Home → DrinCloud vs TherapyNotes: an honest com…
DrinCloud vs TherapyNotes: an honest comparison for behavioral health
TherapyNotes is the behavioral health specialist and it earns the name: 24/7 phone and email support on every subscription, insurance claims in the price, note formats written for therapists. DrinCloud is the US edition of a clinic system with 12+ years and 8,000+ clinics in 14 countries, built for practices paid directly by the patient. Read this first: if your practice bills insurance, buy TherapyNotes and close this tab, because we file no claims at all. If your patients pay you directly, you run three clinicians or more, or part of your schedule speaks Spanish or Portuguese, the rest of the page is for you. Prices on pricing, the rest in all comparisons.
TherapyNotes is a serious, well built product with a deliberate target: mental health practices that bill payers. Claims, remittances, insurance aging reports and ePrescribe with EPCS are included or one add-on away, the note formats (SOAP, DAP, BIRP and its own) were written for therapists, outcome measures are scored for you, and support is 24/7 by phone and email on every subscription. Nobody else in this market offers that last one, us included. DrinCloud is built for the cash-pay side: one flat price per practice size, the clinical record and the superbill in every plan from $49, the AI scribe at $20 per provider, telehealth and the portal from the $107 Solo plan, the patient CRM from the $119 Clinic plan, and no claims engine at all, on purpose.
The math that matters: one clinician with AI notes is $69 a month here (Essential $49 plus the $20 scribe) against $109 there (Solo $69 plus TherapyFuel $40). Three clinicians, $179 against $299. Six, $407 against $569. TherapyFuel is the most expensive AI scribe of the nine platforms we track, double our price per head. The mirror image is insurance: TherapyNotes takes that block 5.0 to our 1.0, and for a pure behavioral health practice that already bills payers, DrinCloud is the wrong option.
What each one really costs (November 2026)
| Pricing | DrinCloud | TherapyNotes |
|---|---|---|
| Entry plan | $49/moannual; $59 monthly. One provider | $69/moone user, 24/7 support inside |
| Group pricing | $107 · $119 · $287 · $574Clinic 1 to 3 users, Medical Center 4 to 30, Large Clinics 31 to 50 | $79 + $50then each extra one; non-clinical users free |
| How the price scales | ✓ By practice size band4 to 30 users never changes the $287 bill | ✗ Per clinicianper clinician after the first |
| AI note drafting, what it costs | ✓ $20/moper provider, one button | $40/mothe most expensive scribe of the nine we track |
| Unlimited non-clinical staff at no extra cost | ✗ Noan administrator counts toward your band | ✓ Yesunlimited and free. A real win over us, and over SimplePractice at $74 |
| Storage included in the plan price | ✓ Yes2 GB to unlimited, by plan | Add-on$9 first user plus $3 each; allowance not published |
| What happens above 30 users | ✓ Yes$574 for 31 to 50 | ✓ YesGroup rates from 30 users, with an account manager |
| Try it before you commit | Demo environmentno free trial. Ask for demo access, or pay one month | ✓ 30 dayson every plan. A straight win over us |
| Two months free when you pay annually | ✓ Yes12 months at the price of 10 | Not documentedmonthly rates only |
| All prices published openly | ✓ Yes | ✓ Yes |
| No setup fee, no minimum term | ✓ Yes | ✓ Yes |
| Block score · Pricing and transparency (20%) | 4.2 | 3.3 |
Sources: support.therapynotes.com, 'TherapyNotes Pricing and Subscription Options', and drincloud.com/pricing, checked November 2, 2026. The $40 TherapyFuel price and the storage rates come from that same article.
The stickers say most of it: $49 against $69 for one person, and then the models part ways. TherapyNotes charges $50 per clinician forever and $40 per clinician for AI, so six people pay for twelve seats. We charge by band, so clinician five on Medical Center is free. They win three rows and we are not hiding them: a free trial we do not offer, administrative users we do count, and support we cannot match.
The real math: three scenarios
| Scenario | DrinCloud | TherapyNotes |
|---|---|---|
| Solo clinician with AI notes | $69/moEssential $49 plus the $20 scribe, annual billing | $109/moSolo $69 plus TherapyFuel $40, before reminders |
| 3 clinicians, AI for everyone | $179/moClinic $119 covers 1 to 3 users, plus 3 x $20 | $299/mo$79 + 2 x $50 = $179, plus 3 x $40 = $299 |
| 6 clinicians, AI for everyone | $407/moMedical Center $287 covers 4 to 30, plus 6 x $20 | $569/mo$79 + 5 x $50 = $329, plus 6 x $40. Administrative staff are free |
Arithmetic with the rates published in the TherapyNotes help center and on drincloud.com/pricing, checked November 2, 2026, assuming every clinician uses AI notes. DrinCloud figures are the annual rate; monthly billing runs $59, $143 and $344.
Ask any vendor the two questions we would ask: what does clinician number four cost, and what does AI for the whole team cost. Their answers are $50 a month and $40 per clinician. Ours are nothing, because the band covers the fourth, and $20 per provider. The caveat in their favor: three administrators and two billers cost them nothing and count as users for us. Count your heads before you decide.
Charting, notes and the AI that drafts them
| Feature | DrinCloud | TherapyNotes |
|---|---|---|
| Customizable clinical notes and forms | ✓ Yes | ✓ Yestemplates in a shared practice library |
| Ready-made behavioral health note library | ✗ Noyou adapt our specialty forms; there is no mental health catalog | ✓ YesSOAP, DAP, BIRP and its own. Home turf, and it shows |
| Standardized outcome measures, scored and charted | ✗ Nosatisfaction surveys are not clinical instruments | ✓ Yes |
| Fields that carry history forward | ✓ Yeshistory, allergies and medication carry forward | Not documented |
| AI turns the recorded session into a draft note | ✓ Yes$20 a month per provider | ✓ Yestranscript plus draft, $40 per clinician |
| AI drafts the treatment plan | Plans without AIyou build priced plans the patient signs; our AI does not write them | ✓ Yes |
| AI clinical assistant for differentials, interactions and guidelines | ✓ Yesincluded on every plan | Not documented |
| AI patient chatbot trained on your own clinic information | ✓ Yes$20 a month per practice | Not documented |
| Pre-visit forms the patient completes before arriving | ✓ Yes | ✓ Yes |
| One record for mixed specialties in the same practice | ✓ Yespsychiatry, psychology, nutrition and medical on one record | ✗ Nobehavioral health only, which is why its notes win |
| Informed consents with remote e-signature | ✓ Yes | ✓ Yes |
| Block score · Clinical record and AI (25%) | 3.9 | 3.2 |
Sources: support.therapynotes.com (TherapyFuel Overview, Writing Notes with Progress Note Templates, Outcome Measures, TherapyPortal) and drincloud.com/features, checked November 2, 2026.
The heaviest block, and the closest. TherapyNotes gives a therapist three things we do not: note formats built for behavioral health, outcome measures that score and chart themselves, and an AI that drafts the treatment plan as well as the note. If documentation on day one decides it, they win. Our answer is breadth and price: memory fields, a clinical assistant on every plan, a patient chatbot, and the AI scribe at half their price per head.
Scheduling and patient communication
| Feature | DrinCloud | TherapyNotes |
|---|---|---|
| Multi-provider calendar | ✓ Yesshifts tie a provider to a room | ✓ Yes |
| Multiple locations | ✓ Yeson Medical Center | ✓ Yes |
| Secure two-way messaging with the patient | ✓ Yesin the patient's language | ✓ Yesa thread can become a contact note |
| Group sessions and group notes | Not documentedour agenda assumes one patient per appointment | ✓ Yes |
| Online booking on your own website | ✓ Yesreal-time availability, payment or deposit at booking | Request onlyclients request a slot and you accept it |
| Waitlist that fills cancelled slots | ✓ Yesan open gap offers itself instead of sitting empty | Not documented |
| Email appointment reminders | ✓ Yes | ✓ Free |
| Text reminders, what they cost | $36 per 30012 cents a message, TCPA consent at intake | 14 centsper text or voice call. They place calls, we do not |
| WhatsApp reminders | ✓ Yes$40 a month, and it matters for Hispanic patients | Not documented |
| Self check-in kiosk and waiting room screen | ✓ Yestablet check-in, visit rating, a screen that calls them in | Not documented |
| Mobile app for the clinician | ✗ No | ✓ Yes |
| Block score · Scheduling and patient communication (15%) | 3.9 | 3.2 |
Sources: support.therapynotes.com (Quick Start: Scheduling, Automated Patient Appointment Reminders, TherapyPortal, TherapyNotes Mobile, Group Therapy) and drincloud.com/features, checked November 2, 2026.
The core calendar is a draw and both sides should admit it. TherapyNotes takes three rows: group therapy, a native mobile app, and automated voice reminders at the same 14 cents as their texts. We take the rows that come from running physical clinics: booking that charges a deposit on the spot, a waitlist that refills cancellations by itself, tablet check-in and WhatsApp. Our texts work out to 12 cents in packs of 300.
Getting paid without an insurer in the middle
| Feature | DrinCloud | TherapyNotes |
|---|---|---|
| Charge at the desk, online or by payment link | ✓ Yesabout 20 seconds from the calendar | ✓ Yes |
| What the card processing costs | ✓ 2.9% + 30cyour own Stripe account, nothing on top; 2.7% + 5 cents in person, and discounts stay yours | 3.1% + 30call-inclusive, 0.2 points above standard Stripe online |
| Charge the session or a deposit at booking | ✓ Yestaken when the slot is reserved, which stops no-shows | Not documented |
| Superbill with NPI, EIN, CPT and ICD-10 | ✓ Yesa PDF with the balance; your own codes | ✓ Yes |
| Prices per service, specialty and provider | ✓ Yesas many rate cards as you need | ✓ Yesstandard plus custom rate schedules |
| Sliding scale fees per patient | ✓ Yes | ✓ Yescustom rate schedules per client |
| Product sales with stock deducted from the invoice | ✓ Yes | Not documented |
| Quotes and treatment plan estimates the patient signs | ✓ Yes | Not documented |
| Automatic receipts and patient statements | ✓ Yes | ✓ Yes |
| Block score · Getting paid (15%) | 5.0 | 3.1 |
Sources: support.therapynotes.com (Pricing and Subscription Options, Payment Processing Application and Fees, Standard Rates and Custom Rate Schedules, Batch Patient Statements) and drincloud.com/features, checked November 2, 2026.
Both charge cards and both print what a patient needs, so two things decide it. The rate: theirs is 3.1% plus 30 cents all in, ours is your own Stripe account, standard pricing being 2.9% plus 30 cents online, and any volume discount you negotiate stays yours. Then what a cash-pay practice does all day: deposits at booking, a sliding scale per patient, products with stock, signed estimates. Our superbill carries NPI, EIN, CPT and ICD-10.
Languages, support and how patients find you
| Feature | DrinCloud | TherapyNotes |
|---|---|---|
| Interface language per user | ✓ YesEnglish, Spanish, Portuguese and more, user by user | ✗ Nothe clinician side is English only |
| Communication language per patient | ✓ YesEnglish, Spanish, Portuguese or German; reminders and documents follow it | Spanish portalthe portal can be shown in Spanish, which is real and useful. No other language, and not reminders |
| Support in Spanish and Portuguese | ✓ YesEnglish, Spanish and Portuguese | Not documented24/7, but no language is stated |
| Phone support, around the clock | ✗ Noemail and WhatsApp with video sessions, business hours. No phone line, and it costs us points | ✓ Yeson every subscription. Nobody else offers it, their best feature |
| Patient portal with no app to download | ✓ Yes | ✓ Yes |
| Post-visit satisfaction surveys with statistics | ✓ Yes | ✓ Yes |
| Automated campaigns by patient event | ✓ Yesif X happened, send Y after Z days | Not documented |
| Public directory that brings you new clients | ✗ Nowe bring you no patients and will not pretend otherwise | ✓ Yesa TherapySearch profile linked to your portal |
| Large US peer community in behavioral health | ✗ Nowe are new to the US market | ✓ Yesa new hire probably already knows it |
| Block score · Languages and patient experience (10%) | 3.3 | 3.1 |
Sources: support.therapynotes.com (Pricing and Subscription Options, TherapyPortal, Client Feedback Form, TherapySearch) and drincloud.com/features, checked November 2, 2026.
Give TherapyNotes the best cell on the page. Phone and email support, 24/7, on every subscription, is something we do not offer and nobody else in this market offers either; ours is email and WhatsApp with video sessions, in business hours. They also have a directory and a community we cannot match. Our ground is narrower and deeper: the interface in each user's language, each patient tagged with their own, and Portuguese, which they have nowhere.
Insurance, claims and prescribing: buy TherapyNotes
| Feature | DrinCloud | TherapyNotes |
|---|---|---|
| Insurance claim submission to payers | ✗ Noby design. We serve practices paid by the patient | ✓ Yessubmission, tracking and management included |
| Electronic remittance advice and insurance payment posting | ✗ No | ✓ YesERA documented as its own workflow |
| Insurance aging, write-off and adjustment reports | ✗ No | ✓ Yes |
| Built-in CPT and ICD-10 code database | ✗ Noyou type your own codes. The CPT set is AMA licensed | ✓ Yesservice and diagnosis coding inside the product |
| e-Prescribing | ✗ Noprint or PDF. In CA, FL, NY, MI, MN and DE you need a separate e-Rx platform, and we say so | ✓ Yes$65 a month per prescriber |
| Controlled substances with EPCS and PDMP lookup | ✗ No | ✓ Yes |
| Regulatory health data submission to health information exchanges | ✗ No | ✓ Yesits own help center category |
| Insurance and patient balances split in the ledger | ✗ Nowe track the patient balance only, because there is no payer side | ✓ Yespatient accounting for insurance and patient balances |
| Superbill the patient submits for out-of-network reimbursement | ✓ YesNPI, EIN, CPT, ICD-10 and the balance | ✓ Yes |
| Patient statements with a running balance | ✓ Yes | ✓ Yes |
| Block score · Insurance, claims and prescribing (10%) | 1.0 | 5.0 |
Sources: support.therapynotes.com (Insurance Claims, ERA, Insurance Aging Report, Write-Off Report, Patient Accounting, Coding, ePrescribe, EPCS, PDMP, Regulatory Health Data Submission) and drincloud.com, checked November 2, 2026.
This block is not close and no wording fixes it: 5.0 to them, 1.0 to us. If claims pay your rent, buy TherapyNotes. For a pure behavioral health practice that already bills payers, DrinCloud is the wrong option, full stop. We left the claims engine out because it is what makes most EHRs heavy and expensive, and a cash-pay practice never touches it. We also do not hold ONC certification: it is voluntary and only matters if you bill Medicare. The superbill the patient files we do produce, with NPI, EIN, CPT and ICD-10.
Integrations, data ownership and compliance
| Feature | DrinCloud | TherapyNotes |
|---|---|---|
| AI switched on inside the platform, nothing to set up | ✓ Yesone paid button, no outside account, no API key | ✓ Yes |
| Free self-service import from Excel or XML | ✓ Yesfree, and a bad import is deleted and uploaded again | Not documentedno self-service importer in its help center |
| Full data export, free | ✓ YesCSV and PDF, including the day you leave | ✓ Yes |
| Two-factor authentication on logins | Not documentedour security page lists encryption, backup and the BAA, not 2FA | ✓ Yesadministrators can require it for all users |
| Hosted website for the practice | ✓ Yesbooking widget inside, $10 on Essential, included from Solo | Not documenteda profile is documented, a website is not |
| Patient data never used to train the AI models | ✓ Yeswritten down, not implied | Not documentedit says data stays in its environment, nothing on training |
| Role-based permissions per user | ✓ Yes | ✓ Yesadministrator, scheduler and biller roles |
| HIPAA with a BAA on every plan | ✓ YesBAA, encryption in transit and at rest, backup | ✓ YesPCI compliance documented for payments |
| Your data after you cancel | ✓ Yesfree, with no retention period to wait out | Retained then deletedkept for a period set by law, then deleted for good |
| Block score · Integrations and data (5%) | 4.4 | 3.1 |
Sources: support.therapynotes.com (TherapyFuel Overview, Two-Factor Authentication, PCI Compliance, User Accounts and Roles, Account Termination) and drincloud.com/security, checked November 2, 2026.
Both sign a BAA and both let your data out, which is what matters when you are working out whether you could leave. Two differences in our favor: an importer you run yourself with any Excel or XML file, free, and a written statement that patient data never trains the models, which their help center does not address. One against us: they document two-factor authentication and we do not. More in alternatives to DrinCloud.
Which one fits you?
TherapyNotes is the better fit if...
- You bill insurance. Claims, remittances, aging and write-off reports are in the subscription and we have none of them. For a practice already billing payers, buy TherapyNotes.
- You want support at 2am. Phone and email, 24/7, on every subscription. Nobody else does that, and our email and WhatsApp in business hours is not the same.
- You prescribe. ePrescribe at $65 a month per prescriber covers EPCS and PDMP lookups; we print or send PDFs, which is not enough in CA, FL, NY, MI, MN or DE.
- You want therapist-grade documentation on day one: SOAP, DAP and BIRP formats, outcome measures that score themselves, and AI that drafts the treatment plan too.
- Your team is heavy on administrative staff: unlimited administrators, schedulers and billers at no cost, which beats us and beats SimplePractice at $74 per clinician.
- You want a free trial, a mobile app, or group therapy as a core service. Against the other big name, see TherapyNotes vs SimplePractice.
DrinCloud is the better fit if...
- Your patients pay you directly and a claims engine is dead weight you would rather not fund.
- You are three clinicians or more: $179 against $299 at three, $407 against $569 at six, AI on for everyone.
- You want the AI price written down: $20 a month per provider for drafting, half of TherapyFuel, and the clinical assistant included.
- Part of your schedule speaks Spanish or Portuguese: interface per user, reminders and documents in each patient's language. They have a Spanish portal and no Portuguese.
- Your practice is not only behavioral health: psychiatry, psychology, nutrition and medical specialties share one record.
- You want money taken at booking, not an appointment request you have to approve.
- You live off repeat visits: post-visit surveys, event-triggered campaigns and referral-source tracking, included from the Clinic plan.
- Your front desk is physical: tablet check-in, a waiting room screen, a waitlist that refills cancellations, excuse notes in one click.
- You sell products: supplements and materials invoiced with stock deducted automatically.
- You want storage in the price and the exit door open: 1 TB on Clinic, unlimited on Medical Center, free export. See pricing.
Questions about this comparison
I bill insurance for some clients. Can I still use DrinCloud?
Can I migrate from TherapyNotes to DrinCloud?
Why is TherapyFuel $40 and your scribe $20?
Is their 24/7 phone support really better than yours?
Where does the final score come from?
Is this comparison impartial?
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TherapyNotes and TherapyFuel are trademarks of their owner. This page is an informational comparison published by DrinCloud (Massive Bionics LLC), not affiliated with or endorsed by TherapyNotes, LLC, using public data verified on therapynotes.com, its help center at support.therapynotes.com and drincloud.com on November 2, 2026. 'Not documented' means the feature does not appear on the vendor's public site or help center on that date, not that it does not exist. Price scenarios are arithmetic with the published rates and the assumptions under each table, with AI on for every clinician in both columns. Card rates are the published all-inclusive TherapyNotes rate and the standard Stripe US rate for a client's own Stripe account. Scores come only from the table cells, with the published formula. If you represent TherapyNotes and find an inaccuracy, write to info@dricloud.com and we will correct the data and the score immediately.
Correction history: first published November 2, 2026.