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Top 6 Free Allscripts EHR Alternatives, Compared (2026)

Explore 6 alternatives to Allscripts EHR — vetted by our editors with real user reviews, pricing, and feature comparisons.

The 6 best free Allscripts EHR alternatives at a glance

Quick answer

Our pick of free ehr software alternatives to Allscripts EHR: Dr in Cloud, Carepatron and ABAdesk. Dr in Cloud leads the pack with a SpotScore of 7.9. Compare all 6 on score, rating, and pricing below.

Whether it's the bill, a missing capability, or the day-to-day friction, plenty of teams leave Allscripts EHR. These 6 ehr software free alternatives are where they tend to land. We order them by SpotScore (real-user satisfaction and market presence), star ratings, and pricing. Editors vet each one. Skim the table, then read on for detail.

ProductSpotScoreRatingPricingBest for
Dr in CloudEfficient care, accessible anywhere.7.9Not yet ratedFreefrom $35/moteams of all sizes
CarepatronConnect with patients anytime, anywhere.8.2★★★☆☆ 3.25(4)FreeFreemium · Subscriptionsmall & mid-size businesses
ABAdeskSupporting Behavioral Health with Easy, Automated Workflows—Not yet ratedFreeFree Trialsmall & mid-size businesses
CarePaths EHRBehavioral Health EHR with AI Notes, Teletherapy, and Outcomes Tracking—Not yet ratedFreeFree Trial · Subscription—
OptiMantraIntegrated EMR and practice management software for solo and multi-practitioner wellness clinics—Not yet ratedFreeFree Trial · Subscriptionsmall & mid-size businesses
Ensora Mental Health (formerly TheraNest)Purpose-Built EHR for Therapists and Behavioral Health Practices—Not yet ratedFreeFree Trialmid-size & enterprise teams

7.9

SpotScore

Dr in Cloud - Hospital Management Software

Dr in Cloud

Efficient care, accessible anywhere.

Best for: SMB teams · Mid-market · Enterprise

Start Free Trial

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What is Dr in Cloud?

Dr in Cloud, Up-to-date patient care management for Hospitals and Practice Groups. Doctors, Nurses and Hospital administrators can access the patient data from anywhere in the world using web-based technology from their Desktop computers, notebook computers and Android devices. It has easy to ...

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Free TrialTry Free →

8.2

SpotScore

Carepatron

Carepatron

Connect with patients anytime, anywhere.

Best for: SMB teams · Mid-market

GDPRHIPAA
Try for Free

3.3

4 verified reviews

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What is Carepatron?

CarePatron is a telemedicine software for care providers and medical staff to connect with patients. This health information technology (HIT) enables clinicians to remotely share progress notes, photos and supporting documents with referring providers and others. It permits medical staff to ...

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ABAdesk - Logo

ABAdesk

Supporting Behavioral Health with Easy, Automated Workflows

Best for: SMB teams · Mid-market

HIPAA
Start Free Trial

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watch-demo

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What is ABAdesk?

ABAdesk is a HIPAA-compliant ABA therapy and behavioral health platform designed to simplify data collection and treatment planning while helping providers focus more on client progress. Built for ABA clinics, behavioral health providers, and therapy practices, it offers tools for skill ...

Read more about ABAdesk
Free TrialTry Free →·

Starts from $10client/month when monthly

CarePaths EHR - Logo

CarePaths EHR

Behavioral Health EHR with AI Notes, Teletherapy, and Outcomes Tracking

HIPAA
Start Free Trial

Add to compare

What is CarePaths EHR?

CarePaths EHR is a user-friendly, cloud-based platform built for behavioral health professionals, solo therapists, and group practices. It combines essential clinical and administrative tools into a single interface, allowing providers to manage scheduling, documentation, teletherapy, outcomes ...

Read more about CarePaths EHR
Free TrialTry Free →·

Starts from $10/month when monthly

OptiMantra - Logo

OptiMantra

Integrated EMR and practice management software for solo and multi-practitioner wellness clinics

Best for: SMB teams · Mid-market

HIPAA
Start Free Trial

Add to compare

What is OptiMantra?

OptiMantra is an all-in-one EMR and practice management platform designed for integrative, functional, and wellness-based practices, including primary care, behavioral health, medspas, chiropractic, and acupuncture providers. Built for solo practitioners and multi-provider clinics alike, it ...

Read more about OptiMantra
Free TrialTry Free →·

Starts from $99/month when monthly

Ensora Mental Health (formerly TheraNest) - Logo

Ensora Mental Health (formerly TheraNest)

Purpose-Built EHR for Therapists and Behavioral Health Practices

Best for: Mid-market · Enterprise

HIPAA
Start Free Trial

Add to compare

watch-demo

Watch Demo

What is Ensora Mental Health (formerly TheraNest)?

Ensora Mental Health is a dedicated, cloud-based EHR and practice management solution tailored specifically for behavioral health providers. Designed to simplify scheduling, documentation, billing, and telehealth, it helps therapists reclaim hours lost to administrative tasks. With features ...

Read more about Ensora Mental Health (formerly TheraNest)
Free TrialTry Free →·

Starts from $26.58 therapist/month when yearly

What sets each pick apart

Dr in Cloud7.9Best for teams of all sizes

Web-based patient management

Watch for: Dependent on internet access

Carepatron8.2Best for small & mid-size businesses

Remote patient monitoring

Watch for: Limited to telemedicine

ABAdeskBest for small & mid-size businesses

ABAdesk allows clinicians to create tailored treatment plans with flexible phases and program elements, ensuring therapy aligns with each client’s unique needs.

Watch for: While it performs well independently, ABAdesk offers fewer direct integrations with external practice management or billing systems compared to some competitors.

CarePaths EHR

CarePaths EHR allows mental health professionals to conduct teletherapy sessions directly within the platform while managing appointments and schedules from the same interface, reducing the need for external tools.

Watch for: Some users may find the forms and templates less customizable compared to other EHR systems tailored for larger practices or specialized fields.

OptiMantraBest for small & mid-size businesses

OptiMantra combines EMR, practice management, billing, and scheduling into one cohesive platform, reducing the need for multiple software tools and streamlining front-desk and back-office operations for integrative healthcare providers.

Watch for: While the platform is feature-rich, new users may face an initial learning curve, especially those unfamiliar with EMR systems or operating in smaller practices without dedicated technical staff.

Ensora Mental Health (formerly TheraNest)Best for mid-size & enterprise teams

Ensora is purpose-built for behavioral health practices, offering customizable clinical notes, dynamic intake forms, and tools specific to therapists, rather than adapting generic EHR features.

Watch for: While AI-powered note generation is promising, it's not yet available, which may be a drawback for users seeking full automation immediately.

Choosing a Allscripts EHR alternative

The hard numbers across these 6 ehr software free alternatives: 6 offer a free tier; paid plans run $35, with Dr in Cloud the cheapest entry point; and Carepatron is the highest rated at 3.25★ across 4 reviews.

Our methodology.

Frequently Asked Questions (FAQs)

Stuck on something? We're here to help with all the questions and answers in one place.

The top-rated alternatives to Allscripts EHR are Carepatron (3.3★), Dr in Cloud, ABAdesk. Compare all 6 alternatives side-by-side above.

When evaluating alternatives to Allscripts EHR, prioritize: Patient Records Management, Charting, Appointment Scheduling, Order Entry, Billing and Invoicing, transparent pricing, free trial availability, and integrations with your existing tools. Use the filters above to compare by feature, budget, and team size.

Migration difficulty depends on how deeply Allscripts EHR is integrated into your workflows. Most alternatives offer data export/import tools and dedicated onboarding support. We recommend shortlisting 2–3 options, running a free trial, and checking each vendor's migration guides before committing.

How to pick the best Allscripts EHR alternative

  • On a budget / just exploring: start with a free tier — Dr in Cloud, Carepatron and ABAdesk let you evaluate without paying upfront.
  • If real-user ratings matter most: Carepatron has the strongest star rating (3.25★) among the options with verified reviews.
  • Want the safest pick: Dr in Cloud has the highest Spotsaas Score (7.9) in this list — a strong default if you're unsure.

How to migrate from Allscripts EHR

To switch off Allscripts EHR without disruption, handle your data first: export it and test that the new tool imports it cleanly. Verify your key workflows still function, pilot the move on a free plan or trial, and keep Allscripts EHR active until the cutover is complete.

Disclaimer: This research has been collated from a variety of authoritative sources. We welcome your feedback at [email protected].