The Best EHR with AI for Therapists
An AI EHR you can defend to your clients: your data trains nothing, and a licensed clinician signs every note. Built in from $29/mo, with AI on Professional - not a $35 add-on or a second subscription.
Free 15-min demo · No commitment · or read the No AI Therapist Pledge →
Two Claims We'll Defend
"Best EHR with AI" usually means cheapest AI scribe. We think it should mean the AI you can explain to a client without flinching. Two promises do that work, and we put both in writing in our No AI Therapist Pledge.
Your data trains nothing
Our AI works for the clinician whose data it is, on that clinician's behalf - we don't pool it or feed it to a model that outlives the relationship it came from. As our pledge puts it: "Today, the simple answer is: we don't." Many tools reserve de-identified data to "improve AI." But a psychotherapy note doesn't de-identify the way a billing code does - strip the name and the session is still unmistakably the client's.
A licensed clinician signs every note
The AI drafts, transcribes, summarizes, and suggests. It does not diagnose and it does not decide. Nothing it produces enters the record until a clinician has read it and signed it - there is no auto-sign anywhere in CoralEHR. Guardrails forbid the AI from diagnosing, recommending treatment or medications, or predicting outcomes. You are the author of record.
More on the evidence behind both: why clinician sign-off matters and AI scribe consent.
AI Built In, Not Bolted On
There are three ways to get AI documentation in a therapy practice, and they cost very differently:
A standalone scribe (Upheal, Mentalyc, Blueprint, Heidi) bolted onto your EHR - a second login, a second bill, and a second BAA.
Your EHR price plus a per-clinician AI add-on (SimplePractice Note Taker +$35/clinician/mo; Jane Scribe +$15/practitioner/mo).
CoralEHR puts AI documentation on Professional ($79/mo) with no per-seat add-on and no second login. One tool, one BAA, one place your data lives.
One honest line, because we want you to choose with eyes open: a standalone scribe can be cheaper at low volume - Upheal caps at $1/session/$69 a month, and Blueprint runs $0.99 a session. The trade-off isn't really price. It's that a bolt-on scribe is still a separate tool, a separate BAA, and a separate place your most sensitive records live.
How the AI Is Built, Priced & Governed
| Tool | AI type | What the AI costs | Recording required? | Trains AI on your data? | Clinician signs? |
|---|---|---|---|---|---|
 CoralEHR | AI built into the EHR (drafts notes, plans, assessments, forms) | Included on Professional ($79/mo) - no per-seat add-on | Not required - drafts from typed notes | No - Anthropic BAA/commercial terms; pledge to never train shared models on your data | Yes - clinician signs every note; no auto-sign |
| Mentalyc | Standalone behavioral-health AI scribe | $19.99-$119.99/mo by note count (annual cheaper) | Optional - record, upload, voice-to-text, or type | No - states it does not train on client/session data; signs a BAA | Yes - you review and sign in your EHR |
 Upheal | Standalone ambient-first AI scribe | Free plan + $1/session, capped $69/mo per provider | Live ambient capture is the paid core (dictation/typing available) | De-identified data used to improve its AI by default - opt out any time | Yes - you review and sign |
| Blueprint | Free EHR + usage-based AI assistant | $0.99/session (Plus) or $1.49/session (Pro); credits don’t expire | Ambient assistant | See vendor policy (verify on blueprint.ai before buying) | Yes - you review and sign |
 SimplePractice Note Taker | EHR add-on (ambient recording or dictation) | +$35/clinician/mo on every plan (30-day trial) | Yes - ambient recording or ~1 min dictation | From June 16, 2026: retains a de-identified transcript to improve its AI - clinicians who enable Note Taker on/after that date are opted in by default (existing users opted out); opt out per clinician/client/session | Yes - you review and sign |
 Jane Scribe | EHR add-on (ambient) | +$15/practitioner/mo (5 free notes/mo) | Yes - ambient capture | See vendor policy (verify on jane.app before buying) | Yes - you review and sign |
| Heidi Health | General-medicine AI scribe (not behavioral-health-built) | Free tier; paid ~$99-$150/user/mo /* VERIFY-IN-BROWSER - figures not on Heidi’s own pricing page */ | Yes - recording/transcription-based | See vendor policy (verify on heidihealth.com before buying) | Yes - you review and sign |
Competitor pricing and policies shown as of June 2026, taken from each vendor's own pages. Verify current terms before buying.
Standalone AI Scribes (a second subscription)
These are real, capable tools. The trade-off is the same across all of them: a second subscription, a second data home, and - for the ambient ones - a recording-consent burden you take on with every client.
Mentalyc
Behavioral-health-specific, with multiple input methods - you can record, upload, dictate, or simply type, so recording is not required. Pricing scales by note volume: Mini $19.99/mo (40 notes), Basic $39.99/mo (100), Pro $69.99/mo (160), Super $119.99/mo (330), with annual billing cheaper (Pro $59.99/mo) [mentalyc.com/pricing, June 2026]. On data, Mentalyc states it does not train on client data, anonymizes transcripts before processing, auto-deletes recordings within ~3 days, and signs a BAA [mentalyc.com/security, June 2026].
Choose it if you want a behavioral-health notes layer on the EHR you already love. Watch-out: per-note caps and a second bill.
Upheal
Ambient-first: live session capture is the paid plan's core, with a genuinely free tier. Usage-based pricing is $1 per session, capped at $69/month per provider; couples notes are in beta and insurance billing has been advertised as "coming summer 2026" (unshipped as of June 2026) [upheal.io/pricing, June 2026]. On data, Upheal uses de-identified session data to help improve its AI by default and lets you opt out at any time [upheal.io/pricing, June 2026] - so if data governance is your deciding factor, the opt-out is on you to set, per provider.
Choose it if ambient capture is your core workflow. Watch-out: recording-consent burden, a separate BAA, and de-identified data used to improve AI unless you opt out. See our full Upheal vs CoralEHR comparison.
Blueprint
A free base EHR ("Core") with AI sold as usage-based per-session credits: Plus $0.99/session (AI Scribe - notes, treatment plans, session prep, suggested interventions) and Pro $1.49/session (adds AI Chat); credits don't expire [blueprint.ai/pricing, June 2026].
Choose it if you want pay-per-use AI on a free EHR. Watch-out: per-session cost adds up at a full caseload; confirm its data-use policy before buying.
Heidi Health
A general-medicine scribe used across family medicine, specialists, dentists, and vets - not behavioral-health-built. It has a free-forever tier (with limits such as ~10 "Pro Actions"/month) and paid plans roughly $99-$150/user/month [heidihealth.com - VERIFY-IN-BROWSER: exact prices are not surfaced on Heidi's own pricing page; band is from 2026 third-party reviews - verify before publishing]. It is recording/transcription-based.
Choose it if you scribe across multiple medical specialties. Watch-out: not designed for therapy documentation or behavioral-health templates.
EHR AI Add-Ons (your EHR price + a surcharge)
If you're already on one of these platforms, the AI is a per-clinician surcharge on top of your plan rather than a second login. That convenience is real - and so is the cost.
SimplePractice Note Taker
A $35/clinician/month add-on available on every plan, with a 30-day trial. It captures via live ambient recording or post-session dictation (about a minute of audio minimum), deletes the raw recording after transcription, and keeps the transcript for the shorter of 7 days or until the note is signed and locked [support.simplepractice.com Note Taker FAQs; simplepractice.com features page, June 2026]. The notable change: beginning June 16, 2026, SimplePractice will retain a de-identified, de-coupled transcript (after that window) to improve Note Taker and related AI features - clinicians who enable Note Taker on or after June 16, 2026 are opted in by default, while clinicians who were already using it before that date are opted out by default; either way you can set retention at the clinician, client, or session level. SimplePractice states it never sells transcript content and never trains on identifiable client data [Transcript-retention FAQs - VERIFY-IN-BROWSER; support page 403s to automated fetch, June 2026].
This is the sharpest contrast on this page: a competitor that signs everything and recording-captures is moving the other way on default data retention for new users, exactly as a clinician-signs-everything, data-trains-nothing tool is pledging not to. See SimplePractice vs CoralEHR.
Jane Scribe
The AI Scribe (Unlimited) costs $15/practitioner/month, with a free tier of 5 session notes per month that refresh monthly; the scribe is ambient and captures the session [jane.app/pricing & jane.app/guide/ai-scribe-faq, June 2026].
Choose it if you run a multi-discipline practice already on Jane. Watch-out: ambient recording means a consent step every session. See Jane App vs CoralEHR.
CoralEHR's AI, Exactly
What it does
- Drafts SOAP/DAP notes, treatment-plan drafts, assessment selections, and form fields as suggestions you edit and sign
- Persists note drafts as preliminary until a clinician signs them
- Attaches validated instruments (PHQ-9, GAD-7, and more) verbatim from a catalog
- Auto-deletes treatment-plan drafts after 30 days
- Runs on Anthropic's first-party Claude API (not Bedrock); under Anthropic's BAA/commercial terms, your patient data is not used to train models
What it doesn't do
- Never auto-signs and never auto-accepts
- Never requires session recording - it drafts from your typed scratchpad, with an optional ambient scribe when you want it
- Never diagnoses, never recommends treatment or medications, never predicts outcomes (guardrails)
We flag, we don't overstate. CoralEHR is HIPAA-compliant and signs BAAs. The precise mechanics of how we isolate each clinician's data and how long any audio or transcript is retained are spelled out in our terms and BAA, not invented on a marketing page - if a detail matters to your practice, confirm it there. CoralEHR is our product; for a fully neutral, feature-by-feature view, use our interactive comparison tool.
How to Vet Any AI EHR
Five questions to ask any vendor before you trust it with a session. CoralEHR's answers are in the right column.
Does a licensed clinician sign before anything enters the record?
Yes - there is no auto-sign; the clinician reads and signs every note.
Can you see and edit the draft against the source?
Yes - drafts are reviewable and editable; you control the final text.
Is your data used to train any shared or foundation model?
No - your data trains nothing; Anthropic BAA/commercial terms plus our pledge.
Will the vendor sign a BAA?
Yes - CoralEHR is HIPAA-compliant and signs BAAs.
Who is the author of record?
You are - the AI is an adjunct, never a substitute for your judgment.
Not legal advice. Recording laws vary by state - 12 US states require all-party (two-party) consent, so ambient scribes that record audio can trigger wiretapping law where tools that draft from typed or dictated input do not. The APA's June 2025 guidance asks clinicians to disclose AI use and to obtain and document informed consent. Confirm your own obligations. More in AI scribe consent.
Who Should Choose What
Choose a standalone scribe (Upheal, Blueprint, Mentalyc, Heidi) if…
You love your current EHR and only want a notes layer, or you want ambient capture as your core workflow and a separate BAA is fine.
Choose an EHR add-on (SimplePractice, Jane) if…
You're already on that platform - especially if you bill insurance through SimplePractice - and a per-seat AI surcharge is acceptable.
Choose CoralEHR if…
You're private-pay, want AI included (no second subscription, no per-seat add-on), want to draft notes without recording the session, and want "your data trains nothing + a clinician signs everything" backed by a BAA.
AI Documentation You Can Defend
Try the AI notes, the assessment catalog, and the clinician-signs workflow yourself. No card, no recording required.
Free 15-min demo · No commitment
Read the No AI Therapist Pledge →Frequently Asked Questions
What is the best EHR with AI for therapists?
It depends on what you're optimizing for. If you want AI documentation included in the EHR (not a separate subscription), drafted without recording the session, and governed so your data trains nothing and a clinician signs every note, CoralEHR is built for that and starts at $29/mo with AI on Professional ($79/mo). If you want ambient capture as your core workflow, a standalone scribe like Upheal or Mentalyc may fit better.
Which EHRs include AI notes at no extra cost?
CoralEHR includes AI documentation (notes, treatment plans, form builder) on its Professional plan with no per-seat add-on. By contrast, SimplePractice charges $35/clinician/month for its Note Taker and Jane charges $15/practitioner/month for its Scribe, both on top of the base plan (as of June 2026).
Do AI therapy notes require recording the session?
Not always. CoralEHR drafts notes from your typed scratchpad, so no recording is required (an optional, consent-first ambient scribe is available when you want it). Mentalyc also lets you type or dictate. Ambient-first tools like Upheal, Jane Scribe, and SimplePractice Note Taker capture audio, which adds a client-consent step and, in all-party-consent states, can trigger wiretapping law.
Does the AI write my notes for me, or do I still sign them?
You still sign them. In CoralEHR the AI drafts, summarizes, and suggests, but nothing enters the record until you read and sign it - there is no auto-sign. You remain the author of record, and clinicians are responsible for the content of documentation regardless of how it was generated.
Will my clients' session data be used to train AI?
In CoralEHR, no. Your data isn't pooled or fed to a shared model; CoralEHR runs on Anthropic's first-party Claude API under BAA/commercial terms that don't train on your data, and our pledge commits us never to train shared models on it. Competitor policies differ - Mentalyc states it doesn't train on client data; Upheal uses de-identified data to improve its AI by default and lets you opt out; and from June 16, 2026 SimplePractice will retain a de-identified transcript to improve its AI for clinicians who enable Note Taker on or after that date (existing users are opted out by default), with opt-out at the clinician, client, or session level. Always verify a vendor's current policy.
How much does SimplePractice's AI Note Taker cost?
SimplePractice's AI Note Taker is a $35/clinician/month add-on, available on every plan with a 30-day trial, as of June 2026 (per simplepractice.com). That's on top of the base subscription, so matching an EHR that includes AI documentation means adding the surcharge to the plan price.
What's the difference between an AI scribe and an AI EHR?
An AI scribe is a documentation tool that turns a session (recorded or typed) into a note; it usually bolts onto your existing EHR as a second subscription. An AI EHR builds documentation AI into the full clinical system - scheduling, assessments, treatment plans, payments - so you have one login, one BAA, and one place your data lives. This page is about documentation AI only; it is not about AI-therapist chatbots, which are a different and separate category.
Is CoralEHR HIPAA-compliant and will it sign a BAA?
Yes. CoralEHR is HIPAA-compliant and signs Business Associate Agreements. Its AI commitments - your data trains nothing, the clinician signs every note - live in the BAA and subscription terms, not just on a marketing page.
Reviewed by Aanish Sachdev, Co-Founder of CoralEHR
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