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Veterinary · head to head

Onward Vet vs Practice Fusion

Onward Vet logo

Onward Vet

Veterinary

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

From
On request
Rated
-
Full reviewWebsite
Practice Fusion logo

Practice Fusion

Healthcare

Free cloud-based EHR for medical practices

From
Free
Rated
-
Full reviewWebsite

The short version

  • Only Practice Fusion has a free tier, so it costs nothing to try first.
  • Each has a real cost: 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.; Practice Fusion cloud-based architecture requires constant internet connectivity
  • They diverge on capability: Onward Vet covers Flat practice subscription, Practice Fusion covers Electronic Health Records.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Onward Vet and Practice Fusion actually diverge.

Attributes where Onward Vet and Practice Fusion differ
AttributeOnward VetPractice Fusion
Starting priceOn requestFree
Pricing modelquotesubscription
Free tierNoYes
CategoryVeterinaryHealthcare
FoundedUnknown2005

Identical on both: platforms (Web, iOS, Android), 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 Onward Vet

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

Only in Practice Fusion

  • Electronic Health Records
  • e-Prescribing
  • Lab Orders
  • Patient Portal
  • Scheduling
  • Labs
  • Pharmacies
  • Imaging Centers

What people use each for

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

Onward Vet

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

Practice Fusion

  • Small to medium medical practicesnot Onward Vet
  • Primary care clinicsnot Onward Vet
  • Independent clinicians needing electronic chartingnot Onward Vet
  • Practice management and billing workflowsnot Onward Vet

Where each one falls short

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

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.

Practice Fusion

  • Cloud-based architecture requires constant internet connectivity
  • Requires annual commitment for pricing

Pricing, plan by plan

Onward Vet

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

Practice Fusion

Free
  • Standard$199/month
    • Provider license with e-prescribing and chart signing
    • 3 signing staff licenses included
    • Unlimited non-signing staff licenses

Which should you pick?

Choose Onward Vet if

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

Choose Practice Fusion if

  • You need electronic health records.
  • You want to start without paying.
  • You work on Web, iOS, Android.
  • You also want e-prescribing.
Practice Fusion review

Questions people ask

Is Onward Vet or Practice Fusion better?
Neither clearly leads. Onward Vet starts at On request and Practice Fusion at Free, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Onward Vet or Practice Fusion?
Practice Fusion has a free tier; the other does not. Paid plans start at On request for Onward Vet and Free for Practice Fusion.
Does Onward Vet or Practice Fusion run on more platforms?
Both run on Web, iOS, Android, so platform support will not decide this one for you.
Can I use Practice Fusion for free?
Yes. Practice Fusion has a free tier, so you can try it without paying. Onward Vet starts at On request.
What is Onward Vet best used for?
Onward Vet is most often used for a clinic with a large rota of part-time technicians and receptionists where per-seat pricing is disproportionate, a single-site practice leaving an ageing on-premise system that no longer wants to maintain a server, a new practice that needs a working record system quickly without a long configuration project, a cost-sensitive clinic that wants cloud practice management without paying for integration breadth it will not use. Of those, a clinic with a large rota of part-time technicians and receptionists where per-seat pricing is disproportionate and a single-site practice leaving an ageing on-premise system that no longer wants to maintain a server are not what Practice Fusion is typically brought in for.
What can Onward Vet do that Practice Fusion cannot?
Onward Vet covers Flat practice subscription, Cloud hosted, Medical records and SOAP, Estimates and treatment plans. Practice Fusion covers Electronic Health Records, e-Prescribing, Lab Orders, Patient Portal.

Answered from the vendors’ own pages

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.

Practice Fusion: How much does Practice Fusion cost?

Practice Fusion starts at $199 per month per provider with an annual commitment required. The pricing includes 3 signing staff licenses and unlimited non-signing staff licenses.

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.

Practice Fusion: Does Practice Fusion offer a free trial?

Yes, Practice Fusion offers a complimentary 2-week trial with no commitment, no upfront costs, and no credit card required.

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.

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.

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