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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 wins this matchup. Our overall EHR/EMR pick is SimplePractice. 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:

RevolutionEHR

The all-in-one cloud-based EHR and practice management software built exclusively for optometry.

Best for you if:

  • You want specifically designed for optometry, not generic medical use
  • You want cloud-based accessibility enhances flexibility for multi-location practices and remote access

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
RevolutionEHRRevolutionEHR
TherapyNotesTherapyNotes
Starts at
$455/moRevolutionEHR Core
FreeFree tier available
Best For
EHR/EMREHR/EMR
Rating
4.4/54.6/5
Free plan
No Yes

Choose RevolutionEHR or TherapyNotes?

RevolutionEHR

Choose RevolutionEHR if

The all-in-one cloud-based EHR and practice management software built exclusively for optometry.

  • You want specifically designed for optometry, not generic medical use
  • You want cloud-based accessibility enhances flexibility for multi-location practices and remote access
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
FeatureRevolutionEHRTherapyNotes
Pricing ModelPaidFreemium
User Rating
4.4/5
231 reviews
4.6/5
828 reviews
Categories
EHR/EMRPractice Management
EHR/EMRPractice Management

In-Depth Analysis

RevolutionEHRRevolutionEHR

The all-in-one cloud-based EHR and practice management software built exclusively for optometry.

Starts at $455/mo
Fair value

RevolutionEHR's pricing, starting at $455 for Core and reaching $830 for Premium, appears to be on the higher end for cloud-based EHR solutions, especially considering the per-provider or per-location model often seen in this space.

Watch out

Add-on modules beyond listed features

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

Unified patient care, documentation, billing, and scheduling platformCloud-based access from any device, anywhere, anytimeCustomizable EHR features and highly configurable workflowsBuilt-in billing and claims processing with integrated clearinghouse (RevClear)Optical and inventory management tools with integrated point-of-saleAutomated patient engagement tools including online portal and self-service scheduling (RevEngage)

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: RevolutionEHR vs TherapyNotes

PlanRevolutionEHRTherapyNotes
Tier 1
$455
RevolutionEHR Core
N/A
Tier 2
Starting at $660
RevolutionEHR Advanced
N/A
Tier 3
Starting at $830
RevolutionEHR Premium
N/A

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

1

What's your budget?

RevolutionEHR 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?

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 wins this matchup. Our overall EHR/EMR pick is SimplePractice. Our free EHR/EMR pick is CharmHealth. 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.

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