4D EMR vs PatientNow Comparison: Reviews, Features, Pricing & Alternatives in 2026

Detailed side-by-side comparison to help you choose the right solution for your team

Updated May 2026 8 min read

4D EMR

0.0 (0 reviews)

4D EMR is a specialized electronic medical record and practice management software designed specifically for plastic surgeons and medical spas to streamline charting, scheduling, and patient coordination.

Starting at --
Free Trial NO FREE TRIAL
VS

PatientNow

0.0 (0 reviews)

PatientNow provides an all-in-one practice management solution designed to help aesthetic and elective medical practices automate workflows, increase revenue, and improve the entire patient journey from acquisition to retention.

Starting at --
Free Trial NO FREE TRIAL

Quick Comparison

Feature 4D EMR PatientNow
Website 4demr.com patientnow.com
Pricing Model Custom Custom
Starting Price Custom Pricing Custom Pricing
FREE Trial ✘ No free trial ✘ No free trial
Free Plan ✘ No free plan ✘ No free plan
Product Demo ✓ Request demo here ✓ Request demo here
Deployment saas mobile cloud desktop
Integrations QuickBooks Authorize.net CareCredit QuickBooks CareCredit Cherry PatientFi Solutionreach Constant Contact Mailchimp
Target Users small-business mid-market small-business mid-market enterprise
Target Industries healthcare healthcare
Customer Count 0 0
Founded Year 2014 2004
Headquarters Centennial, USA Greenwood Village, USA

Overview

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4D EMR

4D EMR provides a specialized digital workspace tailored specifically for the needs of plastic surgery practices and medical spas. You can move away from generic medical templates and use tools built for aesthetic workflows, including integrated photo management and procedural charting. The platform combines clinical documentation with essential business tools like scheduling and billing to keep your entire office synchronized.

You can manage the entire patient journey from the initial consultation through post-operative care within a single interface. By using its automated features for consent forms and patient communications, you reduce manual paperwork and focus more on patient results. It serves as a centralized hub where your clinical data and administrative tasks live together, helping you maintain a professional and efficient practice environment.

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PatientNow

PatientNow is a comprehensive platform built specifically for aesthetic practices, plastic surgery centers, and medical spas. You can manage your entire office from a single interface, combining electronic medical records (EMR), practice management, and specialized marketing tools. By centralizing your data, you eliminate the need for multiple disconnected systems and reduce manual administrative tasks that slow down your team.

You can automate patient follow-ups, streamline check-ins with digital intake forms, and manage complex scheduling across multiple providers. The software focuses on growing your bottom line through integrated lead management and loyalty programs that keep patients coming back. Whether you run a single boutique clinic or a multi-location enterprise, you can scale your operations while maintaining a high standard of personalized patient care.

Overview

4

4D EMR Features

  • Before & After Gallery Capture, store, and organize patient photos directly within their charts to track progress and showcase surgical results visually.
  • Smart Charting Complete your clinical notes faster using customizable templates specifically built for plastic surgery procedures and non-surgical aesthetic treatments.
  • Digital Consents Eliminate paper clutter by having patients sign consent forms and intake documents digitally on a tablet or computer.
  • Integrated Scheduling Manage your provider calendars and room availability in real-time to prevent double bookings and streamline patient flow.
  • Inventory Tracking Monitor your medical supplies and retail products automatically so you always know when it is time to reorder.
  • Patient Portal Give your patients secure access to their records, appointment requests, and pre-care instructions through a branded online gateway.
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PatientNow Features

  • Digital Intake Forms. Send paperless intake and consent forms to patients before they arrive to speed up your check-in process.
  • Automated Lead Tracking. Capture and track every inquiry automatically so your staff can follow up instantly and convert more prospects into patients.
  • Photo Management. Capture, store, and compare before-and-after clinical photos directly within the patient record for easy visual tracking.
  • Integrated Payments. Process credit cards and offer patient financing options directly through your management console to simplify the checkout experience.
  • Retention Marketing. Launch automated email and SMS campaigns based on patient history to encourage repeat bookings and long-term loyalty.
  • Smart Scheduling. Manage provider calendars and equipment availability in real-time to maximize your room utilization and prevent double-bookings.

Pricing Comparison

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4D EMR Pricing

P

PatientNow Pricing

Pros & Cons

M

4D EMR

Pros

  • Specialized templates for plastic surgery save significant documentation time
  • Integrated photo management simplifies tracking patient aesthetic transformations
  • User interface is cleaner than many legacy EMR systems
  • Strong focus on the specific workflow of medical spas

Cons

  • Lack of transparent public pricing requires a sales call
  • Smaller user community compared to massive general EMR providers
  • Learning curve associated with migrating existing patient data
A

PatientNow

Pros

  • Comprehensive all-in-one system replaces multiple software subscriptions
  • Excellent automated follow-up tools for lead conversion
  • Specialized features built specifically for aesthetic workflows
  • Strong before-and-after photo documentation capabilities

Cons

  • Significant learning curve due to deep feature set
  • Initial setup and data migration can be time-consuming
  • Customer support response times can vary during peak hours
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