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LiquidEHR vs TherapyNotes: Which is Better in 2026?

Choosing between LiquidEHR and TherapyNotes comes down to understanding what each tool does best. This comparison breaks down the key differences so you can make an informed decision based on your specific needs, not marketing claims.

Bottom line: LiquidEHR wins this matchup. Our overall EHR/EMR pick is Carepatron. Our free EHR/EMR pick is CharmHealth. Pick TherapyNotes if you need a free tier to start with.

··Methodology
Editor reviewed0 verified reviews comparedPricing checked Sep 2026

Short on time? Here's the quick answer

We've tested both tools. Here's who should pick what:

LiquidEHR

Comprehensive, HIPAA-compliant practice management and EHR software designed specifically for optometrists.

Best for you if:

  • You want specifically designed for optometry practices, ensuring relevant features
  • You want offers both cloud-based and in-office server options for flexibility

TherapyNotes

The leading EHR/EMR for behavioral health practices.

Best for you if:

  • You want a free tier before you commit
  • You want comprehensive suite of tools for behavioral health
  • You want streamlines administrative tasks
At a Glance
LiquidEHRLiquidEHR
TherapyNotesTherapyNotes
Starts at
$199/moIn-Office Server Setup
FreeFree tier available
Best For
EHR/EMREHR/EMR
Rating
4.6/54.6/5
Free plan
No Yes

Choose LiquidEHR or TherapyNotes?

LiquidEHR

Choose LiquidEHR if

Comprehensive, HIPAA-compliant practice management and EHR software designed specifically for optometrists.

  • You want specifically designed for optometry practices, ensuring relevant features
  • You want offers both cloud-based and in-office server options for flexibility
TherapyNotes

Choose TherapyNotes if

The leading EHR/EMR for behavioral health practices.

  • You want a free tier before you commit
  • You want comprehensive suite of tools for behavioral health
  • You want streamlines administrative tasks
FeatureLiquidEHRTherapyNotes
Pricing ModelPaidFreemium
User Rating
4.6/5
125 reviews
4.6/5
1,069 reviews
Categories
EHR/EMRPractice Management
EHR/EMRPractice Management

In-Depth Analysis

LiquidEHRLiquidEHR

Comprehensive, HIPAA-compliant practice management and EHR software designed specifically for optometrists.

Starts at $199/mo
Good value

LiquidEHR's pricing, at $199/month for In-Office and $299/month for Cloud-Based, appears fair for comprehensive EHR and practice management software, especially given the 'unlimited doctors' and 'all modules' inclusions.

Strengths

  • +Specifically designed for optometry practices, ensuring relevant features.
  • +Offers both cloud-based and in-office server options for flexibility.
  • +Transparent pricing with no contracts and no hidden fees.
  • +Includes comprehensive support and software updates.
  • +HIPAA-compliant with robust security features.

Weaknesses

  • -The user interface may initially seem to have many tabs, potentially requiring a learning curve for new staff.
  • -The cloud-based plan limits concurrent users to 5, which might be restrictive for larger multi-doctor practices.
  • -Specific details on advanced reporting customization are not fully elaborated.

Key features

Electronic Health Record (EHR)Practice Management SystemOnline Invoicing System by Text and EmailPatient Management & SchedulingHIPAA-Compliant Cloud SecurityDiagnostic Image & File Storage

TherapyNotesTherapyNotes

The leading EHR/EMR for behavioral health practices.

Starts at Free

Strengths

  • +Comprehensive suite of tools for behavioral health
  • +Streamlines administrative tasks
  • +User-friendly interface

Weaknesses

  • -The platform does not offer a free trial, requiring a subscription commitment to evaluate the full feature set.
  • -The lowest-tier subscription plan is limited to a single user, which may not be cost-effective for small group practices.
  • -While offering a client portal, the extent of customization options for branding or specific practice needs within the portal is not explicitly detailed, potentially limiting personalization.

Key features

SchedulingNotes & DocumentationBilling & ClaimsPatient PortalTelehealthPractice Management

Pricing: LiquidEHR vs TherapyNotes

PlanLiquidEHRTherapyNotes
Tier 1
$199 / month
In-Office Server Setup
N/A
Tier 2
$299 / month
Cloud-Based Setup
N/A

Pricing verified from each vendor's public pricing page. Compare in detail on LiquidEHR pricing and TherapyNotes pricing.

Who Should Use What?

On a budget?

TherapyNotes has a free tier. LiquidEHR is paid only.

Go with: TherapyNotes

Want the highest-rated option?

LiquidEHR: 4.6/5 (125 reviews). TherapyNotes: 4.6/5 (1,069 reviews).

Go with: LiquidEHR

Value user reviews?

LiquidEHR: 125 reviews (4.6/5). TherapyNotes: 1,069 reviews (4.6/5).

Go with: TherapyNotes

3 Questions to Help You Decide

1

What's your budget?

LiquidEHR is paid. TherapyNotes is freemium. TherapyNotes lets you start free.

2

What's your use case?

Both are ehr/emr tools. Compare their specific features to decide.

3

How important are ratings?

Both are rated 4.6/5.

Key Takeaways

LiquidEHR

  • Our pick for this comparison

TherapyNotes

  • Has a free tier
  • Larger review base (1,069 reviews)

The Bottom Line

LiquidEHR wins this matchup. Our overall EHR/EMR pick is Carepatron. Our free EHR/EMR pick is CharmHealth. TherapyNotes has a free tier if you want to test without paying.

Frequently Asked Questions

Is LiquidEHR or TherapyNotes better?

LiquidEHR is rated in our evaluation. LiquidEHR is paid and TherapyNotes is freemium.

What are LiquidEHR and TherapyNotes used for?

LiquidEHR: Comprehensive, HIPAA-compliant practice management and EHR software designed specifically for optometrists.. TherapyNotes: The leading EHR/EMR for behavioral health practices..

What does LiquidEHR cost vs TherapyNotes?

LiquidEHR is a paid tool. TherapyNotes is freemium (free tier + paid plans). Visit their websites for detailed pricing.

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