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Healthcare · head to head

Cliniko vs Signant Health

Cliniko logo

Cliniko

Healthcare

Clinic management software for health practitioners

From
Free
Rated
-
Full reviewWebsite
Signant Health logo

Signant Health

Healthcare

eCOA-first clinical trial platform that has grown outward into EDC, eConsent and televisits

From
On request
Rated
-
Full reviewWebsite

The short version

  • Only Cliniko has a free tier, so it costs nothing to try first.
  • Each has a real cost: Cliniko priced in practitioner bands rather than per seat, so a clinic adding a sixth practitioner jumps from $95 to $145 a month; Signant Health no pricing is published, and the software licence is a minority of the real bill once instrument licensing, translations, device provisioning and services are added, so early budget estimates are routinely too low.
  • They diverge on capability: Cliniko covers Appointment Scheduling, Signant Health covers eCOA and ePRO.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Cliniko and Signant Health actually diverge.

Attributes where Cliniko and Signant Health differ
AttributeClinikoSignant Health
Starting priceFreeOn request
Pricing modelsubscriptionquote
Free tierYesNo
PlatformsWeb, MobileWeb, iOS, Android
Founded2012Unknown

Identical on both: user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Cliniko

  • Appointment Scheduling
  • Online Booking
  • Client Management
  • Invoicing
  • Patient Portal
  • Telehealth
  • Payment processors
  • Online forms

Only in Signant Health

  • eCOA and ePRO
  • Unified platform
  • eConsent
  • Randomisation and supplies
  • TeleVisits
  • Rater training
  • Data surveillance
  • Instrument library

What people use each for

The jobs each tool is most often brought in to do.

Cliniko

  • Practice management for allied health clinicsnot Signant Health
  • Appointment scheduling and online bookingsnot Signant Health
  • Clinical notes and patient recordsnot Signant Health
  • Telehealth consultationsnot Signant Health
  • Invoicing and payment tracking for a multi-practitioner clinicnot Signant Health

Signant Health

  • A central nervous system or psychiatry trial where the primary endpoint is a rated scale and rater consistency decides the readoutnot Cliniko
  • A global study needing an outcome instrument translated and linguistically validated across a dozen languagesnot Cliniko
  • A decentralised or hybrid protocol combining televisits, eConsent and at-home patient reported outcomesnot Cliniko
  • A sponsor consolidating separate eCOA, eConsent and randomisation vendors onto one platform to cut reconciliation worknot Cliniko

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Cliniko

  • Priced in practitioner bands rather than per seat, so a clinic adding a sixth practitioner jumps from $95 to $145 a month
  • The top published band stops at 200 practitioners
  • SMS is charged separately at 10 cents a message
  • Telehealth requires entering card details before it unlocks, even during the trial
  • There is no free tier, only a 30 day trial

Signant Health

  • No pricing is published, and the software licence is a minority of the real bill once instrument licensing, translations, device provisioning and services are added, so early budget estimates are routinely too low.
  • Linguistic validation is charged per instrument per language and is on the critical path to first patient in, so adding a country late in start-up produces both a cost and a schedule hit.
  • Provisioned participant devices bring logistics, replacement, shipping and cellular connectivity obligations that persist for the life of the trial and are frequently underestimated.
  • The EDC component is newer than the eCOA heritage, so sponsors with complex data management requirements often keep an incumbent EDC and lose the single-database benefit that justifies the platform.
  • It is priced and scoped for sponsor-grade trials, which makes it a poor fit for investigator-initiated or academic studies that need outcome collection without the services layer.

Pricing, plan by plan

Cliniko

Free
  • 1 Practitioner$45/month
  • 2-5 Practitioners$95/month
  • 6-8 Practitioners$145/month
  • 9-12 Practitioners$195/month

Signant Health

On request
  • SmartSignals Unified Platform$undefined/year
    • Priced per study through a sales process
    • Modules selected per protocol: EDC, eCOA, randomisation, eConsent, TeleVisits
    • Instrument licensing paid to scale owners on top of platform cost

Which should you pick?

Choose Cliniko if

  • You need appointment scheduling.
  • You want to start without paying.
  • You work on Web, Mobile.
  • You also want online booking.
Cliniko review

Choose Signant Health if

  • You need ecoa and epro.
  • You work on Web, iOS, Android.
  • You also want unified platform.
Signant Health review

Questions people ask

Is Cliniko or Signant Health better?
Neither clearly leads. Cliniko starts at Free and Signant Health at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Cliniko or Signant Health?
Cliniko has a free tier; the other does not. Paid plans start at Free for Cliniko and On request for Signant Health.
Does Cliniko or Signant Health run on more platforms?
Cliniko runs on Web, Mobile. Signant Health runs on Web, iOS, Android.
Can I use Cliniko for free?
Yes. Cliniko has a free tier, so you can try it without paying. Signant Health starts at On request.
What is Cliniko best used for?
Cliniko is most often used for practice management for allied health clinics, appointment scheduling and online bookings, clinical notes and patient records, telehealth consultations. Of those, practice management for allied health clinics and appointment scheduling and online bookings are not what Signant Health is typically brought in for.
What can Cliniko do that Signant Health cannot?
Cliniko covers Appointment Scheduling, Online Booking, Client Management, Invoicing. Signant Health covers eCOA and ePRO, Unified platform, eConsent, Randomisation and supplies.

Answered from the vendors’ own pages

Cliniko: How much does Cliniko cost for a practice?

Cliniko uses per-practitioner pricing: 1 practitioner $45/month, 2-5 practitioners $95/month, 6-8 practitioners $145/month, 9-12 practitioners $195/month, 13-25 practitioners $295/month, 26-200 practitioners $395/month.

Source
Signant Health: What is Signant best at?

Electronic clinical outcome assessment, particularly rated scales in central nervous system and psychiatry trials, together with rater training and endpoint quality services.

Cliniko: Does Cliniko offer a free trial?

Cliniko is free to try for the first 30 days with no credit card required initially. A credit card is required to unlock features like Telehealth after the trial begins.

Source
Signant Health: Is pricing published?

No. Everything is quoted per study, and instrument licences, translations and devices sit on top of the platform cost.

Cliniko: What is included in all Cliniko plans?

Every Cliniko subscription includes complete feature access, unlimited admin and reception users, unlimited locations, unlimited file storage, unlimited patients, 24/7 monitoring, automatic backups, regular updates, and 24/7 customer support.

Source
Signant Health: Can I use it only for eCOA?

Yes. The modules are selected per protocol, and many sponsors take eCOA and eConsent while keeping an existing EDC.

Cliniko: Does Cliniko charge extra for SMS and what discounts apply?

SMS messaging costs 10 cents per message (pre-paid credits required). Annual billing includes one month free every year. Charities and educational institutions qualify for free access. Cliniko commits to no feature-specific fees beyond SMS and offers no annual commitment discounts.

Source
Signant Health: What drives the timeline?

Translation and linguistic validation of outcome instruments, which is per language per instrument and sits on the critical path to study start.

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