Cliniko alternatives for Canadian therapy clinics (2026)

How we compared Cliniko alternatives for Canadian clinics

The comparison uses only each vendor’s own public pages, read on October 18, 2026. Descriptions are paraphrased. Vendors change their sites, so readers should confirm each point on the linked vendor page before deciding. The TherapyCRM row describes TherapyCRM’s own product and boundaries.

The table covers public product descriptions. It does not assess a clinic’s contract, security review or claim routing to a particular payer; ask each vendor for its own documentation. A status of “Not stated on the pages we read” is a prompt to ask the vendor, not evidence that a feature is missing.

• Cliniko, read 2026-10-18: the home page and features, pricing, health records, online booking, telehealth, Medicare integrations, multi-location and FAQ pages on cliniko.com and help.cliniko.com.
• Jane App, read 2026-10-18: the home page and features, pricing, chart templates, telehealth, patient app, online booking, security and FAQ pages on jane.app.

Direct Comparison Summary: Cliniko fits solo and multi-practitioner general allied health practices seeking simple online booking, built-in telehealth and monthly US-dollar pricing tiers. TherapyCRM fits Canadian multidisciplinary and pediatric clinics needing Canadian data storage in Toronto, flat CAD pricing with unlimited users, authenticated parent portal, offline session recording and Ontario Autism Program (OAP) funding reconciliation.

What Cliniko states on its own pages

Cliniko, developed by Red Guava Pty Ltd in Australia, is cloud-based practice management software used internationally by allied health professionals, including physiotherapists, chiropractors, podiatrists, speech therapists and massage therapists.

Cliniko’s public pages describe online appointment scheduling, customizable clinical notes and body charts, medical alerts, automated SMS and email reminders, invoice generation and payment processing via Stripe or Square integrations.

• For telehealth, Cliniko includes built-in video consultations within its subscription without requiring separate third-party meeting software.
• Its help center states that Cliniko does not provide a logged-in patient portal where clients can view historic records or manage accounts; instead, it provides a public online booking link and online intake forms sent before appointments.
• For insurance billing, Cliniko’s native integrations focus on Australian government schemes such as Medicare and DVA, with integrations for UK health insurers; Canadian insurance claims are not stated as direct integrations on the pages read.
• Its pricing page lists monthly subscriptions tiered strictly by the number of active practitioners, with all prices published in US dollars ($49 USD/month for 1 practitioner up to $399 USD/month for up to 200 practitioners), plus local applicable taxes.

Cliniko alternatives compared: TherapyCRM and Jane App

TherapyCRM lets clinicians continue recording in a loaded browser session without an internet connection, syncs encrypted drafts later, provides an authenticated parent and guardian portal, and keeps data stored in Canada. Each competitor cell reports only what its linked first-party page states. The row order is not a ranking. The wider comparisons linked below cover additional vendors.

Swipe or scroll sideways to view all table columns.

Canadian data storage and health privacy compliance

For Canadian therapy clinics, data storage geography and compliance with provincial health privacy acts are fundamental selection criteria.

TherapyCRM data is stored in Canada, running on Cloud Run and Cloud SQL infrastructure located in Toronto, Ontario (with named subprocessor exceptions on its public subprocessor list). This guarantees that sensitive clinical documentation, client health records, and treatment notes remain within Canadian borders.

Cliniko’s public security documentation states that its servers and databases are hosted in global cloud regions, with international data handling designed around Australian Privacy Principles and UK GDPR standards. Canadian clinic owners must determine whether international data storage aligns with their practice’s provincial regulatory obligations and client consent policies.

Pediatric multidisciplinary documentation vs general allied health

Cliniko was engineered as general allied health software for adult individual practitioners (chiropractors, physiotherapists, osteopaths). Its charting consists of clinical note templates, sections, and customizable body charts.

Multidisciplinary pediatric clinics, by contrast, require documentation workflows tailored to developmental therapy: speech-language pathology (articulation, phonology, receptive/expressive language, MLU calculations), occupational therapy (sensory processing, bilateral coordination, fine motor grasp), and applied behavior analysis (discrete trial recording, prompt hierarchies, ABC data collection).

TherapyCRM provides over 117 purpose-built clinical templates for pediatric therapies, multi-goal progress tracking, and an offline session runner. Jane App provides a public community chart template library but requires continuous online connectivity to chart.

Parent portal vs unauthenticated online booking

Pediatric clinics communicate primarily with parents, guardians, and third-party funders rather than adult clients.

Cliniko does not offer a dedicated patient log-in portal. Its patient interaction occurs through an unauthenticated public online booking link, email reminders, and pre-appointment intake forms. Once an intake form is submitted, clients cannot log in to review historical treatment plans, home exercises, or shared developmental reports.

TherapyCRM includes an authenticated parent and guardian portal and native Family app for iPhone and iPad. Parents can securely log in to review approved clinical notes, access home practice assignments, request appointments into a coordinator-reviewed queue, review invoices and payment receipts, and submit signed digital consent forms.

Ontario Autism Program (OAP) funding and invoicing

In Ontario, therapy clinics frequently bill services under the Ontario Autism Program (OAP), including Core Clinical Services, Childhood Budgets, and Interim One-Time Funding.

Cliniko has no native concepts of Canadian provincial funding allocations, authorized hour caps, or OAP expense reconciliation. Clinic administrators using Cliniko must track funding balances in external spreadsheets and manually calculate remaining budget allocations.

TherapyCRM includes built-in funding allocation tracking: staff enter approved funding amounts or session hours, track real-time utilization against completed appointments, generate invoices with required OAP service codes, and produce funder progress summaries directly from session observations.

Pricing comparison: USD practitioner tiers vs flat CAD plans

Cliniko prices its software per practitioner per month in United States dollars, with tiered bands based on practitioner count (amounts are left to the live vendor pricing page). Support staff, receptionists, and billing coordinators do not count toward the practitioner tier.

For Canadian clinics, paying in US dollars introduces currency exchange fluctuations and foreign transaction fees. Furthermore, as clinics add part-time therapists or multidisciplinary associates, subscription costs step up into higher tiers.

TherapyCRM publishes flat-rate plans in Canadian dollars with unlimited users, unlimited clinicians, and unlimited clients. Every staff member, supervisor, and receptionist has an individual login with role-based access control without increasing the software subscription.

Where Cliniko is the better fit: an honest evaluation

Cliniko is an established practice management software for many clinics, and TherapyCRM is not the right choice for every practice.

Cliniko is the better fit if:

• Your practice requires built-in telehealth video consultations within the EHR subscription (TherapyCRM has no built-in video visits).
• You run an adult allied health practice (chiropractic, physiotherapy, acupuncture) with solo or few practitioners where simple online booking and body charts are sufficient.
• Your clinic operates in Australia or the UK and relies heavily on direct Australian Medicare or UK insurer claim integrations.
• You prefer software with open API integrations to accounting tools like Xero or MYOB.

TherapyCRM is the better fit if:

• Your clinic is based in Canada and requires Canadian data storage for health privacy compliance.
• You provide pediatric or multidisciplinary services (ABA, speech therapy, occupational therapy) requiring developmental goals, prompt level data collection, and 117+ clinical templates.
• Your practice works with the Ontario Autism Program (OAP) and needs native funding balance and utilization tracking.
• You require an authenticated parent portal with an iPhone/iPad app so families can review progress and homework.
• You want predictable, flat-rate Canadian dollar pricing with unlimited users instead of paying per practitioner in USD.

TherapyCRM does not submit insurance or government claims, including Ontario Autism Program claims, and has no telehealth or video visits. It serves practices in Canada outside Quebec, in English only. Its Family app is for iPhone and iPad. TherapyCRM is practice management software with a clinical record, not a physician EMR, and it has no EMR certification.

Demo checklist when comparing Cliniko and TherapyCRM

When evaluating Cliniko and TherapyCRM, request demonstrations using fictional client data. Test these five critical workflows:

1. Intake to Schedule: Test booking a multidisciplinary appointment requiring shared room and equipment resources.
2. Clinical Charting: Create a pediatric treatment goal with cue/prompt levels and test completing a session note with and without an internet connection.
3. Family Experience: Compare sending an unauthenticated booking link versus providing a secure family portal login with document access.
4. Funding & Invoicing: Enter an authorized funding budget (such as an approved OAP allocation) and verify that completed visits automatically deduct from the remaining balance on invoices.
5. Total Cost of Ownership: Calculate your monthly cost in Canadian dollars across 1, 3, and 5 years, factoring in practitioner tiers, currency conversion, and user counts.

Frequently asked questions