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The 9 best EHR systems for therapists

Learn more about the best options for mental health providers so you can make an informed decision for your practice.

March 21, 2025 • Updated on October 16, 2025

5 min read

Whether you work in a private or group therapy practice, you’re regularly faced with plenty of important decisions — including choosing the best EHR system. Electronic health record software, or EHRs, can make your practice more efficient and secure. But with so many options available, it may be challenging to determine which one you should choose. 

Clarifying the features you need in an EHR, along with identifying your budget, will help you narrow down your options. Read on to learn more about the best EHR systems for therapists so you can make an informed decision for your practice.

What is an EHR?

An electronic health record (EHR) is a type of software that helps medical providers — including therapists — manage client records, documentation, scheduling, billing, and communication. These systems streamline administrative tasks while ensuring compliance with privacy regulations like HIPAA.

EHR functions can vary from software to software. Some EHR systems for therapists only include basic communication and documentation tools, while others have additional features like telehealth, appointment scheduling and reminders, and billing and coding integration. 

Choosing the best EHR system ultimately depends on your unique needs. Below are some of the most popular EHR systems among therapists, along with their features and benefits.

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EHR systems for mental health providers

Headway

Headway’s EHR is part of an all-in-one platform designed to help you run your practice, your way. With functionalities including AI-assisted note-taking, documentation templates that facilitate compliance, HIPAA-adherent client messaging, a syncable calendar, billing and claims support, and integrated telehealth, Headway’s EHR features offer the full package at an unbeatable price: free. The Headway experience is designed to save you time, money, and energy, so you can focus on providing excellent client care. 

Carepatron

Carepatron is a comprehensive EHR system designed specifically for mental health practitioners. It offers features like client management, appointment scheduling, secure documentation, billing integration, telehealth capabilities, and client portals. Carepatron emphasizes security, compliance with healthcare regulations, and an intuitive user interface to streamline administrative tasks so mental health professionals can focus more on patient care.

SimplePractice

SimplePractice is a popular EHR designed to simplify mental health practices. The features are comprehensive, ranging from scheduling and billing to documentation and treatment planning, plus extras like telehealth, marketing support, and a website builder. Given its many features, SimplePractice is a bit more expensive compared to other, simpler platforms.

TheraNest

Another popular EHR software for mental health providers, TheraNest offers all the standard features you can expect in an EHR, such as scheduling, billing, documentation, and a Wiley Treatment Planner integration. It may not be ideal for large enterprise practices, because it lacks some of the advanced features of other platforms. 

Therapy Notes

TherapyNotes is an affordable option compared to other platforms, yet it still boasts all the important features of an EHR, including billing, scheduling, documentation, and a built-in telehealth platform. Users share positive reviews of Therapy Notes’ customer support. That said, some therapists may not appreciate that the notes templates aren’t very customizable and that clients can’t book appointments themselves using this platform.

My Best Practice 

A budget-friendly option ideal for smaller practices, My Best Practice is a straightforward EHR offering billing, scheduling, documentation, and a client portal. Pre-set note templates may not be customizable enough for some therapists, and the platform lacks the advanced features (like in-depth reporting or integrations) of larger platforms.

Sessions Health 

Sessions Health is an easy-to-use EHR that offers benefits like billing, scheduling, treatment planning, and documentation. It’s a bit simpler than other EHRs, without many advanced feature options. It’s also a newer platform compared to other popular options, so available features may evolve over time.

Valant

Valant is known for its excellent customer support. Along with basic features like scheduling, billing, and documentation, Valant has a library of rating scales and measures to make measurement-based care easier. Some users may find it expensive, especially small practices, and given the extra features, it may be more difficult to learn.

Tebra

Tebra, formerly Kareo, is a user-friendly EHR that’s priced competitively compared to larger EHR solutions. It includes all the basic features of popular EHRs, like scheduling, billing, and documentation. Telehealth is included in the platform. The software may not be ideal for larger practices because it doesn’t include advanced features. Users report mixed experiences with customer service response times.

More EHR options for mental health providers

Headway’s expansive resource center explores many EHRs options, such as the best EHRs for psychiatrists and the best free EHRs for mental health

Headway’s EHR is a no-cost option that supports many mental health provider types. Learn more about Headway’s free EHR features.

How to pick the right EHR for your practice

Every mental health practice is unique. A solo therapist will naturally need different things from their EHR than a prescriber or a high-volume group practice. 

Rather than trying to find the overall “best” EHR, try to find the best EHR for your practice. Using our EHR evaluation checklist to guide you, you can compare different EHR options across a range of categories. As you do, consider how each system stacks up against your unique needs, preferences, and limitations. Among others, you can assess different EHRs based on: 

  • Cost
  • Functionality and ease of use
  • Data security and privacy features
  • Clinical data management capabilities
  • Client scheduling and communication tools
  • Potential for customization
  • Compatibility with systems already used in your practice
  • Comprehensiveness of user support
  • Compliance with HIPAA and other relevant regulations

Use Headway’s EHR — at no cost to you

Headway is designed to be your complete practice platform. We make it easier and more lucrative to work with insurance, ensuring you get paid fairly and on time. But we’re also here for the day-to-day realities of running a therapeutic practice. 

Our free EHR features streamline client scheduling and communication, telehealth services, documentation, claim submission, and more, automating time-consuming tasks to boost productivity and conserve energy. The combination of insurance expertise and practice efficiency means you can own your workflow and take time back for what matters most.

Streamline your practice with Headway

Join Headway to build a connected practice with a streamlined suite of free EHR features — from scheduling and messaging to documentation and assessments.

This content is for general informational and educational purposes only and does not constitute clinical, legal, financial, or professional advice. All decisions should be made at the discretion of the individual or organization, in consultation with qualified clinical, legal, or other appropriate professionals.

© 2025 Therapymatch, Inc. dba Headway. All rights reserved. No part of this publication may be reproduced without permission.