Is there a free alternative to eClinicalWorks?

Yes — Dr in Cloud, DocEngage EHR, Carepatron offer free tiers or trials suitable for small teams and individuals.

Last updated: August 8, 2026

7 Free eClinicalWorks Alternatives Ranked by Real Users (2026)

Explore 7 alternatives to eClinicalWorks — vetted by our editors with real user reviews, pricing, and feature comparisons.

7 free eClinicalWorks alternatives, ranked at a glance

Quick answer

The most popular free ehr software alternatives to eClinicalWorks are Dr in Cloud, DocEngage EHR and Carepatron. Dr in Cloud tops the ranking with a SpotScore of 7.9. Compare all 7 on score, rating, and pricing below.

The best eClinicalWorks replacement depends on your team, but this shortlist narrows it down fast. These 7 ehr software free alternatives lead on SpotScore, a measure of verified satisfaction and market presence, plus star ratings and pricing. Editors vet each entry. Start with the comparison table, then read each section below.

Product	SpotScore	Rating	Pricing	Best for
Dr in CloudEfficient care, accessible anywhere.	7.9	Not yet rated	Freefrom $35/mo	teams of all sizes
DocEngage EHRStreamline patient care for better outcomes.	—	Not yet rated	Freefrom $29/mo	teams of all sizes
CarepatronConnect with patients anytime, anywhere.	8.2	Not yet rated	FreeFreemium · Subscription	small & mid-size businesses
ABAdeskSupporting Behavioral Health with Easy, Automated Workflows	—	Not yet rated	FreeFree Trial	small & mid-size businesses
CarePaths EHRBehavioral Health EHR with AI Notes, Teletherapy, and Outcomes Tracking	—	Not yet rated	FreeFree Trial · Subscription	—
OptiMantraIntegrated EMR and practice management software for solo and multi-practitioner wellness clinics	—	Not yet rated	FreeFree Trial · Subscription	small & mid-size businesses
Ensora Mental Health (formerly TheraNest)Purpose-Built EHR for Therapists and Behavioral Health Practices	—	Not yet rated	FreeFree Trial	mid-size & enterprise teams

7.9

SpotScore

Dr in Cloud

Efficient care, accessible anywhere.

Best for: SMB teams · Mid-market · Enterprise

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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 ...

DocEngage EHR

Streamline patient care for better outcomes.

Best for: SMB teams · Mid-market · Enterprise

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What is DocEngage EHR?

DocEngage EHR is a revolutionary solution designed to streamline patient care. Powerful, cloud-based software that offers a suite of comprehensive tools, from clinical flow to charts and lab prescriptions, ensuring comprehensive and holistic medical delivery. It is the perfect solution for ...

Carepatron

Connect with patients anytime, anywhere.

Best for: SMB teams · Mid-market

GDPR

HIPAA

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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 ...

ABAdesk

Supporting Behavioral Health with Easy, Automated Workflows

Best for: SMB teams · Mid-market

HIPAA

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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 ...

CarePaths EHR

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

HIPAA

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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 ...

OptiMantra

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

Best for: SMB teams · Mid-market

HIPAA

Start Free Trial

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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 ...

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

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 ...

Free TrialTry Free →·

Starts from $26.58 therapist/month when yearly

Why each tool made the shortlist

Dr in Cloud7.9Best for teams of all sizes

Web-based patient management

Watch for: Dependent on internet access

DocEngage EHRBest for teams of all sizes

Cloud-based solution

Watch for: May require 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.

Why teams look for a eClinicalWorks alternative

The push to replace eClinicalWorks tends to come down to a few recurring frustrations:

Some users find the software difficult to navigate and outdated in design.
Limited training and support can make the breadth of features intimidating for new users.
Marketplace lacks variety in additional apps and connectors.
Some users report decreased efficiency compared to other EMRs, with responsiveness issues.

What to look at before switching from eClinicalWorks

Comparing the 7 free alternatives on the figures that matter: 7 offer a free tier; and paid plans run $29–$35, with DocEngage EHR the cheapest entry point.

Behind the order.

Frequently Asked Questions (FAQs)

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

What are the best alternatives to eClinicalWorks?

The top-rated alternatives to eClinicalWorks are Dr in Cloud, DocEngage EHR, Carepatron. Compare all 7 alternatives side-by-side above.

What features should I look for in a EHR Software alternative?

When evaluating alternatives to eClinicalWorks, prioritize: Patient Records Management, Charting, Patient Portal, Reminders, Audio Video Conferencing, transparent pricing, free trial availability, and integrations with your existing tools. Use the filters above to compare by feature, budget, and team size.

How does eClinicalWorks pricing compare to its alternatives?

eClinicalWorks starts from $449 /Month. Many alternatives offer similar functionality at different price points — some with free tiers, others with more flexible per-seat pricing. Use the filters above to narrow by budget.

How difficult is it to migrate from eClinicalWorks to an alternative?

Migration difficulty depends on how deeply eClinicalWorks 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.

Choosing the best eClinicalWorks alternative for your goals

On a budget / just exploring: start with a free tier — Dr in Cloud, DocEngage EHR and Carepatron let you evaluate without paying upfront.
Want the safest pick: Dr in Cloud has the highest Spotsaas Score (7.9) in this list — a strong default if you're unsure.

The switch from eClinicalWorks

A low-stress switch from eClinicalWorks starts with exporting your data and confirming the new tool imports it. Check feature parity for your real workflows, run a short pilot, and keep eClinicalWorks active until the move is finished. The free tiers above let you trial first.