iTRUST vs TherapyNotes Comparison: Reviews, Features, Pricing & Alternatives in 2026

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

Updated Apr 2026 8 min read

iTRUST

0.0 (0 reviews)

iTRUST is a comprehensive electronic health record and practice management software designed to help eye care professionals streamline clinical workflows, patient scheduling, and optical inventory management.

Starting at --
Free Trial NO FREE TRIAL
VS

TherapyNotes

0.0 (0 reviews)

TherapyNotes is a specialized practice management software providing behavioral health professionals with integrated tools for electronic EHR charting, scheduling, billing, and telehealth to streamline mental health clinical workflows.

Starting at $49/mo
Free Trial 30 days

Quick Comparison

Feature iTRUST TherapyNotes
Website itrust.io therapynotes.com
Pricing Model Subscription Subscription
Starting Price Custom Pricing $49/month
FREE Trial ✘ No free trial ✓ 30 days free trial
Free Plan ✘ No free plan ✘ No free plan
Product Demo ✓ Request demo here ✓ Request demo here
Deployment cloud mobile cloud
Integrations VSP Eyefinity TriZetto Change Healthcare Weave Solutionreach Change Healthcare Waystar CardConnect Google Calendar Microsoft Outlook
Target Users small-business mid-market solopreneur small-business mid-market
Target Industries healthcare healthcare
Customer Count 0 0
Founded Year 2014 2010
Headquarters San Diego, USA Horsham, USA

Overview

I

iTRUST

iTRUST is a cloud-based platform built specifically for optometrists and ophthalmologists to manage every aspect of their practice. You can move away from paper charts and fragmented systems by using a single interface that handles clinical charting, automated patient communications, and complex insurance billing. The software adapts to your specific exam flow, allowing you to document patient encounters quickly while maintaining high standards of data accuracy and compliance.

Beyond clinical documentation, you can manage your entire optical boutique with integrated point-of-sale and inventory tracking features. It helps you reduce administrative overhead by automating appointment reminders and providing patients with a secure portal to access their records. Whether you run a solo private practice or a multi-location clinic, the platform provides the tools you need to improve patient outcomes and grow your business revenue.

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TherapyNotes

TherapyNotes is a dedicated practice management platform built specifically for mental and behavioral health professionals. You can manage your entire clinical workflow from a single dashboard, whether you run a solo practice or a large multi-clinician clinic. The system simplifies the complex nature of mental health documentation by providing specialty-specific note templates for intake, progress, and treatment plans.

You can automate your most time-consuming tasks like insurance claim submissions and appointment reminders. The platform includes a secure patient portal where your clients can digitally sign paperwork, request appointments, and pay their balances. By centralizing your scheduling, notes, and billing, you reduce administrative overhead and can focus more of your energy on providing quality patient care.

Overview

I

iTRUST Features

  • Smart Clinical Charting Document eye exams faster with customizable templates designed specifically for optometry and ophthalmology workflows.
  • Optical Inventory & POS Track frames and contact lens stock in real-time while processing sales directly through your clinical platform.
  • Automated Patient Recalls Boost your retention rates by sending automated appointment reminders and recall notices via email or text.
  • Integrated Insurance Billing Submit claims electronically and track reimbursements within the system to speed up your revenue cycle.
  • Secure Patient Portal Give your patients 24/7 access to their prescriptions, appointment history, and secure messaging with your staff.
  • E-Prescribing Send prescriptions directly to pharmacies securely, reducing errors and saving your team time on phone calls.
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TherapyNotes Features

  • Specialty EHR Notes. Create professional clinical documents quickly with templates designed specifically for mental health intake, progress, and termination notes.
  • Integrated Scheduling. Manage your calendar with ease and send automatic text, phone, or email reminders to your clients to reduce no-shows.
  • Electronic Billing. Submit insurance claims electronically with one click and track your ERAs and payments directly within the platform.
  • Secure Patient Portal. Give your clients a professional way to share documents, sign intake forms, and pay their bills online securely.
  • HIPAA-Compliant Telehealth. Conduct secure video therapy sessions directly through your browser without requiring your clients to download extra software.
  • Credit Card Processing. Accept all major credit cards at competitive rates and store payment methods securely for future client sessions.

Pricing Comparison

I

iTRUST Pricing

T

TherapyNotes Pricing

Solo
$49
  • For 1 user/clinician
  • Unlimited patients and notes
  • HIPAA-compliant EHR
  • Appointment reminders
  • Credit card processing
  • Unlimited phone and email support

Pros & Cons

M

iTRUST

Pros

  • All-in-one design eliminates the need for separate optical software
  • Cloud-based access allows you to work from any location
  • Clean interface is easier to navigate than legacy EHRs
  • Responsive customer support helps with quick technical resolutions

Cons

  • Initial data migration from old systems takes significant time
  • Learning curve for customizing complex clinical templates
  • Requires a stable internet connection for optimal performance
A

TherapyNotes

Pros

  • Highly intuitive interface designed for mental health workflows
  • Exceptional live phone support available for all users
  • Robust note templates that ensure clinical compliance
  • Reliable electronic insurance claim and ERA integration

Cons

  • Mobile experience is web-based rather than a native app
  • Limited customization options for specific clinical forms
  • Telehealth features may require additional fees for some users
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