Can You Switch from Prompt to SPRY?

Yes. SPRY has built its migration process to solve the two things that make switching EMRs stressful: losing patient data and losing revenue during the transition. Migrations run with zero downtime, with 100% of patient, clinical, and billing data migrated and verified. There are no hidden migration, onboarding, or training fees — including migrating your existing patient data from Prompt, which some EMR vendors charge extra for.

Why Clinics Leave Prompt?

Joel Van Slyke, owner of Choice Physical Therapy in Corning, New York, switched to SPRY after using Prompt as his practice's EMR. Choice PT sees a broad mix of patients — Medicare, workers' comp, auto injury, pediatrics, and geriatric care — across a team of 5 clinicians (2 PTs, 3 PTAs), with Joel personally serving as a supervising therapist who co-signs every PTA note.

Two specific problems with Prompt drove the switch:

Co-signing was a nightly time sink. Prompt required opening and scrolling through each note individually to co-sign it — with 3 PTAs on staff, this meant hours of work most nights.

"In that system, to co-sign a note, I had to open it and scroll through the whole note. It took me forever to co-sign notes, and I would literally sit at home at night for an hour or overnight, sometimes more, just co-signing notes." — Joel Van Slyke, Owner, Choice Physical Therapy

Documentation had no real customization. Prompt's fixed form structure meant hunting for the right field to enter information, and different therapists ended up putting the same type of information in different places — making it hard to find later, especially when covering for another clinician's patient.

"There was a lot of searching and hunting and pecking to try to find the right place to put information. If you're doing an evaluation, I spent more time looking for the right place to put the info than anything else... When I had different therapists in, one therapist is putting it in this section, another therapist is putting it in this section. So then if you happen to see somebody that someone else saw, you just can't find the info that you wanted." — Joel Van Slyke

Joel also noted a broader lesson from using three major EMR systems over 12 years: any system that splits documentation and billing into two separate pieces of software creates constant data-transfer problems. That's a standard worth evaluating regardless of which platform a clinic is currently on.

What Data Actually Migrates When You Switch from Prompt?

Migration is built around 100% data integrity, verified by audit rather than assumed. For a full category-by-category breakdown of exactly where every type of data ends up during any EMR transition, see SPRY's Data Fate Map™.

Specific to Choice Physical Therapy's migration, SPRY handled the full patient data transfer from Prompt at no additional cost, something Joel noted was unusual:

"SPRY was also the first company we've ever chosen to work with that would migrate patient data from Prompt for us... Anyone else that offered to migrate your patient files, it was a significantly added expense. But with SPRY, that was just part of the deal. All we had to do was download it in the right format and send it off." — Joel Van Slyke

SPRY also offered to migrate data from even older, previously unmigrated systems sitting in Choice PT's archives — patient files from EMRs Joel had used before Prompt that were never successfully carried forward in past transitions.

How Long Does Migration from Prompt Take?

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General verified migration timelines by patient volume:

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Joel described the switch as the easiest EMR transition he's experienced across three major systems and 12 years in practice — including, notably, zero lapse in payments during the transition itself:

"There was no lapse in billing... All these other transitions, there was always a lag where we had some downtime where the income stopped for a little bit. And that did not happen when we were switching to Spry." — Joel Van Slyke

What Happens to Your Prompt-Specific Setup?

Custom documentation forms. Unlike Prompt's fixed structure, SPRY builds custom forms to a clinic's exact specifications before go-live. Choice PT worked with SPRY's team to design forms where information consistently lives in the same place across every therapist — eliminating the "where did they put it" problem from Prompt.

"With Spry, we were able to customize our forms right from the get-go before we even went live... It took some work, it took a lot of back and forth, but the Spry people did all of the work for us. We basically told them what we wanted. They did it." — Joel Van Slyke

Bulk co-signing. SPRY's co-sign workflow lets a supervising therapist bulk-approve straightforward notes in seconds while still selectively deep-reviewing specific clinicians or patients as needed — directly solving the hours-per-night problem Prompt created.

"Spry has a fabulous system where I can actually bulk cosign the notes. And now, what did take hours can take seconds." — Joel Van Slyke

AI documentation for non-standard cases. SPRY's AI Scribe (referred to in the video by its current name, Agentic Scribe) is especially useful for patients who don't fit a standard orthopedic template — systemic conditions, balance disorders, and similar cases — with a conversational editing flow that remembers a clinician's preferences going forward.

Flow sheets with planning. Joel specifically called out SPRY's flow sheet as something he hasn't seen in any other system he's evaluated — the ability to mark planned treatment items on future visit dates directly in the flow sheet.

Common Migration Concerns

Will I lose historical patient notes or billing data when I switch from Prompt? 

No. Migration is built around 100% data integrity, verified by audit. See the Data Fate Map for a full breakdown by data category.

Will there be a gap in payments during the switch? 

Based on Choice PT's experience, no — Joel specifically noted zero lapse in billing during their transition, unlike every other EMR switch he'd been through previously.

Do I have to stop seeing patients during the transition? 

No. Migrations run with zero downtime.

How much does it cost to migrate my patient data from Prompt? 

Nothing extra — migration is included in your SPRY subscription. This is notable specifically because, per Joel's experience, most other vendors charge an added expense for the same service.

Can SPRY build custom documentation forms specific to my practice? 

Yes. Custom forms are typically designed during onboarding, before go-live, based directly on what your practice needs — not forced into whatever generic template the software provides.

What if I have PTAs or other staff whose notes need co-signing? 

SPRY supports bulk co-signing so a supervising therapist can approve straightforward notes quickly while still reviewing specific clinicians or cases as closely as needed.

Real Migration Proof: Choice Physical Therapy

Choice Physical Therapy, a 5-clinician practice (2 PTs, 3 PTAs) in Corning, New York, switched to SPRY after Joel Van Slyke, owner and a supervising therapist who co-signs every PTA note — had used Prompt as the practice's EMR. SPRY was the third major EMR system Joel had used in 12 years of practice.

The migration itself: SPRY was the first vendor Joel had worked with that migrated his patient data from a prior system at no additional cost, including offering to migrate older archived data from EMRs used even before Prompt, data that had never successfully carried forward in past transitions.

"Spry was also the first company we've ever chosen to work with that would migrate patient data from Prompt for us... Anyone else that offered to migrate your patient files, it was a significantly added expense. But with Spry that was just part of the deal."— Joel Van Slyke, Owner, Choice Physical Therapy

The result: across three EMR systems and 12 years, including a same-system switch after a prior practice ownership change — Joel described the move to SPRY as the easiest transition he's experienced, with something that had never happened in any previous switch: zero lapse in billing.

"There was no lapse in billing... All these other transitions, there was always a lag where we had some downtime where the income stopped for a little bit. And that did not happen when we were switching to Spry."— Joel Van Slyke

On cost: Joel specifically noted paying roughly a quarter of what Choice Physical Therapy paid previously — notable given his practice operates in New York, which he described as having the lowest reimbursement rates in the country.

"We are literally paying maybe a quarter of what we were paying before... Spry is doing almost all of the same things and doing it for a fraction of the cost."— Joel Van Slyke

What he'd tell another clinic:

"If you're thinking about switching to Spry, the things that put us over the edge on making the decision were that they made everything easy... They took care of everything they said they were going to take care of."— Joel Van Slyke

What Does Migrating from Prompt Cost?

Migration, onboarding, and training are included in your SPRY subscription, no hidden fees, including patient data migration from your prior system. SPRY's pricing is visit-volume based rather than a flat per-seat fee; contact SPRY for a quote specific to your practice size. Joel specifically noted paying roughly a quarter of what his practice paid previously, particularly notable given his practice operates in New York, which he described as having the lowest reimbursement rates in the country.

Frequently Asked Questions

How long does it take to migrate from Prompt to SPRY? 

Timeline depends on practice size, from roughly 1–7 days for a small practice up to several weeks for larger groups. Choice Physical Therapy, a 5-clinician practice, completed their transition with SPRY handling the full data migration process.

Will I lose data when I switch from Prompt to SPRY? 

No. Migration is built around 100% data integrity, verified by audit.

Does switching from Prompt mean a gap in claims or payments? 

Not based on real customer experience — Choice Physical Therapy reported zero lapse in billing during their transition to SPRY, unlike prior EMR switches they'd been through.

Does SPRY charge extra to migrate my patient data from Prompt? 

No. Data migration is included in your SPRY subscription at no additional cost.

Can I get custom documentation forms instead of a fixed template? 

Yes — this was one of the primary reasons Choice Physical Therapy switched from Prompt, where fixed forms made information hard to enter and hard to find later.

What does migrating from Prompt to SPRY cost? 

Migration, onboarding, and training are included in your SPRY subscription. Platform pricing is visit-volume based — contact SPRY for a quote.

Has SPRY migrated other Prompt clinics before mine? 

Yes — Choice Physical Therapy, a 5-clinician practice in Corning, NY, migrated from Prompt to SPRY. See the case study above for their full experience.

Ready to Make the Switch?

If nightly co-signing, rigid documentation forms, or an expensive data migration process is holding your practice back from leaving Prompt, SPRY's migration team can walk through what switching would actually look like for your clinic.

Book a Demo →

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