RevolutionEHR vs TherapyNotes: Which is Better in 2026?
Choosing between RevolutionEHR 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: RevolutionEHR is our overall pick for EHR/EMR workflows. Pick TherapyNotes if you need a free tier to start with.
Short on time? Here's the quick answer
We've tested both tools. Here's who should pick what:
RevolutionEHR
The all-in-one cloud-based EHR and practice management software built exclusively for optometry.
Best for you if:
- • All-in-one cloud-based EHR and practice management system for optometry.
- • Highly customizable workflows and dedicated tools for eye care, including optical and inventory management.
TherapyNotes
The leading EHR/EMR for behavioral health practices.
Best for you if:
- • You want to try before committing
- • All-in-one EHR/EMR for behavioral health practices.
- • Integrates scheduling, notes, billing, and patient portals.
| At a Glance |  RevolutionEHR |  TherapyNotes |
|---|---|---|
Starts at | $455/moRevolutionEHR Core | FreeFree tier available |
Best For | EHR/EMR | EHR/EMR |
Rating | 4.4/5 | 4.6/5 |
Choose RevolutionEHR or TherapyNotes?
Choose RevolutionEHR if
The all-in-one cloud-based EHR and practice management software built exclusively for optometry.
- Specifically designed for optometry, not generic medical use
- Cloud-based accessibility enhances flexibility for multi-location practices and remote access
- High degree of customization for exams, encounters, and workflows
Choose TherapyNotes if
The leading EHR/EMR for behavioral health practices.
- Comprehensive suite of tools for behavioral health
- Streamlines administrative tasks
- User-friendly interface
| Feature | RevolutionEHR | TherapyNotes |
|---|---|---|
| Pricing Model | Paid | Freemium |
| User Rating | ★4.4/5 231 reviews | ★4.6/5 828 reviews |
| Categories | EHR/EMRPractice Management | EHR/EMRPractice Management |
In-Depth Analysis
RevolutionEHR
The all-in-one cloud-based EHR and practice management software built exclusively for optometry.
Strengths
- +Specifically designed for optometry, not generic medical use
- +Cloud-based accessibility enhances flexibility for multi-location practices and remote access
- +High degree of customization for exams, encounters, and workflows
- +Comprehensive suite of integrated solutions covers most practice needs
- +Strong customer support and commitment to continuous improvement
Weaknesses
- -Requires a one-time service fee and database conversion fee in addition to monthly subscription
- -Pricing is based on the number of doctors, which may be a factor for very large practices
Key features
TherapyNotes
The leading EHR/EMR for behavioral health practices.
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
Pricing: RevolutionEHR vs TherapyNotes
| Plan | RevolutionEHR | TherapyNotes |
|---|---|---|
| Tier 1 | $455 RevolutionEHR Core | Free Free |
| Tier 2 | Starting at $660 RevolutionEHR Advanced | $10/month Basic |
| Tier 3 | Starting at $830 RevolutionEHR Premium | $25/month Pro |
Pricing verified from each vendor's public pricing page. Compare in detail on RevolutionEHR pricing and TherapyNotes pricing.
Who Should Use What?
On a budget?
TherapyNotes has a free tier. RevolutionEHR is paid only.
Go with: TherapyNotes
Want the highest-rated option?
RevolutionEHR: 4.4/5 (231 reviews). TherapyNotes: 4.6/5 (828 reviews).
Go with: TherapyNotes
Value user reviews?
RevolutionEHR: 231 reviews (4.4/5). TherapyNotes: 828 reviews (4.6/5).
Go with: TherapyNotes
3 Questions to Help You Decide
What's your budget?
RevolutionEHR is paid. TherapyNotes is freemium. TherapyNotes lets you start free.
What's your use case?
Both are ehr/emr tools. Compare their specific features to decide.
How important are ratings?
TherapyNotes is rated higher: 4.6/5 vs 4.4/5.
Key Takeaways
RevolutionEHR
- Our pick for this comparison
TherapyNotes
- Has a free tier
- Higher user rating: 4.6/5 vs 4.4/5
- Larger review base (828 reviews)
The Bottom Line
RevolutionEHR is our pick. TherapyNotes has a free tier if you want to test without paying.
Frequently Asked Questions
Is RevolutionEHR or TherapyNotes better?
RevolutionEHR is rated in our evaluation. RevolutionEHR is paid and TherapyNotes is freemium.
What are RevolutionEHR and TherapyNotes used for?
RevolutionEHR: The all-in-one cloud-based EHR and practice management software built exclusively for optometry.. TherapyNotes: The leading EHR/EMR for behavioral health practices..
What does RevolutionEHR cost vs TherapyNotes?
RevolutionEHR is a paid tool. TherapyNotes is freemium (free tier + paid plans). Visit their websites for detailed pricing.