ICANotes

ICANotes is a behavioral-health electronic health record for psychiatrists, therapists, and addiction-treatment providers. It suits practices that want clinical documentation and day-to-day practice tools in one system. Its specialty focus is a strong reason to consider it; its note caps, add-on charges, and three-month commitment make plan selection important.

Overview

ICANotes combines clinical records with scheduling, reminders, billing, and patient communications. The menu-driven templates cover assessments, progress notes, treatment plans, SOAP, BIRP and DAP notes, group therapy notes, and discharge summaries. That range is useful for teams with varied behavioral-health documentation needs, though the lower-priced clinician plans impose note limits or exclude prescribing.

More than 100 rating scales and assessment tools support clinical work. Integrations include lab, clearinghouse, health information exchange, interoperability, and PDMP connections, with named services including LabCorp, Quest, Availity, Waystar, and ClaimMD. ICANotes says it maintains HIPAA compliance and describes encrypted transmitted data, authentication, access controls, and audit logs. It also provides an ONC certification page and a 2026 real-world test plan.

Key features

Documentation and practice operations

Templates span individual and group documentation as well as treatment planning and discharge, making the system relevant to practices that need more than basic progress notes. Scheduling, automated reminders, a patient portal, secure messaging, billing, and e-prescribing bring administrative and clinical tasks together. Telehealth is available as an add-on rather than included in the listed plans.

Clinical tools and integrations

The assessment library and connections to labs, claims services, health information exchanges, and PDMPs are useful for practices coordinating medication and insurance workflows. The ambient AI scribe is described as listening to sessions and creating notes; it is a separate paid add-on. Live onboarding, training, and 24/7 assistance may help practices adopting a specialized record system.

Pricing

Pricing ranges from a free non-clinical user seat to clinician subscriptions, optional per-user add-ons, and custom pricing for text reminders. The ICANotes+ subscription requires a three-month commitment; after that, cancellation is allowed with 15 days’ notice. The free 30-day trial requires no credit card, but e-prescribing and insurance claim submission are unavailable during the trial.

Non-Clinical Users: First user free; each additional user $25/mo. This covers non-clinical access, not a clinician documentation plan.

Part-Time Notes Only: $35/mo for 60 notes/month, available only to non-prescribers. The $99 activation fee makes this less attractive for a short-term or very light need.

Part-Time Non-Prescribing: $45/mo for 60 notes/month, with scheduling, reminders, secure messaging, client portal, billing, and reporting. It suits a non-prescribing clinician with modest volume; the note cap is a meaningful constraint.

Full-Time Notes Only: $55/mo for unlimited notes, for non-prescribers. It removes the part-time quota but not the exclusion of prescribing tools.

Full-Time Non-Prescribing: $75/mo, including Notes Only features plus scheduling, reminders, secure messaging, client portal, billing, and reporting. This is the more complete option for a non-prescribing clinician, with a $99 activation fee.

Part-Time Prescribing: $138/mo for 100 notes/month, e-prescribing, medication management, and lab ordering and results integration. It fits a prescriber with limited documentation volume; the 100-note ceiling and $99 activation fee matter.

Full-Time Prescribing: $213/mo, with Non-Prescribing features plus e-prescribing, medication management, and lab ordering and results integration. It is the broadest listed clinician plan, also with a $99 activation fee.

Telehealth add-on: $20/mo per user; AI Scribe add-on: $49/mo per user. Both are optional costs on top of a plan.

Text Reminders: Custom pricing.

Platforms

ICANotes runs on the web. It has no mobile app coverage, so clinicians who need a dedicated mobile app should consider another option.

Who it's for

ICANotes is built for psychiatry, therapy, and addiction treatment, and its intended users include individual clinicians, group practices, hospitals, and residential programs. It is a stronger fit for behavioral-health organizations needing structured notes, assessments, and practice workflows than for a general-purpose practice seeking an unrestricted mobile experience. Non-prescribers can choose lower-cost plans, while prescribers need the substantially more expensive prescribing tiers.

Pros and cons

Pros: Broad behavioral-health templates and more than 100 assessment tools suit varied clinical documentation.

Pros: Scheduling, messaging, portal, billing, telehealth, and prescribing can consolidate clinical and administrative work.

Pros: Named lab and claims-related integrations support connected workflows; onboarding, training, and 24/7 assistance are advertised.

Cons: Part-time plans cap notes at 60 or 100 per month, and the listed prescribing plans start at $138/mo.

Cons: Activation fees of $99 apply to the listed clinician plans, and the subscription has a three-month initial commitment.

Cons: Telehealth and AI Scribe add per-user charges, and no mobile app coverage is offered.

Alternatives

For a wider alternatives list, see Therapy Scheduling Software.

Carepatron is worth comparing if a free plan, mobile platforms, or a lower-priced Plus plan matters more than ICANotes’ behavioral-health specialization.

PracticeRunner is an option for clinicians who want Android or iOS coverage and a free 30-day Starter period for up to 10 active clients.

TherapyAppointment may suit a practice that prefers its platform coverage or usage-priced add-ons for insurance claims and AI notes.

hoito offers a free plan and web access for readers comparing another freemium option.

Zanda is another option for practices that want broader platform coverage, including mobile and desktop operating systems.

Colib is worth considering if a free plan and Android or iOS coverage are priorities.

ConsultStream may suit readers looking for a free option with Android or iOS coverage.

Halaxy is an alternative for practices prioritizing a free web-based core platform with unlimited appointments, practitioners, and locations.

Verdict

Choose ICANotes if your psychiatry, therapy, or addiction-treatment practice needs specialized documentation, assessments, and practice workflows in one web-based system. Its strongest case is the combination of behavioral-health templates, clinical tools, and operational features. Look elsewhere if mobile apps, a free clinician plan, or avoiding activation fees and an initial three-month commitment matters more.