Best EMR/EHR Systems for OT, PT, and SLP

EMR/EHR Systems Compared for OT, PT, and SLP

If you own a rehab therapy clinic, choosing the right EMR/EHR system is one of your most important tasks. 

If you’re an OT, PT, or SLP preparing for a job interview. one essential question to ask is: Which electronic health record (EHR) or electronic medical record (EMR) system does the organization use?

Why? 

Because the technology driving their practice will also drive yours—and that impacts your therapy, your efficiency, and your patients’ journey.

The EMR isn’t just a behind-the-scenes detail; it shapes how smoothly evaluations flow, how quickly you can document, how effectively you can track progress, and even how connected your patients feel to their care.

Asking about it during your interview isn’t just smart—it’s essential for understanding how your clinical expertise will translate into practice in that setting.

As we head into 2025, we are going to see massive changes in the capabilities of our EMR systems. This is why I wanted to compare the different options on the market to help you find the right EMR for you!

A quick note on language: You can see we are using EMR/EHR interchangeably. An electronic health record is technically more expansive than an electronic medical record and best reflects most of the software below, but we’ve found that most clinicians still utilize the term EMR.

Changing expectations in 2025

If the EMR you are demoing still looks like a 1990s tax document, I would honestly run for the hills. 

The early versions of EMRs created a huge level of headache/burnout without the promised benefits. But, new technology is rapidly changing what we should expect from our EMRs. Your PT/SLP/OT documentation should should function as a powerful tool that enhances your care—not a constant obstacle contributing to frustration and burnout.

Your ideal EMR should be leveraging AI, both as a scribe and an integrated support system within the platform itself. It also should connect  with your billing and scheduling software,  creating a fully cohesive workflow that saves time, reduces errors, and lets you focus on what matters most: your patients.

Choosing the right therapy EMR for you

Here are some of the top EMRs that we found that were built for outpatient occupational therapy, physical therapy, and speech therapy. We are leaving out the big players in the hospital systems (like CERNER) as they do not cater to private therapy practices. 

We only include EMRs and EHRs that meet these non-negotiable criteria: they must be HIPAA compliant, offer built-in telehealth functionality, be fully cloud-based, and specifically designed to support the unique needs of OT, PT, and SLP.

* Please note, one of our most important columns is AI-automation. This is NOT a standardized term, so we will be linking to what that means for each company. We have also crafted this entire post dedicated to the AI Scribes that integrate with these EMRs.

Jane app: featured EMR for solo-private pay practice

Here’s what Carlin Reaume, OTD, OTR/L, DipACLM, PMH-C, PCES of Supported Mama says about Jane App: “I LOVE Jane App. It is a a well-organized, easy to navigate platform. And, they have incredible customer service—they are literally some of the most helpful and kind people.”

Comparison table of physical therapy, occupational therapy, and speech therapy EMR systems

EHR/ EMR SystemRehab
Specific
Pricing StructureBilling IntegrationAssessment IntegrationConfigurable
Documentation
Templates
Digital
Patient
Intake
Pt Facing HEPs/ EducationRemote Pt
Monitoring
SchedulingAI AutomationEmbedded
Telehealth
Additional Features
Dr. ChronoNoPricing not available on vendor site. 4 tiered plans available. Unlimited staff accounts (not priced per user).XCan build in note templatesXXXXRevenue cycle management (Plus version). Identifies claim denial trends.
ClinicientXPricing and plans not available on vendor site.XXXXXXClean, attractive interface.
Empower EMRXPricing not available on vendor site. Premium and Premium Plus plans available.XCan build in note templatesXX included in premium plus plansX included in premium plus plansXX (Scheduling, billing, and EHR automations)Highly customizable plans for different sized practices.
EPIC SystemsNo$200 to $35,000 per month after initial costs: $1200 for self-hosting, up to $500,000 for large hospital systems. $2000 system training.XCan create assessment templates but caters more to objective medical measures ie lab values, A1C, medication compliance etcXXAdvanced data analytics capabilities for individual and population health management. Clinical decision support alerts and prompts. Not great for solo or small practices (under 10 users).
FusionXBasic plans start at $89 per month for solo practitioners and $145 per month for group practices. Plans that include billing capabilities start at $159 per month for solo practitioners and $245 per month for group practices.XXXX Available as an add-on featureXFeatures dedicated claims support with Assisted Billing. Easily see patient progress with visual goal tracking. Documentation templates created specifically for OT, PT, and SLP practices.
HENOXStarting at $99 per month per clinic for basic. Higher tiers are $149 – $299 per month per provider, plus additional fees for add-on features.XCan build in note templatesXXX included in premium plansX for an additional fee, 2 year contract requiredX Integrated scheduling product priced seperatelyX (AI scribe)Built by rehab therapists.
Jane AppStarting at $39 per month for solo practitioners. For teams, starting at $79 per month, plus $35 per full time practitioner and $17.50 per part time practitioner.XXXXXComing soon: AI supported voice-to-chatX
NetHealth TherapysourceXPricing not available on vendor site.XXDesigned to integrate with other physical therapy software.
Practice PerfectX$47.50 per month for 1-3 users. As low as $10.00 per user/month for 11+ users.XXX Available as a pluginX Available as a pluginXX Available as a pluginGenerates financial, productivity, and marketing reports for growing your business.
PromptXNot disclosed.Built in. Cost unknown.Some bulit in assessments.XXX Unknown if extra cost.XXX
RainTreeXCustom pricing, not available on vendor site.X Integrated billing product priced separatelyXX with detailed hand, wrist, and elbow templatesXXX
Simple PracticeXStarting at $49 per month for a starter plan. Additional tiers up to $99 per month.XX with Essential or Plus plansXXXDesigned for rehab private practices. Available across devices with the SimplePractice mobile app.
SPRY PTXStarting at $150 per NPI per month for EHR without billing. $100
Per NPI per month for Billing Dashboard. $150 per NPI per month
Plus 4% to 6% of collections for EHR plus Billing Dashboard.
X Integrated billing product priced separatelyCan build in note templatesXXXXXX (AI scribe and EHR automations)
StrataPTXFree to use. Paid for with a percentage of your revenue collectionsX Billing-aware EMRSome builit in assessments.X?X
TherabyteXStarting at $36 per month for solo practitioner, $99 per month for teams. Additional features priced seperately.XXXXComing soon to teams plan: AI supported documentation and goal predictionXOffers part-time pricing for solo practitioners or part-time practitioners on teams.
Offers one month free with annual plan.
TheraPlatformX$39 per month for a single user. $69 – $79 per month for pro and pro plus plans, $49 for each additional provider.X only included in premium plans.XXXXXXX (no additional cost)Features a built-in library of therapy apps and games that target various therapy goals and disorders.
WebPTXStarting at $99 per month per user, plus a set up fee. 3 pricing tiers with additional features.X only included in premium plans.XXXXXXAutoscored integrated outcome measures. Integration with other EMR systems. HEPs.

A quick note on Google Workspace

I do know of occupational therapy  private pay therapy practices that use Google workspace in lieu of an EMR.

To do this you would need to upgrade to the HIPPA compliant version of Google Workspace. You’ll also need to have a clear understanding of the data you need to capture—and a solid plan for organizing, tracking, and using it effectively.

Conclusion

I hope this post has helped you explore the right EMR for you. 

This is a critical post to us, and one we plan to update regularly. Please let us know any questions you have below. And, please share any deeper level of exploration you would like to see us undertake!

13 replies on “Best EMR/EHR Systems for OT, PT, and SLP”

This is SUCH a good idea, Bonnie! Thank you so much for asking. I’m going to work on a version 2 of it soon. And, I’ll work on including that option!

Hi Fatma! Great question! We have a 2nd batch of EMRs that we are adding to this list this week! I just made sure we had Simple Practice included! (Honestly there were so many options that we decided to put out a round one- just to make sure they way we were organizing the info is helpful, and then plan to update it in about a week with more options!!)

Hi Sarah,
I’m an OT expanding my practice to functional nutrition, using Rupa for collaboration with physicians to order labs. Do you know of any EMRs that would be fitting for this type of practice?

WOW!!! I’ve literally been thinking all weekend about how we as OTs need to start tying our work to lab levels. (My next podcast episode is on sleep, which is one of the biggest levers for changing your lab levels- along with nutrition!) I’d love to learn more about your practice!

This is a great resource. I would love to see EMR/EHR systems that OT’s already in private practice are using. What do they feel are the pros and cons?

I know! I wonder what the best way for me to collect data on which EMRs people are using…and actually liking? Somehow ask our OT Potential Club members? I will follow up with Carlin this week, and find out what she uses…. My guess is that it is JaneApp?

Thank you so much for this resource Sarah! I am systematically going through the chart and looking into each company for my private practice and getting demos for the ones that I’m interested in. It is so helpful just to have a jumping off point because there are so many out there and it can be overwhelming, especially when the definitions of certain features are not always consistent among different companies. I like the simplicity and features offered on Theraplatform, but I wish they had an option for a built-in AI scribe. Simple practice is one that a lot of mental health base practitioners use-I wasn’t that impressed with it for my needs and it seemed overly cluttered with a lot of features and forms that I wouldn’t use. It is great to hear recommendations as well as a place to compare features. It sounds like it is coming but I hope to see more companies integrate AI scribes within the EMR System as an option. Thanks for providing this resource and others about AI, they have been so valuable!

I’m so happy you are finding this helpful, Caitlin! I am truly so excited for the new capabilities coming to our EMRs this year. I’m curious what kind of practice you are launching? I’d like to keep your use-case in mind as I am looking at options!

Thank you so much for sharing your thoughts and experiences Caitlin! As a private practice owner myself, I completely understand how overwhelming the EMR search can be. There are so many platforms out there, and the lack of consistent terminology across companies makes it even trickier to compare apples to apples. That’s exactly why I knew Sarah HAD to get this comparison chart out — to offer a clear starting point. And as someone who has sat through demo after demo, just having a clear side-by-side view can make a huge difference in cutting through the noise. I also really appreciate your feedback about Theraplatform and SimplePractice — those insights are invaluable! There’s so much potential with AI tools to cut down on documentation time (which, let’s be honest, is always the bane of our existence in private practice), but the reality is that the integration into actual workflows still feels pretty clunky across a lot of platforms. Thanks again for being part of this conversation — your perspective as someone actively navigating this process is so valuable, and I know so many other practice owners will benefit from your insights too. Wishing you the best of luck with your demos, and please don’t hesitate to reach back out if you want to compare notes!

Hi Sarah–thank you so much for this resource! As a newbie, each step is overwhelming. You mentioned Google Workspace too–curious of your opinion (or others) of starting a practice and then switching as it grows (ie Google Workspace to start–>EHR platform later)… I want to be as streamlined and efficient with processes and structure as possible from the get go and minimize some of the “busy work” involved if feasible to do so. TIA

Thank you! I’m considering Healthie, which I don’t see on this list. It is free if you have under 10 clients and I’ve heard is easy to switch to another EMR if you decide to. I heard of someone with Therapy Notes who kept paying for that plus another because they couldn’t figure out how else to save their data. I have heard Healthie isn’t great if you decide to use insurance.

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