Summary
The best mental health EHR protects the private nature of therapy notes, handles recurring appointments smoothly and makes telehealth simple. For solo therapists and small groups, SimplePractice is built around mental health care, with plans at $49, $79 and $99 a month on 9 November 2026 and a client portal in its product. Jane suits multidisciplinary clinics, with 1 to 1 telehealth on every plan from $59 to $99 a month. Wai suits private psychiatry and mental health clinics that want the consultation, the front desk, booking and payments on 1 record. It drafts the note and letters for the clinician to sign, and role-based access limits who can open each record. Under HIPAA, psychotherapy notes kept apart from the rest of the record carry their own definition and are outside the patient's general right of access, so ask each vendor how it stores them. Test the system on a real recurring client, a letter to a GP and a telehealth session before you commit.
Each rival detail comes from that company's own page, read 9 November 2026. 1234
See it in your clinicYou can be running this week. No procurement, no minimum term. A 7-day trial, then one published price.
Request a demo| Product | Best fit | Telehealth and portal | Published price, read 9 November 2026 |
|---|---|---|---|
| SimplePractice | Solo therapists and groups | Telehealth and client portal, group telehealth on Plus | $49, $79 or $99 a month by plan |
| Jane | Multidisciplinary clinics | 1 to 1 video on every plan, group video add-on at $15 | $59, $79 or $99 a month by plan |
| Wai | Private psychiatry and mental health clinics | Joins Meet, Zoom and Teams, with a patient Profile | Clinician plans on the Wai pricing page, Studio after a demo |
Psychotherapy notes and the record
HIPAA defines psychotherapy notes as a mental health professional's notes on the contents of a counselling conversation, separated from the rest of the medical record. Medication, session times, treatment modalities and summaries of diagnosis or progress sit outside that definition.5 These notes are excluded from the individual's right of access.6
Ask each vendor where these notes live, who can open them and how they are kept apart. Clinicians decide what belongs in each.
Fit by type of practice
Solo therapists often value simple billing and a client portal, as covered in software for therapists. Psychiatry clinics usually add prescribing and letters to GPs.
Telehealth stays central to the work, and telemedicine was used by 80.0% of US office-based physicians in 2024.7 Note drafting in therapy and mental health covers consent and sensitive sessions.
Wai in a private mental health clinic
Wai drafts the note in the room or on video, prepares letters and suggested coding, and leaves each one for the clinician to sign.8 Role-based access is enforced in the database, and every read of a record is logged.9
Booking and deposits share the same record.10 Ask in the demo how your own separation of psychotherapy notes would run, and read the psychiatry guide.
Bring a recurring client's journey. We show it from booking to signed letter.
Request a demoFrequently asked questions
What is the best EHR for a solo therapist?
SimplePractice is a strong established option for solo therapists, and Jane suits those in multidisciplinary clinics.
Are psychotherapy notes part of the medical record?
Can Wai be used in psychiatry?
Does a mental health EHR need telehealth?
Most practices benefit from it. Check how video connects to the record and to billing.
How is sensitive information protected on Wai?
AES-256 at rest, TLS 1.3 in transit, role-based access in the database and logging of every read.9
Who signs a mental health note drafted by software?
The clinician, after checking it against the session.8
Sources
- Pricing, read 9 November 2026
- Features, read 9 November 2026
- Pricing, read 9 November 2026
- Features, read 9 November 2026
- 45 CFR 164.501, definitions, read 9 November 2026
- 45 CFR 164.524, access of individuals to protected health information, read 9 November 2026
- Telemedicine Use Among Office-based Physicians in 2021 and 2024, Health E-Stat 120, read 9 November 2026
- Wai for clinicians, read 9 November 2026
- HIPAA at Wai, read 9 November 2026
- The clinic platform, read 9 November 2026
More time with every client
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Partner with us
See it on your own patients, then build it with us
Thirty minutes on your own patients, doctors and rules, in your market. We reply within one working day, and the clinics that partner with us early shape what we build next.
See what Wai does between the visits