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Healthcare · head to head

eClinicalWorks vs Onward Vet

eClinicalWorks logo

eClinicalWorks

Healthcare

Comprehensive EHR and practice management platform

From
On request
Rated
-
Full reviewWebsite
Onward Vet logo

Onward Vet

Veterinary

Small-vendor cloud practice management sold on flat subscription with unlimited users

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: eClinicalWorks pricing details not disclosed on website; requires sales consultation or demo; Onward Vet the vendor is small, so support depth, release pace and the ability to absorb a serious outage are all limited compared with IDEXX, Covetrus or the larger cloud vendors.
  • They diverge on capability: eClinicalWorks covers Electronic Health Records, Onward Vet covers Flat practice subscription.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which eClinicalWorks and Onward Vet actually diverge.

Attributes where eClinicalWorks and Onward Vet differ
AttributeeClinicalWorksOnward Vet
Pricing modelUnknownquote
PlatformsWeb, Cloud-basedWeb, iOS, Android
CategoryHealthcareVeterinary
Founded1999Unknown

Identical on both: starting price (On request), free tier (No), user rating (Not yet rated).

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 eClinicalWorks

  • Electronic Health Records
  • Practice Management
  • Revenue Cycle
  • Patient Portal
  • ePrescribing
  • Telehealth
  • HL7
  • FHIR

Only in Onward Vet

  • Flat practice subscription
  • Cloud hosted
  • Medical records and SOAP
  • Estimates and treatment plans
  • Client communication
  • Laboratory integration

What people use each for

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

eClinicalWorks

  • EHR and practice management for multi-specialty medical practicesnot Onward Vet
  • Patient engagement through telehealth (healow) and secure messagingnot Onward Vet
  • Revenue cycle management with 98%+ first-pass acceptance ratenot Onward Vet
  • AI-powered clinical documentation with Sunoh.ai medical scribenot Onward Vet

Onward Vet

  • A clinic with a large rota of part-time technicians and receptionists where per-seat pricing is disproportionatenot eClinicalWorks
  • A single-site practice leaving an ageing on-premise system that no longer wants to maintain a servernot eClinicalWorks
  • A new practice that needs a working record system quickly without a long configuration projectnot eClinicalWorks
  • A cost-sensitive clinic that wants cloud practice management without paying for integration breadth it will not usenot eClinicalWorks

Where each one falls short

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

eClinicalWorks

  • Pricing details not disclosed on website; requires sales consultation or demo
  • No published technical system requirements specified
  • Cloud-based solution requires reliable internet connectivity for clinics

Onward Vet

  • The vendor is small, so support depth, release pace and the ability to absorb a serious outage are all limited compared with IDEXX, Covetrus or the larger cloud vendors.
  • The integration catalogue is short, so specialist imaging, communication or wellness plan tools that connect to ezyVet or Provet Cloud may need manual handling here.
  • Reporting is basic, so a practice that wants production analysis by veterinary surgeon, detailed inventory valuation or multi-site consolidation will be exporting data to a spreadsheet.
  • There is no on-premise option, so a clinic with an unreliable internet connection has no fallback when the link goes down and the appointment book becomes unreachable.
  • Concentration risk is real with a supplier of this size: acquisition, a change of direction or a funding problem would put your record system into other hands, so test the data export before committing.

Pricing, plan by plan

eClinicalWorks

On request

No published plan breakdown. See the eClinicalWorks review.

Onward Vet

On request
  • Onward Vet$undefined/year
    • Quoted as a flat monthly practice subscription
    • Unlimited user accounts
    • Cloud hosting, backup and updates included

Which should you pick?

Choose eClinicalWorks if

  • You need electronic health records.
  • You work on Web, Cloud-based.
  • You also want practice management.
eClinicalWorks review

Choose Onward Vet if

  • You need flat practice subscription.
  • You work on Web, iOS, Android.
  • You also want cloud hosted.
Onward Vet review

Questions people ask

Is eClinicalWorks or Onward Vet better?
Neither clearly leads. eClinicalWorks starts at On request and Onward Vet at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks or Onward Vet?
eClinicalWorks starts at On request and Onward Vet at On request.
Does eClinicalWorks or Onward Vet run on more platforms?
eClinicalWorks runs on Web, Cloud-based. Onward Vet runs on Web, iOS, Android.
What is eClinicalWorks best used for?
eClinicalWorks is most often used for ehr and practice management for multi-specialty medical practices, patient engagement through telehealth (healow) and secure messaging, revenue cycle management with 98%+ first-pass acceptance rate, ai-powered clinical documentation with sunoh.ai medical scribe. Of those, ehr and practice management for multi-specialty medical practices and patient engagement through telehealth (healow) and secure messaging are not what Onward Vet is typically brought in for.
What can eClinicalWorks do that Onward Vet cannot?
eClinicalWorks covers Electronic Health Records, Practice Management, Revenue Cycle, Patient Portal. Onward Vet covers Flat practice subscription, Cloud hosted, Medical records and SOAP, Estimates and treatment plans.

Answered from the vendors’ own pages

eClinicalWorks: What does eClinicalWorks EHR cost per provider?

eClinicalWorks EHR costs $449/month per provider with no startup costs. This includes the electronic medical record system, mobile access, patient portal, messaging, document management, prescribing, reporting, and 24/7 support with cloud hosting.

Source
Onward Vet: How is it priced?

As a flat practice subscription with unlimited users, quoted rather than published, which is why it suits clinics with many part-time staff.

eClinicalWorks: What is the cost of eClinicalWorks with Practice Management?

eClinicalWorks EHR with Practice Management costs $599/month per provider with no startup costs. This adds practice management functionality and billing implementation services.

Source
Onward Vet: Is it suitable for a multi-site group?

Not really. It is built for single-site independent clinics; consolidated reporting and cross-site inventory are not its strength.

eClinicalWorks: What is eClinicalWorks' Revenue Cycle Management pricing?

eClinicalWorks RCM as a Service costs 2.9% of practice collections with no startup costs. It covers claim processing, denial management, appeals, and accounts receivable visibility.

Source
Onward Vet: What happens if the internet goes down?

You lose access to the appointment book and records. There is no on-premise fallback, so a secondary connection is a sensible precaution.

eClinicalWorks: Is there a cost for data migration to eClinicalWorks?

No, eClinicalWorks offers free data migration for practices switching from other EHR systems.

Source
Onward Vet: Can I get my data out?

Ask for a full export during evaluation and check what format it comes in. With a small vendor this is a question to answer before you sign, not afterwards.

eClinicalWorks: Are training costs included with eClinicalWorks?

Initial training is included for practices with 1-9 providers. Additional fees apply for larger practices.

Source
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