household name, so the best-known vendors begin at place 4 where the category allows it. Choose Halaxy if you bill Australian schemes and want to start without a monthly fee. Every one of the 11 products below comes from Best Therapy Practice Management Software in 2026, with a note on how it departs from Cliniko.
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Pricing: Six published monthly bands by practitioner count; SMS bought as credits; 30-day trial
Established in: Australia
Built for: Allied health clinics wanting published banded pricing and customisable treatment notes
Not for: Physician practices needing orders and prescribing workflows
01
Why buyers look past Cliniko
01
The price climbs with every practitioner
Cliniko publishes six monthly bands in US dollars: 1 practitioner at $45, 2 to 5 at $95, 6 to 8 at $145, 9 to 12 at $195, 13 to 25 at $295 and 26 to 200 at $395. A solo therapist pays little, but a group that adds a seventh clinician steps up a whole band.
02
Messaging and video need extra setup
SMS reminders cost 10 cents a message, bought as prepaid credits, so a busy diary produces a running balance to top up. The pricing page also says some features, Telehealth among them, unlock only after a credit card is added to the trial. The features page we read does not mention insurance claims.
03
Built for allied health, billed in dollars
Cliniko describes itself as software for clinics and allied health, not for counselling alone. Therapists who bill health insurers, work under a local data rule or want invoices in another currency often need a system shaped around those payers and a vendor in the same region.
you are a US clinician who wants the insurance tooling and accept a higher solo price
#11
03
What each one does differently
1
Halaxy
Not stated by the vendor · Published
Halaxy starts from a free core platform, so a clinic can test it without a card. The core covers the calendar, online booking, email reminders, patient records, invoicing and reports, plus over 700 clinical templates. SMS, e-scripts, telehealth and AI Scribe run on credits in Australian dollars, and its funding-body invoicing names Medicare, NDIS and HICAPS.
Switch from Cliniko if you bill Australian schemes and want to start without a monthly fee.
Zanda is the name now shown on the former Power Diary pricing page. A base fee covers the first practitioner and each extra one adds a charge, which suits clinics growing one hire at a time. The entry plan allows 1,000 appointments and one admin user, while Growth lifts that cap and adds multiple locations and room management.
Switch from Cliniko if you run several rooms or sites and want the entry fee separate from per-clinician charges.
Noterro states in its footer that it is made in Canada. Three tiers each cover one practitioner, with extra clinicians at a lower rate, and annual billing is 15 percent cheaper. Core includes unlimited assistant seats. Each plan carries 300 AI credits for the Scribe voice-to-chart tool, which covers roughly eighteen minutes, and text reminders begin at Plus.
Switch from Cliniko if you want Canadian-made software with voice-to-chart notes.
Jane is priced in Canadian dollars across three published plans. The entry plan allows one practitioner and twenty appointments a month, while unlimited admins, locations, online booking, charting templates and treatment plans come in every plan. Its direct billing lists TELUS eClaims, Teleplan and Pacific Blue Cross, which points at Canadian payers rather than US insurers.
Switch from Cliniko if your clinic is Canadian and needs direct billing to Canadian payers.
Sessions Health keeps a free plan for one practitioner, capped at three clients, then a monthly rate per practitioner. The record is HIPAA-compliant, with calendar sync, reminders, superbills, ERA posting and browser telehealth. Claims, eligibility checks, telehealth and AI Assist are charged as separate items on the pricing page, which itemises every extra.
Switch from Cliniko if you are a US therapist who wants superbills and ERA posting in one record.
Carepatron offers unlimited clients and practitioners on a free plan, billed per user, with a ceiling of 1 GB of data, 100 appointments and 100 emails per user each month. Plus adds SMS, workflow runs and longer retention of deleted data, and Advanced removes the data and appointment limits. Its terms follow New Zealand law.
Switch from Cliniko if you want a team free plan to try before paying per user.
Practice Better prices by client count rather than appointments: Starter allows 10 clients, Professional 300, and Plus is unlimited for one practitioner with three admins. Team covers two practitioners. QuickBooks, Xero and HubSpot connections sit behind a paid Connector Hub, and AI charting, e-prescribing, SMS and faxing are billed on top.
Switch from Cliniko if you coach or run a wellness caseload and want a client portal sized by head count.
IntakeQ grew out of a form builder and still sells a Forms Only plan with unlimited templates and two assistant accounts. The Practice Management plan adds appointments, reminders, a booking widget, client portal, payments, claims, superbills and telehealth. Low-volume versions cap submissions or appointments at 25 per 30-day period.
Switch from Cliniko if intake paperwork matters as much to you as the diary.
Clinicsense separates its three plans by appointment volume. Lite stops at twenty a month, Standard at two hundred with five office staff, and Premium lifts the cap and allows fifteen. Packages, gift cards, a wait list and Facebook and Instagram booking suit a clinic that sells sessions in bundles. The footer shows no address or jurisdiction.
Switch from Cliniko if you sell session packages or gift cards and book through social media.
TheraNest is presented as TheraNest by Ensora Health and lists credentialing support, automated billing with claim submission and ERA posting, a client portal, scheduling, a form builder and secure messaging. Payments, telehealth, e-prescribing, a clearinghouse and revenue cycle management are add-ons, and the AI note drafting assistant costs extra. We saw no prices on the page.
Switch from Cliniko if your group practice needs insurance billing and credentialing help.
SimplePractice is made in Santa Monica by SimplePractice, LLC for therapists and speech-language pathologists, with telehealth, templates and insurance tools. Three monthly solo tiers and a group rate are published, and the trial lasts 30 days without a card. A half-price offer for three months applies only if you open a paid account within seven days.
Switch from Cliniko if you are a US clinician who wants the insurance tooling and accept a higher solo price.
You bill Australian funding schemes and want to start free
Halaxy: The core platform is free and its funding-body invoicing names Medicare, NDIS and HICAPS; texts and telehealth run on credits.
02
You are a Canadian clinic billing local payers
Jane: Direct billing lists TELUS eClaims, Teleplan and Pacific Blue Cross, and plans are priced in Canadian dollars.
03
You are a US therapist who bills insurers
Sessions Health: The record is HIPAA-compliant with superbills and ERA posting, and a free plan covers one practitioner and three clients.
04
You want a separate fee for the first clinician and each extra one
Zanda: A base fee covers one practitioner and Growth adds multiple locations and room management.
05
You sell session packages and take bookings from social media
Clinicsense: Packages, gift cards, a wait list and Facebook and Instagram booking are listed; plans are split by appointment volume.
04
When Cliniko is still the right choice
Cliniko stays the right choice when you run a clinic of several practitioners and want a flat price that depends only on headcount. Every plan carries every feature, with unlimited admin users, locations, patients and file storage, and a 30-day trial that asks for no payment details to begin. Data transfer from another system is free and there is no minimum contract. Registered charities and educational institutions can use it free.
05
What moving off Cliniko involves
01
Export your patient records first
Cliniko's features page says you can import and export your data but does not list formats or limits. Run a trial export of notes, invoices and appointment history before cancelling, and check that attachments and treatment-note templates arrive in a form the new system can read.
02
Rebuild reminders and SMS
Cliniko sends texts from prepaid credits at 10 cents each. Check how the new system sends reminders, whether texts come from a credit balance or a plan allowance, and move your reminder wording across so that patients see no change.
03
Mind the billing and insurance route
Cliniko's features page does not list insurance claim filing, so you may already use a separate tool. A move to a system with built-in claims changes who submits claims and when, so test a few real claims before you switch the diary.
06
Questions about replacing Cliniko
6 answers
How much does Cliniko cost?
Cliniko lists six monthly bands by practitioner count: $45 for one practitioner, $95 for two to five, $145 for six to eight, $195 for nine to twelve, $295 for thirteen to twenty-five and $395 for twenty-six to two hundred.
Annual billing includes one free month a year.
Does Cliniko have a free trial?
Yes, 30 days with no payment details needed to start. Some features, Telehealth among them, unlock only after a credit card is added. With a card on file you are billed when the trial ends, with a reminder email five days before.
How are text reminders charged?
SMS costs 10 cents per message and is paid through prepaid credits. Anyone sending many reminders should estimate monthly volume against that rate before comparing it with plans that include texts.
Is there a free alternative to Cliniko?
Halaxy offers a free core platform, Sessions Health has a free plan for one practitioner with three clients, and Carepatron has a free plan with 1 GB, 100 appointments and 100 emails per user a month. Each puts limits or extras behind paid steps.
Can I move my data from Cliniko?
Cliniko's features page says data can be imported and exported but names no formats. Other vendors on this list say little about importing from Cliniko, so ask the new vendor for a sample import before you commit.
Which alternative suits a US therapist billing insurers?
SimplePractice, Sessions Health and TheraNest list insurance tools such as superbills, ERA posting and claim submission. Prices and add-ons differ, so compare what is itemised on each page.
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Sources
Checked 9 November 2026
Cliniko pricing: six practitioner bands and prices, 30-day trial, SMS 10 cents, unlimited admins and storage, free data transfer, charity use.
Cliniko features: features listed, cloud storage, import and export, no insurance claims listed.
Founder of The Knowledge Engineers and of 2 Steps Ahead, an AI search visibility agency. Editorially responsible for every page on this site; research and drafting are AI-assisted.
Sebastiaan Smits wrote and checked this page, most recently on 9 November 2026. See how we review.
