7 Best Chiropractic Practice Management Software Tools in 2025 (Expert Tested)

Chiropractors face a daily challenge of managing their practice while providing quality care to their patients.

The right practice management software can help by making it easier to schedule appointments, organize healthcare records, and keep patients engaged. Chiropractic software takes care of billing, documentation, and patient communication naturally. This lets practitioners spend more time with their patients. Tools like Noterro, SpryPT, ChiroTouch, and Vagaro are now accessible to more people in chiropractic clinics. Each tool brings its own set of features to match different practice requirements. Solutions like DemandHub help healthcare businesses build their online reputation through patient reviews while cutting down on paperwork.

Key Takeaways

Modern chiropractic practice management software can transform your practice by streamlining administrative tasks, improving patient engagement, and allowing you to focus more on delivering quality care.

• Choose based on practice size and needs: Solo practitioners benefit from affordable options like Zanda ($19/month) or SimplePractice ($49/month), while multi-location practices require advanced platforms like Noterro or ChiroSpring.

• Documentation efficiency saves significant time: Platforms like ChiroFusion enable 30-second SOAP notes and Noterro offers AI-powered voice-to-text, potentially saving practitioners several hours weekly on paperwork.

• Insurance-focused practices need specialized billing: ChiroFusion's integrated clearinghouse and SpryPT's real-time verification streamline claims processing, while cash-based practices should prioritize membership management features.

• Implementation varies widely between platforms: ChiroFusion typically achieves full deployment within 2-3 weeks, while others may require longer transition periods - factor this into your decision timeline.

• Patient engagement features directly impact practice growth: Online booking, automated reminders, and patient portals reduce no-shows and administrative calls while improving overall patient experience.

The right practice management software acts as a force multiplier for your chiropractic practice, reducing administrative overhead while enhancing patient care delivery and practice profitability.

Top 7 Chiropractic Practice Management Software Solutions

Noterro

Noterro is a complete cloud-based clinic management system built for chiropractors, physical therapists, massage therapists, and other allied health professionals. Users love this platform, giving it 4.8 out of 5 stars from 628 reviews. The system helps practitioners streamline their daily administrative tasks.

Noterro key features

Noterro shines with its reliable tools that cover everything in chiropractic practice management:

• Efficient SOAP Notes: Practitioners can tag, draw, type, or dictate treatment notes with predictive charting and accurate tag suggestions. Noterro Scribe turns voice into structured notes and puts them into SOAP fields automatically when practitioners are busy.
• Patient Management: The system lets you create custom intake forms that match your practice's needs. You can collect digital signatures for waivers and consent forms, which eliminates paperwork.
• Scheduling and Reminders: Patients can book appointments anytime through your clinic's branded portal. The system helps reduce no-shows by sending automatic reminders through email, text, or voice calls.
• Billing and Payments: You can process payments, handle insurance billing, and connect with QuickBooks and Xero. The system supports custom service packages and subscription memberships for practitioners who offer package deals.
• Mobile Capabilities: Noterro GO works with Apple CarPlay and Android Auto, so you can manage your clinic while traveling.

Noterro pros and cons

Pros:

• Easy-to-use interface that makes practice management simple
• Outstanding customer support with a 4.9/5 rating
• Great functionality rated at 4.5/5
• Custom options for forms, notes, and scheduling
• Better patient involvement through the branded clinic app
• Works for multiple practitioners and locations
• Strong mobile features with Noterro GO

Cons:

• Single practitioners without front-desk staff might find waitlist features limited
• Smart phrases aren't available in invoicing
• Notes section needs more customization options
• Some users report occasional loading issues
• Fewer connections to other platforms compared to alternatives

Noterro pricing

Noterro's pricing comes in tiers with yearly subscription discounts as of August 12, 2025:

Core Plan:

• Base: $28.05 per month with annual plan ($33.00 monthly)
• Additional seats: $11.22 per month with annual plan ($13.20 monthly)
• You get basic features like scheduling, charting, forms, and billing

Plus Plan:

• Base: $46.75 per month with annual plan ($55.00 monthly)
• Additional seats: $18.70 per month with annual plan ($22.00 monthly)
• Extra features include waitlists, text reminders, and insurance coding

Max Plan:

• Base: $65.45 per month with annual plan ($77.00 monthly)
• Additional seats: $23.38 per month with annual plan ($27.50 monthly)
• Advanced features like packages, memberships, and insurance claims processing

Each plan comes with 300 free credits for AI features (Scribe and Form Summary). Extra credits cost $0.01 each.

Noterro is best for

Noterro works best for:

1. Mobile practitioners: Noterro GO's car sync and geographic booking limits help chiropractors who travel or make house calls.
2. Multi-disciplinary clinics: The system works well for integrated health practices that combine chiropractic, physical therapy, and massage therapy.
3. Growing practices: You can add practitioner seats as your practice grows, with pricing that scales up smoothly.
4. Practitioners who value simplicity: The easy-to-use interface and feature set help practitioners spend less time on paperwork.
5. Tech-savvy chiropractors: Modern features like predictive charting and voice-to-text appeal to practitioners who want to utilize new technology.

SpryPT

SpryPT has become a top all-in-one clinic management software built for rehabilitation professionals, especially chiropractors who want to streamline their practice management. The platform scores an impressive 96/100, with users rating it 4.8/5. It combines state-of-the-art technology with specialty-focused features.

Want to see how SpryPT can streamline your chiropractic practice? Book a free demo here and experience it firsthand

SpryPT key features

SpryPT has a complete set of tools specifically designed for chiropractic practice management:

• AI-Powered Documentation: The system cuts note-taking time by 40% through smart auto-completion and voice-to-text documentation with medical terminology recognition.
• Specialty-Specific Templates: Practitioners can document patient care efficiently with access to over 200 chiropractic-specific assessment and treatment templates.
• Integrated Billing: The platform has a rule engine and claim scrubbing capabilities, ERA auto-posting, patient invoicing with payment gateway integration, and clearinghouse integration to streamline financial management.
• Patient Engagement: The software has online appointment scheduling, a patient portal, two-way messaging, and appointment reminders to boost patient communication.
• Practice Analytics: Data-driven practice management becomes easier with clinical, operational, and financial metrics available on complete dashboards.
• AI Fax Management: Administrative work drops substantially as the system reads and files plans of care, referrals, and other documents automatically.

SpryPT pros and cons

Pros:

• Easy-to-use modern interface that needs minimal training
• Live insurance verification and pre-authorization processing
• Voice-to-text documentation with medical terminology recognition
• Costs 60% less than similar solutions
• Treatment plans are generated automatically based on diagnosis
• Works smoothly on tablets and smartphones

Cons:

• Setup costs, though lower than competitors
• Custom features might take days to set up perfectly
• Early scanning and faxing features may need quick fixes
• Advanced feature costs aren't clearly listed

SpryPT pricing

SpryPT keeps pricing simple and subscription-based to help you see returns quickly:

Core Package: USD 150.00 per month per provider

• Complete EMR and practice management
• No limit on patient records
• Simple reporting and analytics
• Standard customer support

Advanced Features: Extra costs may apply for

• AI-powered documentation tools
• Advanced analytics and standards
• Better patient engagement features
• Priority support and training

SpryPT is best for

SpryPT works best for:

1. Solo practitioners and practices of all sizes (1-15 providers) who need affordable, feature-rich solutions.
2. Tech-savvy chiropractors who want major efficiency gains through AI-powered features.
3. Practices watching their budget without compromising on features, since it costs 60% less than similar solutions.
4. Clinics needing quick setup - you can start using it in 2-4 weeks.
5. Multi-location practices that need complete management tools working across different sites.

SpryPT shines for chiropractic practices ready to modernize with technology while keeping costs low. Its mix of AI-powered documentation, specialty-specific templates, and integrated billing helps practices spend less time on paperwork and more time with patients.

Zanda

Zanda (formerly Power Diary) is a 15-year-old trusted practice management solution that helps chiropractors optimize their administrative work. This cloud-based platform has strong features that reduce admin tasks for practices of all sizes.

Zanda key features

Zanda has a complete set of tools that work great for chiropractic practice management:

• Calendar Management: The accessible drag-and-drop calendar has recurring appointments, group sessions, personal time blocking, and multi-location scheduling. It works as the central hub for practice operations.
• Client Communication: You can use two-way SMS messaging to chat with patients right in the system. SMS and email reminders help cut down no-shows.
• Clinical Documentation: The platform has hundreds of customizable treatment note templates that cut down documentation time. Many chiropractors say they "got their evenings back" thanks to the efficient note-taking system.
• Online Booking & Client Portal: Patients can schedule their own appointments through a brandable client portal. They can fill out digital intake forms and pay online whenever they want.
• Billing & Invoicing: The system manages integrated invoicing with custom branding options. It flags outstanding payments and offers multiple payment processing methods to help manage cash flow better.
• Telehealth Integration: The platform comes with HIPAA-compliant video calls built in, and you get 100 free participant minutes each month.

Zanda pros and cons

Pros:

• Easy-to-use interface that needs minimal tech knowledge
• Users often praise the outstanding customer support
• Smart waitlist management fills schedule gaps
• Strong reporting tools track referrals and practice performance
• Scales well from solo practices to multi-location clinics
• Complete policy and procedure templates in the built-in Practice Operations Manual

Cons:

• The appointment management system can be tricky to use
• Not many third-party integrations compared to other platforms
• Some users report calendar management issues
• A few users mention slow customer support response times

Zanda pricing

The platform has clear, tiered pricing with a 14-day free trial (no credit card needed):

Starter Plan: $19.00 per month

• Has 1 practitioner
• Limited to 1,000 appointments total
• 100GB file storage
• Simple data import
• Chat/email support

Growth Plan: $49.00 per month

• Has 1 practitioner
• Unlimited appointments
• Unlimited users and file storage
• Multiple locations support
• Complete data import
• Chat, email, or video support
• Add more practitioners at $19.00/month each

Both plans charge $0.09 per SMS message. You can add Telehealth Pro for $9.00/month per practitioner.

Zanda best for

Zanda works best for:

1. Solo chiropractors and small practices who need an affordable but complete management solution they can grow with.
2. Multi-disciplinary clinics that offer chiropractic care among other therapies. The system handles various treatment types and practitioner schedules well.
3. Practices that focus on patient communication can benefit from the platform's strong two-way messaging and reminder features.
4. Chiropractors who want faster documentation. The customizable templates and clean interface "save at least 4 hours a week in admin time".
5. Clinics offering both telehealth and in-person appointments can merge video consultations easily.

Zanda is an all-in-one practice management solution that balances cost with functionality. It works especially well for chiropractors who want to cut down on paperwork while growing their practice.

ChiroFusion

ChiroFusion has evolved into a leading provider of cloud-based practice management software for chiropractors over the last several years, since 2012. Users rate it 4.7 out of 5. The platform simplifies clinical activity management.

ChiroFusion key features

ChiroFusion provides a detailed set of tools that handle core chiropractic practice management needs:

• Efficient Documentation: Practitioners can create compliant SOAP notes in just 30 seconds. The platform's customizable templates and macros make documentation quick and thorough.
• Integrated Clearinghouse: ChiroFusion stands as the only chiropractic EHR with a built-in clearinghouse. The system auto-generates claims, posts insurance ERAs, and reduces rejected claims.
• Patient Scheduling: Customizable appointment types make scheduling easy. Patients can book appointments through websites and social media. Email and text reminders help reduce no-shows.
• Patient Portal: Patients use a self-service portal on an iPad or tablet to check in, submit medical history, access prescriptions, and pay bills.
• Practice Analytics: The dashboard shows immediate visibility into key performance indicators, financial metrics, and practice performance. This helps chiropractors make evidence-based decisions.

ChiroFusion pros and cons

Pros:

• SOAP note creation reduces documentation time by a lot
• Easy-to-use interface makes learning simple
• The system is available from any device with an internet connection
• Budget-friendly pricing compared to other chiropractic software options
• Built-in clearinghouse simplifies billing processes
• Free data import from previous software systems

Cons:

• The learning curve can be steep when switching from other EHR systems
• Some features have limited customization options
• Users must navigate multiple menus to generate reports
• Text reminders need an additional fee
• The system refreshes to the screen's top during charge approvals

ChiroFusion pricing

ChiroFusion's tiered pricing as of September 2025 includes:

ChiroFusion Essentials: $129.00 per month

• PC, Mac & tablet compatibility
• Practice dashboard & reporting
• Patient scheduling with email reminders
• Patient self check-in
• Compliant SOAP notes and care plans
• Billing and claims management
• Integrated payment processing
• Free unlimited e-claims
• Email support

ChiroFusion Complete: $299.00 per month

• All Essentials features
• Email and priority phone support
• Text appointment reminders
• Online intake forms
• Online patient scheduling

Each plan needs a 12-month commitment. Additional providers cost $49.00 per month.

ChiroFusion is best for

ChiroFusion works best for:

1. Small to mid-sized practices that need detailed yet budget-friendly practice management tools.
2. Insurance-focused practitioners benefit from the integrated clearinghouse. The system has processed over 18 million insurance claims successfully.
3. Practices looking to grow revenue typically see a 17% increase within their first 90 days.
4. Chiropractors needing a quick setup can be fully operational within 2-3 weeks.
5. Budget-conscious practitioners find ChiroFusion more affordable than competitors like ChiroTouch.

ChiroFusion delivers an available, cloud-based solution that manages all practice needs while staying budget-friendly for chiropractors who need to minimize administrative work without losing functionality.

ChiroSpring

Dr. Chrissy Albery, DC created ChiroSpring in 2011 when she couldn't find the right software for her practice. Today, this cloud-based system serves as a detailed solution made just for chiropractic practices of all sizes.

ChiroSpring key features

ChiroSpring gives chiropractors a complete practice management system with these standout features:

• Cloud-Based Accessibility: You can use the platform on any device, anywhere. No VPN or remote desktop software needed.
• Customizable SOAP Notes: Doctors can write notes in seconds using custom templates and macros. This speeds up documentation while staying compliant.
• Integrated Billing: The system creates and checks claims automatically. It sends them directly to clearinghouses through SFTP and handles reconciliation with ERA posting.
• Patient Engagement Tools: The software includes online booking, intake forms, appointment reminders, and a virtual front desk that improves patient experience.
• Data Security: Your data stays safe with "Always On" backup running 24/7 at multiple sites. This protects against ransomware and server crashes.
• Multi-Location Support: ChiroSpring stands out by using one database that authorized users can access across locations, unlike competitors who use separate databases.

ChiroSpring pros and cons

Pros:

• User-friendly design with a remarkable 4.9/5 ease-of-use rating
• Top-rated customer support at 5.0/5
• Real multi-location features with a single database
• Free digital tools to mark up X-rays and scans
• Custom templates and macros speed up note-taking
• Built-in payment processing with ChiroSpring Pay

Cons:

• Setting up treatment plans challenges some users
• Patients can't upload insurance details before their first visit
• New users sometimes get confused about billing feature costs
• Care plan tracking isn't as robust as some competitors
• SOAP notes copy content from previous entries automatically

ChiroSpring pricing

These subscription options are current as of September 2025:

360 Plan: $149.00 per month

• EHR and billing features
• Works on all devices
• Custom SOAP templates
• Treatment plans
• Automatic claim creation

360 Pro Plan: $249.00 per month (10% savings available)

• Everything in 360 plan
• Recurring payment memberships
• Two-way texting
• Online patient intake
• Online appointment booking

360 Pro+ Plan: $299.00 per month (10% savings available)

• Everything in the 360 Pro plan
• Self-check-in kiosk
• Patient app
• Provider app
• Advanced SOAP features

ChiroSpring is best for

These practices get the most value from ChiroSpring:

1. Multi-location practices that want central management through one database.
2. Cash-based practices that need built-in payments, custom membership packages, and simple scheduling.
3. Practices focused on quick documentation since you can create SOAP notes "by tapping a few buttons".
4. Chiropractors who prioritize data security and want constant backup at multiple sites.
5. Practices of any size, from single doctors to large clinics, can use the software's scalability.

ChiroSpring's 4.9/5 rating from 165 reviews shows how well it helps modern chiropractic practices cut down on paperwork while delivering better patient care.

SimplePractice

SimplePractice serves as a trusted all-in-one practice management solution for more than 225,000 health and wellness practitioners across multiple specialties, including chiropractic care. The cloud-based system makes administrative tasks easier so practitioners can spend more time with their patients.

SimplePractice key features

SimplePractice delivers a complete set of tools that make chiropractic practice management easier:

• Specialty-Specific Setup: Chiropractors can select their specialty during account creation. The system automatically configures default CPT codes (98941), intake forms, taxonomy codes (111N0000X), and common ICD-10 codes like M54.5 for low back pain.
• Practice Management Tools: You get scheduling, billing, client portal access, and support for all administrative tasks.
• Documentation System: The paperless intake forms and progress notes cut down on paperwork while meeting healthcare regulations.
• Patient Engagement: The system includes secure messaging, online appointment requests, free appointment reminders, and a digital client portal to streamline communication.
• Insurance Processing: You can e-file insurance claims and automate reconciliation if your practice accepts insurance.
• Telehealth Integration: The platform offers HIPAA-compliant video consultations for secure remote appointments.

SimplePractice pros and cons

Pros:

• User-friendly interface that automates administrative work
• Perfect fit for solo providers and group practices with room to grow
• HIPAA compliant, HITRUST CSF Certified, and PCI Compliant data security
• Store all patient records with unlimited free client storage
• Reduce no-shows with automatic appointment reminders
• Create your professional website with the included website builder

Cons:

• Fewer chiropractic-specific features than dedicated solutions
• New users need time to learn the system
• Client credit card management can be tricky with expired cards and updates
• Some users report slow calendar sync updates
• Web version has more features than the mobile app

SimplePractice pricing

SimplePractice offers three clear subscription tiers as of September 2025:

Starter Plan: $49.00 per month

• Simple practice management tools
• Client portal and paperless intakes
• Add telehealth for $15.00 monthly
• Insurance claims cost $0.50 each

Essential Plan: $79.00 per month

• All Starter features plus telehealth
• 10 free insurance claims monthly
• Extra claims at $0.35 each
• Appointment reminders and calendar sync

Plus Plan: $99.00 per month

• All Essential features
• 35 free insurance claims monthly
• Extra claims at $0.25 each
• Advanced calendar features and waitlist management
• Add team members at $74.00/month per clinician

The platform also offers AI-powered Note Taker ($35.00/month per clinician) and credit card processing (3.15% + $0.30 per transaction).

SimplePractice is best for

SimplePractice works best for:

1. Solo chiropractors and small group practices looking for an affordable yet complete management solution.
2. Multi-specialty clinics that combine chiropractic with other therapies, since the system works with various healthcare disciplines.
3. Growing practices that need to scale by adding providers, practice managers, and administrative staff.
4. Practices that prioritize client experience and value patient portals, appointment reminders, and telehealth options.
5. Chiropractors starting with electronic systems who need SimplePractice's implementation support, training resources, and reliable customer service.

SimplePractice stands out as a solid choice for chiropractors who want a cloud-based solution that handles key practice management tasks without requiring deep technical expertise.

Jane App

Jane App has become popular among healthcare professionals, especially chiropractors who want to streamline their administrative tasks. This cloud-based practice management solution combines scheduling, charting, billing, and telehealth capabilities in one user-friendly platform.

Jane App key features

The platform provides several tools that help chiropractors manage their daily practice:

• Online Booking System: Patients can schedule appointments through a fully branded booking site. The system updates availability automatically and reduces phone calls from patients.
• Calendar Management: Practitioners can manage appointments by days and weeks from the platform's homepage calendar interface. They can create recurring bookings and generate invoices right after appointments.
• Customizable Charting: The software has customizable templates for SOAP notes and clinical documentation. Users can input data through voice commands, duplicate charts, and upload images and files.
• Telehealth Integration: The platform supports HIPAA/PIPEDA/GDPR-compliant video appointments for both individual sessions and group consultations up to 12 participants. Screen sharing and split-screen charting make remote sessions easier.
• Billing and Payment Processing: The system handles PCI-compliant credit card processing with rates of 2.75% for online payments and 2.5% for in-person transactions. It supports insurance billing and lets users customize pricing options.

Jane App pros and cons

Pros:

• User-friendly design that's easy to navigate
• Complete notes and charting capabilities
• Reliable online booking system with branding options
• Automatic appointment reminders via email and SMS
• Secure telehealth features for virtual consultations

Cons:

• Monthly calendar view has limitations
• Insurance claims need more manual work
• Users without financial knowledge face a learning curve
• Simple reporting tools with few customization options
• Appointment bookings lack lead source tracking

Jane App pricing

The platform offers three subscription tiers as of September 2025:

Balance Plan: USD 54.00 per month

• Single practitioner profile
• 20 appointments monthly limit
• Simple telehealth and documentation features

Practice Plan: USD 79.00 per month

• USD 35.00 per month per full-time practitioner
• USD 17.50 per month per part-time practitioner
• Unlimited appointments and customizable branding

Thrive Plan: USD 99.00 per month

• USD 40.00 per month per full-time practitioner
• USD 20.00 per month per part-time practitioner
• Advanced scheduling and patient engagement tools

Jane App is best for

The platform works best for:

1. Solo practitioners and small clinics who want an affordable starting point with the Balance plan.
2. Multi-disciplinary practices need flexible scheduling and various treatment documentation options.
3. Practices offering telehealth services with HIPAA-compliant video appointments.
4. Clinics focused on patient experience through branded online booking and automatic reminders.
5. Practices with both in-office and remote staff can access the cloud-based platform from any device.

Comparison Table

FAQs

Q1. What are the key features to look for in chiropractic practice management software?

The most important features include efficient SOAP note creation, patient scheduling and reminders, billing and insurance claim processing, customizable templates, and patient engagement tools like online booking and a patient portal.

Q2. How much does chiropractic practice management software typically cost?

Prices vary widely, ranging from around $19 per month for basic plans to $300+ per month for more comprehensive solutions. Many providers offer tiered pricing based on features and the number of practitioners.

Q3. Can chiropractic software help improve documentation efficiency?

Yes, many modern chiropractic software solutions offer features like customizable templates, voice-to-text capabilities, and AI-assisted note-taking that can significantly reduce the time spent on documentation.

Q4. Is it possible to use chiropractic software for telehealth appointments?

Many chiropractic practice management platforms now include integrated telehealth features, allowing practitioners to conduct HIPAA-compliant video consultations directly through the software.

Q5. How does chiropractic software handle insurance billing and claims?

Advanced chiropractic software often includes features for insurance verification, claim scrubbing, electronic claim submission, and automated ERA posting to streamline the billing process and reduce claim rejections.