TherapyNotes vs CharmHealth: Which is Better in 2026?
Choosing between TherapyNotes and CharmHealth 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: TherapyNotes is our overall pick for EHR/EMR workflows. Pick CharmHealth if you need a fully free option.
Short on time? Here's the quick answer
We've tested both tools. Here's who should pick what:
TherapyNotes
The leading EHR/EMR for behavioral health practices.
Best for you if:
- • All-in-one EHR/EMR for behavioral health practices.
- • Integrates scheduling, notes, billing, and patient portals.
CharmHealth
AI-powered EHR, medical billing, and clinical documentation for healthcare providers.
Best for you if:
- • You need something completely free
- • AI-powered EHR system with real-time clinical documentation.
- • Supports multi-language ambient listening for patient encounters.
| At a Glance |  TherapyNotes |  CharmHealth |
|---|---|---|
Starts at | FreeFree tier available | FreeFree tier available |
Best For | EHR/EMR | EHR/EMR |
Rating | 4.6/5 | 4.2/5 |
Choose TherapyNotes or CharmHealth?
Choose TherapyNotes if
The leading EHR/EMR for behavioral health practices.
- Comprehensive suite of tools for behavioral health
- Streamlines administrative tasks
- User-friendly interface
Choose CharmHealth if
AI-powered EHR, medical billing, and clinical documentation for healthcare providers.
- Reduces documentation time with AI Scribe
- Supports multiple languages for broader patient reach
- Cloud-based for accessibility and lower infrastructure costs
- You want a fully free tool (TherapyNotes requires payment)
| Feature | TherapyNotes | CharmHealth |
|---|---|---|
| Pricing Model | Freemium | Free |
| User Rating | ★4.6/5 828 reviews | ★4.2/5 159 reviews |
| Categories | EHR/EMRPractice Management | EHR/EMRMedical Billing |
In-Depth Analysis
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
CharmHealth
AI-powered EHR, medical billing, and clinical documentation for healthcare providers.
Strengths
- +Reduces documentation time with AI Scribe
- +Supports multiple languages for broader patient reach
- +Cloud-based for accessibility and lower infrastructure costs
- +Pay-as-you-use model offers flexibility
- +Highly customizable for different medical specialties
Weaknesses
- -Specific pricing details are not immediately available
- -Reliance on AI for documentation may require careful review
Key features
Pricing: TherapyNotes vs CharmHealth
| Plan | TherapyNotes | CharmHealth |
|---|---|---|
| Tier 1 | Free Free | Free Free |
| Tier 2 | $10/month Basic | N/A |
| Tier 3 | $25/month Pro | N/A |
Pricing verified from each vendor's public pricing page. Compare in detail on TherapyNotes pricing and CharmHealth pricing.
Who Should Use What?
On a budget?
CharmHealth is free. TherapyNotes is freemium.
Go with: CharmHealth
Want the highest-rated option?
TherapyNotes: 4.6/5 (828 reviews). CharmHealth: 4.2/5 (159 reviews).
Go with: TherapyNotes
Value user reviews?
TherapyNotes: 828 reviews (4.6/5). CharmHealth: 159 reviews (4.2/5).
Go with: TherapyNotes
3 Questions to Help You Decide
What's your budget?
TherapyNotes is freemium. CharmHealth is free. Go with CharmHealth if free matters most.
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 4.2/5.
Key Takeaways
TherapyNotes
- Higher user rating: 4.6/5 vs 4.2/5
- Larger review base (828 reviews)
- Free tier available
- Our pick for this comparison
CharmHealth
- Completely free
The Bottom Line
TherapyNotes is our pick. That said, CharmHealth is free, hard to beat on price.
Frequently Asked Questions
Is TherapyNotes or CharmHealth better?
TherapyNotes is rated in our evaluation. TherapyNotes is freemium and CharmHealth is free.
What are TherapyNotes and CharmHealth used for?
TherapyNotes: The leading EHR/EMR for behavioral health practices.. CharmHealth: AI-powered EHR, medical billing, and clinical documentation for healthcare providers..
What does TherapyNotes cost vs CharmHealth?
TherapyNotes is freemium (free tier + paid plans). CharmHealth is completely free. Visit their websites for detailed pricing.