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.”
prompt: featured EMR to Scale your therapy practice
Here’s what Sarah Whitworth, OTR, OTD, CHT, owner of Fyzical Therapy and Balance Centers Sherman says about Prompt: “Prompt has streamlined our documentation to make it easier and more efficient for us to document. I had each clinician make every single template they possibly could for evaluations, treatments, everything. Now we can write an evaluation in probably five minutes, and that would be on the long end. It’s just so much faster.”
* Please note: We heard so many great things about Jane App, that we reached out to be part of their partner program, so you’ll get one month free if you mention OTPOTENTIAL at sign-up in the box labeled “education, association, or corporate code.” Then, Jane will also give OT Potential a portion of the sale!
Comparison table of physical therapy, occupational therapy, and speech therapy EMR systems
| EHR/ EMR System | Rehab Specific | Pricing Structure | Billing Integration | Assessment Integration | Configurable Documentation Templates | Digital Patient Intake | Pt Facing HEPs/ Education | Remote Pt Monitoring | Scheduling | AI Automation | Embedded Telehealth | Additional Features |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Allia Health | X (designed for mental health) | Free for individual clinicians. Allia collects a percentage of increased reimbursements. | X | X | X | X | X | X | Free EHR for mental health clinicians includes easy scheduling, smart telehealth, automated documentation and outcome tracking. | |||
| Dr. Chrono | Pricing not available on vendor site. 4 tiered plans available. Unlimited staff accounts (not priced per user). | X | Can build in note templates | X | X | X | X | Revenue cycle management (Plus version). Identifies claim denial trends. | ||||
| Clinicient | X | Pricing and plans not available on vendor site. | X | X | X | X | X | X | Clean, attractive interface. | |||
| Empower EMR | X | Pricing not available on vendor site. Premium and Premium Plus plans available. | X | Can build in note templates | X | X included in premium plus plans | X included in premium plus plans | X | X (Scheduling, billing, and EHR automations) | Highly customizable plans for different sized practices. | ||
| EPIC Systems | $200 to $35,000 per month after initial costs: $1200 for self-hosting, up to $500,000 for large hospital systems. $2000 system training. | X | Can create assessment templates but caters more to objective medical measures ie lab values, A1C, medication compliance etc | X | X | X | Advanced 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). | |||||
| Fusion by Ensora Health | X | Essentials plan starts at $119 per month for solo providers. Advanced and Premier plans start at $159 to $229 per month. | X | X | Coming Q1 2026 | X | X Available as an add-on feature | Coming in 2026 (first half) via partner integration | X | Coming Jan 2026 | Add on for advanced plan and included in premium plan | Features dedicated claims support with Assisted Billing. Easily see patient progress with visual goal tracking. Documentation templates created specifically for OT, PT, and SLP practices. |
| HENO | X | Starting at $149 – $299/mo per provider, plus additional fees for add-on features. | X | Can build in note templates | X | X | X included in premium plans | X for an additional fee, 2 year contract required | X Integrated scheduling product priced seperately | X (AI scribe) | Built by rehab therapists. | |
| Jane App | Starting at $54/mo for solo practitioners, $79/mo for teams plus $35 per full time practitioner and $17.50 per part time practitioner | X | X | X | X | X | Coming soon: AI supported voice-to-chat | X | ||||
| NetHealth Therapysource | X | Pricing not available on vendor site. | X | X | Designed to integrate with other physical therapy software. | |||||||
| OptiMantra | Starting at $99 per month for first practitioner. $49 per month for additional practitioners. Add-ons and discounts available. | X | Can build in note templates | X | X | X | X via integration with FitBit | X | X AI Scribe Integration with DeepCura | X | Designed to be scalable from solo practitioners to mutli-disciplinary practices, and is customizable by practice. Customers like its ease of use and practice management features. | |
| Practice Perfect | X | $47.50 per month for 1-3 users. As low as $10.00 per user/month for 11+ users. | X | X | X Available as a plugin | X Available as a plugin | X | X Available as a plugin | Generates financial, productivity, and marketing reports for growing your business. | |||
| Prompt | X | Not disclosed. | Built in. Cost unknown. | Some bulit in assessments. | X | X | X Unknown if extra cost. | X | X | X | ||
| RainTree | X | Custom pricing, not available on vendor site. | X Integrated billing product priced separately | X | X with detailed hand, wrist, and elbow templates | X | X | X | ||||
| Simple Practice | X | Starting at $49 per month for a starter plan. Additional tiers up to $99 per month. | X | X with Essential or Plus plans | X | X | X | Designed for rehab private practices. Available across devices with the SimplePractice mobile app. | ||||
| SPRY PT | X Integrated EMR + practice management for therapy clinics | Starting at $150 per NPI per month for EHR without billing. $100 Per NPI per month for Billing Dashboard. $150 per NPI per month Tiered by visits per provider; optional billing service 4–6% for Billing Dashboard. | X Integrated billing product priced separately. Includes claim scrubbing, clearinghouse, ERA posting, payment gateways | X SOAP templates, macros, real-time eligibility verification | X | X Online forms, patient portal, reminders, messaging | X Home exercise programs and educational content via portal | X Supported via platform integrations | X | X AI Scribe for auto transcription into SOAP notes | X | Mobile/kiosk apps, credentialing, prior auth, denial management, MIPS reporting, patient communication & collections tools |
| StrataPT | X | Free to use. Paid for with a percentage of your revenue collections | X Billing-aware EMR | Some builit in assessments. | X | ? | X | |||||
| Therabyte | X | Starting at $36 per month for solo practitioner, $99 per month for teams. Additional features priced seperately. | X | X | X | X | Coming soon to teams plan: AI supported documentation and goal prediction | X | Offers part-time pricing for solo practitioners or part-time practitioners on teams. Offers one month free with annual plan. | |||
| TheraPlatform | X | $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. | X | X | X | X | X | X | X (no additional cost) | Features a built-in library of therapy apps and games that target various therapy goals and disorders. | |
| WebPT | X | Starting at $99 per month per user, plus a set up fee. 3 pricing tiers with additional features. | X only included in premium plans. | X | X | X | X | X | X | Autoscored 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!
19 replies on “Best EMR/EHR Systems for OT, PT, and SLP”
This EMR table is great! Is it available as a pdf to download? Thank you!
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!
Is there a PDF version of this table available? I cannot see the entire table and I have tried everything I can think of to zoom out and still cant see it all. 🙁
I think simple practice is widely used. Is there a reason why it was not included in the list?
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.
I’ve tried a few of the softwares, but PromptEMR has worked really well for us in our expansion efforts into OT
I am so glad to hear this Lawrence! It feels like an interesting time in the EMR world, because there seem to a consensus that Jane is the best for solo cash only practices (who want to stay that way) and Prompt is the best for OP rehab practices with any aspiration to scale! I’m going to try to update my post to reflect that more clearly!
This is very helpful, Sarah! I’ve been using intake Q for 3 years and in the process of searching for something new. I’ll look into prompt!
Hey. Sarah. This list is super helpful as I am in the process of starting my own business. A PDF version of the list will be very helpful
Thank you for creating and updating this chart. I wish I had this resource when I started my practice 3 years ago. I want to tell you my experience with Simple Practice to give you more data for your analysis. The focus of my solo practice is on helping families with sensory-based issues, with special emphases on sleeping, eating, and self-regulation. I work with families of toddlers to young adults. Simple Practice is the EHR I chose, because it seemed more…simple. My notes serve as learning opportunities for my families, so blank SOAP boxes are fine for me. SP is integrating AI into their teletherapy platform, but for a fee. I don’t do enough teletherapy to warrant it. I created my own evaluation, treatment plan, and forms on the site (with some help because I am a slow-tech 65-year old). I do wish I could just upload templates for specific things like the SCOPE forms or the BOT , but I developed a workaround that works nominally well for me.I use the calendar to keep track of clients. They get auto-reminders of their appointments. Simple practice does the billing, clients pay online, I never have to do a transaction at the time of a client session, which I like. The client portal is linked to my website. I’ve thought of switching to Jane because on the face of it it seems less expensive for the features I want, but as I noted, I am very slow-tech and don’t have the time right now to analysethat. I hope that this little slice of real-life use by a solo practitioner is helpful. I love being a member of the OTPotential community and I thank you again for all you are doing for our profession!