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Veterinary · head to head

Onward Vet vs TheraNest

Onward Vet logo

Onward Vet

Veterinary

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

From
On request
Rated
-
Full reviewWebsite
TheraNest logo

TheraNest

Healthcare

Mental health EHR and practice management priced per therapist

From
$29/month
Rated
-
Full reviewWebsite

The short version

  • 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.; TheraNest the Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • They diverge on capability: Onward Vet covers Flat practice subscription, TheraNest covers Progress notes and treatment plans.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

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

Attributes where Onward Vet and TheraNest differ
AttributeOnward VetTheraNest
Starting priceOn request$29/month
Pricing modelquotePer user per month
CategoryVeterinaryHealthcare

Identical on both: free tier (No), 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 TheraNest

  • Progress notes and treatment plans
  • Insurance claims
  • Client portal
  • Telehealth
  • Group and family sessions
  • Payroll and staff reporting

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 TheraNest
  • A single-site practice leaving an ageing on-premise system that no longer wants to maintain a servernot TheraNest
  • A new practice that needs a working record system quickly without a long configuration projectnot TheraNest
  • A cost-sensitive clinic that wants cloud practice management without paying for integration breadth it will not usenot TheraNest

TheraNest

  • A solo therapist who needs a HIPAA aligned note and scheduling system and does not bill insurance, where the 29 USD entry tier is genuinely sufficientnot Onward Vet
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot Onward Vet
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot Onward Vet
  • A behavioural health organisation that bills a steady volume of insurance claims each month and can size the Advanced allowance against its actual claim countnot 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.

TheraNest

  • The Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • Telehealth is only in the Premier plan, so a practice that wants video sessions pays 89 USD per therapist per month even if it needs nothing else from that tier.
  • An annual AMA CPT licence fee is billed separately each December on top of subscription cost, which surprises practices that budgeted only the monthly figure.
  • Additional administrative users are chargeable, so a practice with front desk and billing staff who never see clients still pays 19 to 29 USD per head for people who generate no revenue.
  • The product sits inside a consolidated portfolio that has already renamed the parent company from Therapy Brands to Ensora Health, and product investment in a portfolio is directed by the owner rather than by this product line, so roadmap commitments are worth less than they would be from a single product vendor.

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

TheraNest

$29/month
  • Essentials$29/month
    • Per therapist
    • Scheduling and client portal
    • HIPAA aligned notes and documentation
  • Advanced$59/month
    • Per therapist
    • 30 insurance claims per month included
    • Custom forms
  • Premier$89/month
    • Per therapist
    • Unlimited insurance claims
    • Billing automation

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 TheraNest if

  • You need progress notes and treatment plans.
  • You work on Web, iOS, Android.
  • You also want insurance claims.
TheraNest review

Questions people ask

Is Onward Vet or TheraNest better?
Neither clearly leads. Onward Vet starts at On request and TheraNest at $29/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Onward Vet or TheraNest?
Onward Vet starts at On request and TheraNest at $29/month.
Does Onward Vet or TheraNest run on more platforms?
Both run on Web, iOS, Android, so platform support will not decide this one for you.
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 TheraNest is typically brought in for.
What can Onward Vet do that TheraNest cannot?
Onward Vet covers Flat practice subscription, Cloud hosted, Medical records and SOAP, Estimates and treatment plans. TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, Telehealth.

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.

TheraNest: Is TheraNest still sold under that name?

Yes. The company rebranded from Therapy Brands to Ensora Health and the product is now marketed as TheraNest by Ensora Health, but you still buy TheraNest.

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.

TheraNest: Can I bill insurance on the cheapest plan?

No. Essentials includes no claims. Advanced includes 30 claims a month and Premier is unlimited.

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.

TheraNest: Are there hidden costs?

Two. Additional admin users are charged per head, and an AMA CPT licence fee is billed annually in December per therapist.

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.

TheraNest: Does it support group practices?

Yes, with per clinician reporting and payroll figures, though every clinician and every admin is a paid seat.

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