EMRFlow vs Therapad
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
EMRFlow
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EMRFlow grew up inside OpenEMR. It's the documentation layer for practices that run OpenEMR, and for practices deciding on it. Speak a session and every detail lands in the right field of a structured SOAP, DAP, or narrative note; paste a referral letter and the intake fills itself; OpenEMR stays the system of record, and the wrap-up after a session takes about a minute. It connects over HL7 FHIR R4 and SMART on FHIR, so it also works with any FHIR R4 EHR. No EHR yet? Use it standalone in Solo Practice Mode: notes, scheduling, billing, and telehealth in one app. FOR OPENEMR ADMINISTRATORS • A SMART on FHIR backend-services client reads patients, practitioners, locations, and encounters. No schema changes, no custom modules, no core files touched. • An approved visit posts a draft billing encounter to OpenEMR (date and place of service, facility, diagnosis and procedure codes). The finished note files as a PDF to your connected document storage, not into the chart. Nobody re-keys a visit. • In production today, from solo practices to multi-site agencies. We also publish GPL-licensed OpenEMR utilities, including a self-service password reset: emrflow.com/insights. WHAT YOU GET Each feature is tagged with where it runs: Connected (OpenEMR or another FHIR R4 EHR), Solo Practice, or both. • Voice dictation. Talk for 2 to 5 minutes, get back a structured SOAP note ready to review and sign. (Connected and Solo) • Field-level AI assist. AI fills the fields of your form, not a wall of text, and every draft goes through your review before it is signed. (Connected and Solo) • Smart form filling. ICD-10 codes, CPT codes, supervisor co-signatures, treatment plans, attendance logs. The fields know each other. (Connected and Solo) • Outside physician signature by email for evaluations and treatment plans. (Connected) • Scheduling with patient self-booking through a widget you embed on your site. (Solo Practice) • Telehealth video visits. One tap to start a HIPAA-aligned visit; the patient joins from a link, no app download required. (Solo Practice) • Claims and ERA posting. Submit claims to your clearinghouse, track status, and post 835 remittances to the encounter automatically. (Solo Practice) • Supervision logs for clinicians under licensure hours, as state-board PDFs for FL, CA, NY, TX, PA, IL, OH. (Solo Practice) WORKS OFFLINE Full access to synced patients, forms, and codes without internet. Create and edit forms offline; they sync when you reconnect. SOLO PRACTICE MODE TIERS EMRFlow Solo Practice has Starter, Standard, Pro, and Growth tiers. Available features vary by tier. WHO IT'S FOR • OpenEMR administrators who want AI-assisted, structured documentation on phones and tablets without replacing the EHR. • Practices choosing OpenEMR who want the mobile documentation piece settled before they move. • Therapists at IDD, rehabilitation, and outpatient practices whose billing company already uses EMRFlow. • Solo therapists who outgrew spreadsheets and want one tool for notes, scheduling, and billing. SECURITY AND COMPLIANCE Built on OpenEMR, an ONC HIT 2015 Edition Certified EHR, with native HL7 FHIR R4 and SMART on FHIR 2.0 support. Operated under HIPAA Security Rule safeguards, with Business Associate Agreements across every subprocessor handling protected health information. TLS 1.2+ in transit, AES-256 at rest, hardware-backed device attestation on every install, and architected for the CMS-0057-F mandate effective January 2027. ABOUT THE COMPANY EMRFlow is built by Facets Novum LLC, a US-based team focused on outpatient therapy documentation. We sign BAAs with every practice we serve. EMRFlow is an independent product; OpenEMR is a trademark of its owner, and EMRFlow is not affiliated with or endorsed by the OpenEMR project. Privacy policy: https://emrflow.com/privacy Support: helpdesk.emrflow.com Web: https://emrflow.com
Therapad
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TherapyNotes is a comprehensive client management app designed for psychologists and therapists. FEATURES: CLIENT MANAGEMENT • Create detailed client profiles • Contact info and therapy history • Quick search and filtering SESSION TRACKING • Session notes and summaries • Mood tracking • Progress assessment • Reminders and notifications CLINICAL SCALES • PHQ-9 Depression Scale • GAD-7 Anxiety Scale • Automatic scoring and interpretation • Progress charts RISK ASSESSMENT • Comprehensive risk analysis • Suicide and self-harm evaluation • Protective and risk factors • Safety plan creation FAMILY INFORMATION • Family members and relationships • Family history notes • Significant events LIFE TIMELINE • Important life events • Trauma marking • Emotional impact tracking SECURITY • App lock (PIN/Biometric • Data stored securely on device • Privacy compliant MULTILINGUAL Support for English, Turkish, French, German, Spanish, and Arabic. Take your professional therapy practice to the next level! NOTE: Some features require in-app subscription. Terms of Use (EULA): https://www.apple.com/legal/internet-services/itunes/dev/stdeula/
Screenshots
Verdict
The clearest difference is in-app purchases: EMRFlow at none against Therapad's 2. On price, update cadence, ads and device support there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Therapad sells 2 in-app purchases, starting at $9.99 per month. EMRFlow asks for nothing beyond the download.
EMRFlow ships an update every 4 days, Therapad weekly. The most recent releases landed on October 18, 2026 and September 29, 2026 respectively.
| Parameter | EMRFlow | Therapad |
|---|---|---|
| Price | Free | Free |
| Update frequency | Every 4 days — better | Weekly |
| Ads | No | No |
| In-app purchases | No — better | Yes |
| Devices | iPhone, iPad | iPhone, iPad |
| Requires iOS | 17.0 | 17.0 |
| Further details — not scored | ||
| Size | 118 MB | 9 MB |
| Age rating | 4+ | 4+ |
| Developer | FACETS NOVUM, LLC | DILARA IRMAK GAYGUSUZ |
In-app purchases
EMRFlow
No in-app purchases
Therapad
- Premium Monthly$9.991 Month
- Premium Yearly$79.991 Year









