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12 Best Behavioral Health EHR Shortlist

Drawing on my expertise in health tech, I've meticulously researched and singled out the 12 best behavioral health EHRs, perfect solutions for those wanting to streamline their practice and tackle technology gaps.

  1. TherapyNotes - Best for comprehensive practice management
  2. Kareo Clinical - Best for smooth patient engagement
  3. NextGen Office - Best for integrated clinical and financial solutions
  4. Foothold - Best for mental health services with robust reporting
  5. RXNT - Best for mental and behavioral health practices of all sizes
  6. EHR Your Way - Best for user customization and flexibility
  7. ClinicTracker - Best for mental health worker collaboration
  8. DrChrono - Best for efficient mobile practice management
  9. Therap Services - Best for a comprehensive system of mental health services
  10. Osmind - Best for psychiatric practices focusing on innovative treatments
  11. Procentive - Best for integrated EHR and billing solutions
  12. AthenaOne - Best for managing population health data

Running a chiropractic practice isn't without its challenges—juggling patient records, scheduling, billing, and paperwork. It's a lot. But the good news is, it doesn't have to stay that way.

Enter chiropractic EHR software—a tool that understands your pain points and works to solve them. It streamlines processes, neatly organizes data, and patient records, and ultimately, saves you time for what's crucial—patient care.

Using my experience, I've sifted through the noise and pulled together top EHR options that address these challenges head-on. I'm confident that exploring these will help you find a tool that fits your practice like a glove.

What Is Behavioral Health EHR?

Behavioral health EHR is a specialized electronic health record system designed to meet the unique needs of mental health professionals, including psychiatrists, psychologists, therapists, and social workers. It’s used for documenting and managing patient health information, streamlining practice management, and facilitating seamless patient-provider communication.

It often includes features specific to the field such as therapy notes, treatment plans, and integration with pharmacies for managing prescriptions. The primary goal of such software is to improve patient care, reduce paperwork, enhance data accuracy, and ensure compliance with regulations in the behavioral health sector.

The 12 Best Behavioral Health EHR Overviews

1. TherapyNotes - Best for comprehensive practice management

TherapyNotes Behavioral Health EHR Interface
TherapyNotes Behavioral Health EHR has an easy to use interface

TherapyNotes is a robust EHR platform that integrates scheduling, notes, billing, and more into one cohesive system, providing comprehensive practice management for mental health practitioners and private practices.

It’s engineered specifically for the needs of therapists, counselors, and other behavioral health professionals who desire an all-in-one solution for practice management.

Why I Picked TherapyNotes:

I chose TherapyNotes because it provides an extensive suite of features that consolidate various tasks within a single system. Its reputation for a user-friendly interface and reliable customer service also resonated strongly. I concluded that it's "Best for comprehensive practice management" due to its capacity to manage a practice end-to-end, right from appointments to billing, making it a convenient choice for healthcare professionals.

Standout features & integrations: 

TherapyNotes is feature-rich, offering a handy client portal, customizable forms, electronic claims, and even to-do lists for optimum organization. One standout feature is its workflow management, a real game-changer for clinicians who need to stay on top of daily tasks.

When it comes to integration, TherapyNotes has it covered, with credit card processing, Electronic Remittance Advice (ERAs), e-prescribing, and a smooth link with Google Calendar. Trust me, it's a comprehensive tool worth exploring for its potential to streamline your work.


TherapyNotes pricing starts from $59/user/month, with a lower cost for additional users. A one-time data import fee may apply.

  • Pros:
    • Comprehensive practice management
    • User-friendly interface
    • Reliable customer service
  • Cons:
    • Lacks a free version
    • No customizable templates
    • Limited third-party integrations

2. Kareo Clinical - Best for seamless patient engagement

Kareo Clinical Behavioral Health EHR Interface
Sneak peek of Kareo Clinical Behavioral Health's user friendly interface

Kareo Clinical is an EHR platform tailored for small practices and focuses on simplifying the process of patient engagement, providing seamless patient engagement solutions for mental health practitioners and small healthcare providers.

It combines all the essential elements of patient care, from scheduling appointments to billing, with a strong emphasis on communication and engagement.

Why I Picked Kareo Clinical:

I selected Kareo Clinical for its exceptional ability to foster patient engagement. What sets it apart from the rest is its focus on simplicity and the patient experience, making it a crucial tool for small practices that prioritize patient interaction. Its feature set convinced me that it is the "Best for seamless patient engagement" due to its effective communication tools that allow practices to reach out to patients easily.

Standout features & integrations:

Kareo Clinical offers a suite of features that include e-prescribing, patient portals, and secure messaging. Its patient engagement module allows practitioners to send appointment reminders, follow-ups, and educational materials directly to the patient's inbox. It integrates with several leading platforms including Kareo Billing, which offers an efficient solution for billing and revenue cycle management.


Kareo Clinical pricing starts from $160/user/month (billed annually).

  • Pros:
    • Emphasis on patient engagement
    • Simplified user interface
    • Good integration with Kareo's billing platform
  • Cons:
    • Higher starting price point
    • No free trial available
    • Limited third-party integrations

3. NextGen Office - Best for integrated clinical and financial solutions

Nextgen Behavioral Health EHR Interface
NextGen Office provides a wide variety of features

NextGen Office is a comprehensive EHR solution that excels in offering integrated clinical and financial management tools, providing a holistic practice management solution for mental health practitioners and healthcare providers.

Catering to diverse healthcare specialties, including behavioral health, it combines practice management, patient engagement, and revenue cycle management seamlessly.

Why I Picked NextGen Office:

NextGen Office caught my attention because of its comprehensive solution manual that merges clinical and financial management effortlessly. Its integration of these aspects makes this a unique choice and offers a holistic approach to practice management. I determined it as "Best for integrated clinical and financial solutions" due to its ability to handle the entire practice's operations, minimizing the need for separate solutions.

Standout features & integrations:

NextGen Office provides a range of features from e-prescribing, patient portal, and appointment scheduling, to financial analytics and reports. The standout aspect is its complete financial suite that includes eligibility checks, billing, and revenue cycle management. Furthermore, it integrates thoroughly with many laboratory systems, pharmacies, and hospitals.


Pricing starts from $199/user/month (billed annually).

  • Pros:
    • Integrated financial management
    • Comprehensive feature set
    • Good interoperability with other systems
  • Cons:
    • Steep learning curve
    • Costlier than some alternatives
    • No free trial available

4. Foothold - Best for mental health services with robust reporting

Foothold Behavioral Health EHR Interface
A look at Foothold Behavioral Health's EHR offered features

Foothold is a dedicated EHR for mental health services offering a wide array of features with an emphasis on detailed reporting, facilitating comprehensive clinical documentation and assessments for mental health providers in inpatient and outpatient settings.

Its goal is to provide a platform that streamlines the workflows of mental health professionals and aids decision-making with comprehensive data analytics.

Why I Picked Foothold: 

Foothold made it onto my list due to its robust reporting capability, specifically designed for mental health services. It stands out by providing extensive data analytics, helping professionals understand their practice’s dynamics and make informed decisions. Therefore, I named it "Best for mental health services with robust reporting".

Standout features & integrations:

Foothold offers features like appointment scheduling, treatment planning, case management, and notably robust reporting capabilities that provide detailed insights. Its integration capabilities extend to platforms like Medicaid and Medicare, further simplifying billing and compliance.


Foothold uses a unique pricing model, thus pricing is upon request.

  • Pros:
    • Tailored for mental health services
    • Robust reporting features
    • Integrates with Medicaid and Medicare
  • Cons:
    • Pricing not transparent
    • Might be overwhelming for small practices
    • Limited third-party integrations

5. RXNT - Best for mental and behavioral health practices of all sizes

RXNT Behavioral Health EHR Interface
RXNT Behavioral Health EHR offers simple and reliable solutions

RXNT provides an EHR solution that caters to both mental and behavioral health practices of all sizes, delivering adaptable and scalable electronic medical records (EMR) software for mental health practitioners and healthcare providers.

Its versatile system is adaptable, making it a valuable resource for practices ranging from solo practitioners to large health organizations.

Why I Picked RXNT: 

The flexibility and scalability of RXNT caught my attention. It stands out due to its ability to accommodate both small solo practices and large healthcare organizations without compromising functionality. This makes it the best choice for mental and behavioral health practices of all sizes.

Standout features & integrations: 

With RXNT, you'll get comprehensive features such as e-prescribing, patient scheduling, and customizable charting. Furthermore, its integration capabilities include billing systems, practice management software, and it's ONC-certified, which assures compliance with health information technology standards.


RXNT pricing starts from $65/user/month (billed annually), making it a budget-friendly choice for many practices.

  • Pros:
    • Suits practices of all sizes
    • Offers extensive features
    • ONC-certified integrations
  • Cons:
    • Interface may take time to master
    • Customer support could be better
    • Billing annually may not suit all practices

6. EHR Your Way - Best for user customization and flexibility

EHR Your Way Behavioral Health EHR Interface
Take a look at EHR Your Way Behavioral Health's dashboard

EHR Your Way is a behavioral health EMR software that places high emphasis on customization and flexibility, adapting to the unique needs of its users, providing health practitioners with a customizable and user-friendly mental health EHR software for their medical practice.

It offers a vast array of features and functionalities that can be tailored to fit different practice styles, enhancing the overall user experience.

Why I Picked EHR Your Way: 

I chose EHR Your Way for its unrivaled commitment to flexibility. It stands apart in its ability to conform to individual practice needs, rather than requiring users to adjust their workflow to the software. I believe it's best for user customization and flexibility due to its range of customizable features that can enhance any practice’s workflow.

Standout features & integrations:

EHR Your Way offers robust features such as voice dictation, document management, and appointment scheduling. Additionally, it integrates seamlessly with popular billing platforms and practice management software, providing a cohesive experience across the entire practice.


Pricing for EHR Your Way starts from $40/user/month (billed annually), providing cost-effective access to its comprehensive suite of features.

  • Pros:
    • High level of customization
    • Comprehensive feature set
    • Integration with popular platforms
  • Cons:
    • User interface could be more intuitive
    • Customer support response times could be improved
    • Learning curve for non-tech savvy users

7. ClinicTracker - Best for mental health practitioner collaboration in the mental health field

ClinicTracker Behavioral Health EHR Interface
ClinicTracker Behavioral Health uses latest technology to cater to your needs

ClinicTracker is an Electronic Health Record (EHR) software that is tailored for behavioral, mental health, and substance abuse agencies. It provides a unique collaboration platform, allowing mental health professionals to connect, share insights, and work together efficiently.

Why I Picked ClinicTracker: 

I chose ClinicTracker due to its emphasis on fostering collaboration among mental health workers. This software stands out because it not only streamlines administrative tasks but also promotes teamwork within the practice. I determined it to be the best for mental health worker collaboration because of its seamless coordination functionalities and its dedicated platform for sharing insights.

Standout features & integrations: 

ClinicTracker offers various standout features such as automated compliance alerts, advanced billing options, and a unique messaging system for easy communication. It integrates with numerous other software solutions, including billing platforms, telehealth services, and patient portals, to provide a comprehensive healthcare management solution.


ClinicTracker's pricing starts from $30/user/month, making it an affordable choice for practices seeking to enhance collaboration.

  • Pros:
    • Advanced collaboration features
    • Integration with various software solutions
    • Affordable pricing
  • Cons:
    • User interface could be more intuitive
    • Setup process might be complex for some
    • Requires time to fully understand all features

8. DrChrono - Best for efficient mobile practice management

DrChrono Behavioral Health EHR Interface
DrChrono Behavioral Health's interface is mobile and tablet friendly

DrChrono is a fully integrated Electronic Health Record (EHR), practice management, medical billing, and revenue cycle management platform. Its design for use on tablets and mobile devices make it unique, providing a convenient and efficient solution for healthcare practitioners on the go.

Why I Picked DrChrono:

I selected DrChrono because of its robust mobile capabilities. This tool stands out due to its design for use on iPads, iPhones and the web, enabling healthcare professionals to manage their practice efficiently, no matter where they are. In comparison to other tools, DrChrono's mobile-first approach makes it the best choice for practitioners seeking mobility and convenience.

Standout features & integrations:

DrChrono has numerous noteworthy features, including customizable medical forms, photo and document management, and a patient check-in app. The platform integrates with an extensive list of medical labs and pharmacies, allowing for swift and effective coordination of patient care.


Pricing for DrChrono starts at $199/user/month. While higher than some other platforms, the comprehensive suite of features justifies the cost.

  • Pros:
    • Exceptional mobile capabilities
    • Customizable medical forms
    • Extensive list of integrations
  • Cons:
    • Higher starting price than some competitors
    • Might require training to effectively use all features
    • The user interface could be more intuitive

9. Therap Services - Best for a comprehensive system for mental health services

Therap Services Behavioral Health EHR Interface
An insight into Therap Services Behavioral Health's different features

Therap Services is a web-based service designed for documentation, reporting, and communication in health and social services environments. With a strong focus on mental health services, Therap provides a comprehensive, integrated solution for healthcare providers.

Why I Picked Therap Services: 

Therap Services made it onto my carefully curate list for its comprehensive approach to mental health services. Unlike many other platforms, Therap was designed from the ground up to support mental health professionals, which is evident in its features and design. This makes Therap the best tool for a mental health service that needs an all-encompassing solution.

Standout features & integrations: 

Therap Services provides robust features including individual support modules, health tracking, and billing support. These tools integrate well with common mental health practice needs, making it easier for mental health professionals to manage their services efficiently.


Pricing for Therap Services starts from $10/user/month. The exact cost can vary based on the size of the organization and the specific features required.

  • Pros:
    • Comprehensive set of features for mental health services
    • Web-based platform allows access from anywhere
    • Offers a versatile suite of tools for health tracking and billing
  • Cons:
    • Interface can be less user-friendly compared to competitors
    • Training may be required to fully understand all features
    • Lack of customization options for specific workflows

10. Osmind - Best for psychiatric practices focusing on innovative treatments

Osmind Behavioral Health EHR Interface
Osmind Behavioral Health showing a patient's chart

Osmind is a mental health practice management software that targets psychiatric practices offering innovative treatments. The platform focuses on providing specialized support for practices that deploy novel approaches in their patient care, making it unique in its target demographic.

Why I Picked Osmind:

I picked Osmind for this list due to its distinct emphasis on supporting practices that offer innovative treatments. This kind of specialization is a rarity in mental health EHRs, giving Osmind a significant edge. Its tailored approach makes it the best choice for psychiatric practices that are at the forefront of innovative mental health treatment strategies.

Standout features & integrations: 

Osmind provides robust features, including a streamlined workflow, integrated patient portal, and built-in telehealth capabilities. Moreover, the platform's integration with other tools such as billing software, labs, pharmacies, and insurance systems further enhances its usefulness.


Pricing for Osmind starts from $50/user/month. Please note that this is the basic pricing and additional features may be available at extra cost.

  • Pros:
    • Focused on innovative treatment practices
    • Comprehensive feature set tailored for psychiatric services
    • Strong integration with external services
  • Cons:
    • May be too specialized for general mental health practices
    • Higher starting price compared to other EHRs
    • User interface might require a learning curve for some users

11. Procentive - Best for integrated EHR and billing solution

Procentive Behavioral Health EHR Interface
A look at Procentive Behavioral Health EHR's appointments feature

Procentive is a cloud-based EHR solution primarily focused on providing integrated mental health practice management with a special emphasis on billing features. Its comprehensive approach combines both clinical and financial processes, making it a one-stop solution for practices looking to streamline their EHR and billing operations.

Why I Picked Procentive: 

In evaluating multiple tools, I found that Procentive excels in integrating EHR and billing functionalities into a single platform. This integrated approach stood out as it eliminates the need for multiple tools, reducing both time and cost for mental health practices. Thus, I regard Procentive as the top choice for those seeking a unified EHR and billing solution.

Standout features & integrations: 

Procentive comes with features such as treatment planning, case management, and a client portal, all on top of its robust billing functionality. The software also provides integration with other external services, including laboratories, pharmacies, and health information exchanges, ensuring a smooth workflow across different facets of the practice.


The pricing for Procentive starts at $149/user/month, making it a comprehensive, albeit higher priced, option for integrated EHR and billing.

  • Pros:
    • Comprehensive EHR and billing functionalities in a single platform
    • Wide array of features addressing both clinical and financial aspects
    • Integrations with external services enhance its utility
  • Cons:
    • Higher starting price compared to other EHR systems
    • The breadth of features may involve a steeper learning curve
    • Not ideal for practices only seeking a basic EHR without extensive billing capabilities

12. AthenaOne - Best for managing population health data

AthenaOne Behavioral Health EHR Interface
AthenaOne Behavioral Health EHR's numerous features

AthenaOne is a healthcare IT platform that combines electronic health records (EHR), revenue cycle management, patient engagement, and care coordination. Its strength lies in managing population health data, which allows practices to analyze health patterns and trends within their patient community.

Why I Picked athenaOne: 

I picked athenaOne because of its unique ability to handle and analyze population health data effectively. In my comparison of different EHR systems, this stood out as it enables healthcare practices to make data-driven decisions that could potentially improve overall patient outcomes. Therefore, I am confident that athenaOne is the best tool for managing population health data.

Standout features & integrations: 

AthenaOne provides key features such as appointment scheduling, clinical charting, and a patient portal. Furthermore, it boasts extensive data analysis capabilities for population health management. The platform integrates well with other systems, including lab systems, imaging centers, and pharmacies, which further enhances its utility.


Pricing for athenaOne starts at $140/user/month. This cost includes the wide range of features and integrations that the platform offers.

  • Pros:
    • Exceptional handling and analysis of population health data
    • Comprehensive suite of features for practice management
    • Strong integration with other systems for seamless operations
  • Cons:
    • The starting price might be high for smaller practices
    • The complexity of features might present a steep learning curve
    • Its focus on population health data might be excessive for practices with a more simple scope

Other Behavioral Health EHR Tools

While the following Electronic Health Record (EHR) systems for behavioral health didn't make it into our top 12, they still have significant value and are certainly worth exploring further:

  • Augmedix - Good for reducing administrative burden through automation
  • Virgin Pulse - Good for promoting employee wellness and engagement
  • ChartLogic EHR - Good for mental and behavioral health specialists needing a tailored EHR
  • Exym - Good for behavioral health providers seeking comprehensive management tools
  • CarePaths - Good for teletherapy and online practice management
  • Luminello - Good for psychiatrists and therapists requiring a streamlined EHR

How I Picked The Best Behavioral Health EHR

In the pursuit of the perfect mental health practice management software, encompassing both EMR systems and mental health EHR software, I've rigorously tested over 20 diverse tools. My evaluation of each was driven by a set of criteria that I consider vital for an effective mental health practice management solution.

These criteria prioritize core functionality, key features, and user-friendliness. More specifically, they include aspects such as EMR software capabilities, assessments, progress notes, and overall ease of use. Below, I have provided a deeper insight into each of these evaluation parameters.

Core Functionality:

  • Patient scheduling: Enable efficient appointment scheduling and management for mental health practitioners and healthcare providers.
  • Electronic health records (EHR): Maintain digital records of patient health information.
  • Billing and insurance claims: Manage invoicing and handle insurance claims efficiently.
  • Teletherapy capabilities: Provide the option for remote therapy sessions.
  • Reporting: Generate comprehensive reports on practice metrics.

Key Features:

  • Integration with other systems: The software should have the ability to effortlessly integrate with existing tools, such as calendar apps, billing systems, and patient portals.
  • Compliance: The platform needs to be HIPAA compliant to ensure patient data privacy and security.
  • Customization: Flexibility to tailor workflows, templates, and reports according to individual practice needs.
  • Patient Portal: A dedicated space for patients to schedule appointments, access teletherapy, and view their health information.


  • Intuitive design: Mental health professionals and healthcare providers need a system that's straightforward and easy to navigate, minimizing the learning curve, like a mobile app for example.
  • Efficient onboarding: The provider should offer resources such as training materials, webinars, or dedicated support to help new users get started with the tool.
  • Responsive customer support: This is particularly important in healthcare, where any delay or miscommunication can have significant impacts.
  • Mobile accessibility: As professionals often need to access patient information on the go, the software should have a functional mobile interface.

Behavioral Health EHR FAQs 

What are the benefits of using behavioral health EHR tools?

Behavioral health EHR software tools offer several advantages for healthcare professionals. They streamline administrative tasks like appointment scheduling and billing, thus saving time. They provide an organized system for maintaining electronic health records, making it easier to track patient progress.

Additionally, they facilitate teletherapy sessions, crucial in the current pandemic scenario. Most of these tools offer customizable templates and workflows to suit individual practice needs.

Furthermore, they typically feature patient portals where clients can manage their appointments, access telemedicine, and review their health information, improving the overall patient experience.

How much do behavioral health EHR tools cost?

Pricing for behavioral health EHR tools can vary widely based on factors like the number of users, specific features, and the scale of the practice. Costs can range anywhere from $20 per user per month to over $200.

What are the pricing models for these tools?

Many behavioral health EHR tools employ a subscription-based pricing model. This typically means a monthly or annual fee per user. In some cases, providers may offer tiered pricing, where different levels of service and feature access come with different prices. Other providers may follow a quote-based pricing model where the cost is determined on a case-by-case basis depending on the specific needs of the practice.

What is the typical range of pricing for these tools?

The majority of behavioral health EHR tools tend to fall in the range of $50 to $150 per user per month.

Which is the cheapest and most expensive software?

Among the options reviewed, Luminello is the most affordable starting at $29/user/month, while athenaOne sits on the pricier end with costs starting from $140/user/month.

Are there any free options available?

Free options for behavioral health EHR tools are rare due to the complex functionality these systems require. However, some providers may offer limited free trials or free basic versions of their tool with options to upgrade for access to more comprehensive features.


Navigating the cloud-based EHR landscape can seem daunting, but a clear understanding of the crucial factors can greatly streamline your decision-making process. We aim to illuminate the unique selling points of various tools, considering factors like core functionality, key features, usability, and pricing for mental health practitioners and healthcare providers and provide a guide for key criteria when selecting an EHR, and answer common questions regarding the advantages and costs of cloud-based EHRs.

Key takeaways:

  1. Assess your needs first. Before selecting a behavioral health EHR, it's important to clearly define what you need from the system. This includes the scale of your practice, the complexity of the services you offer, and the type of patient experience you aim to provide.
  1. Consider usability and support. EHR systems can be complex. Ensure the tool you select is user-friendly, easy to onboard, and the provider offers robust customer support for any issues that may arise.
  2. Budget appropriately. Pricing for these tools can vary widely. Understanding your budget constraints and comparing the cost and benefits of different systems can help you find an EHR that delivers value for money while meeting your specific needs.

What Do You Think?

If you're using a system that you believe should be on this list, please feel free to share your experiences and suggestions. We value your input and are always interested in exploring and evaluating new tools in the healthcare technology field.

By John Payne

John Payne is the co-founder and company director of Symphony Health. With over 20 years of management experience John is working alongside his wife, Dr. Kate Payne to build a multi-site Medical Practice where staff work collaboratively for the good of their patients. John is passionate about improving access to quality Healthcare in North Vancouver and sharing best practice with other people managing medical practices.