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Healthcare · head to head

Practice Fusion vs VisionVPM

Practice Fusion logo

Practice Fusion

Healthcare

Free cloud-based EHR for medical practices

From
Free
Rated
-
Full reviewWebsite
VisionVPM logo

VisionVPM

Veterinary

On-premise practice management for veterinary groups in Australia, New Zealand, the UK and Ireland

From
On request
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: Practice Fusion cloud-based architecture requires constant internet connectivity; VisionVPM it needs a Windows server, a backup regime and someone responsible for both, so the true cost includes IT support that cloud competitors absorb into their subscription.
  • They diverge on capability: Practice Fusion covers Electronic Health Records, VisionVPM covers Local database.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Practice Fusion and VisionVPM actually diverge.

Attributes where Practice Fusion and VisionVPM differ
AttributePractice FusionVisionVPM
Starting priceFreeOn request
Pricing modelsubscriptionquote
Free tierYesNo
PlatformsWeb, iOS, AndroidWindows
CategoryHealthcareVeterinary
Founded2005Unknown

Identical on both: 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 Practice Fusion

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

Only in VisionVPM

  • Local database
  • Large and mixed animal modules
  • Stock and wholesale ordering
  • Debtor and account management
  • Multi-site consolidation
  • Clinical reminders

What people use each for

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

Practice Fusion

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

VisionVPM

  • A rural mixed practice where internet connectivity is too unreliable to depend on a browser-only systemnot Practice Fusion
  • A corporate group that requires clinical and financial data to remain on infrastructure it controlsnot Practice Fusion
  • A farm-heavy practice needing herd recording and monthly account billing that companion-animal cloud systems handle poorlynot Practice Fusion
  • An established VisionVPM site weighing an upgrade against the cost and disruption of migrating to a cloud systemnot Practice Fusion

Where each one falls short

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

Practice Fusion

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

VisionVPM

  • It needs a Windows server, a backup regime and someone responsible for both, so the true cost includes IT support that cloud competitors absorb into their subscription.
  • Upgrades are scheduled events with downtime rather than transparent releases, which means version drift across a multi-site group and a coordination burden at each release.
  • Covetrus is steering customers towards its cloud product, so development effort is unlikely to favour VisionVPM long term and buyers should assume a migration eventually.
  • Remote and out-of-hours access requires a remote desktop or Citrix layer, which adds licensing, latency and another system to secure.
  • Ordering and prescription workflows are built around Covetrus as the supplier, so a practice buying from other wholesalers loses the automated parts and reverts to manual entry.

Pricing, plan by plan

Practice Fusion

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

VisionVPM

On request
  • VisionVPM$undefined/year
    • Licence and annual support quoted per practice
    • Server hardware and Windows licences bought separately
    • Data migration quoted per site

Which should you pick?

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

Choose VisionVPM if

  • You need local database.
  • You work on Windows.
  • You also want large and mixed animal modules.
VisionVPM review

Questions people ask

Is Practice Fusion or VisionVPM better?
Neither clearly leads. Practice Fusion starts at Free and VisionVPM at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Practice Fusion or VisionVPM?
Practice Fusion has a free tier; the other does not. Paid plans start at Free for Practice Fusion and On request for VisionVPM.
Does Practice Fusion or VisionVPM run on more platforms?
Practice Fusion runs on Web, iOS, Android. VisionVPM runs on Windows.
Can I use Practice Fusion for free?
Yes. Practice Fusion has a free tier, so you can try it without paying. VisionVPM starts at On request.
What is Practice Fusion best used for?
Practice Fusion is most often used for small to medium medical practices, primary care clinics, independent clinicians needing electronic charting, practice management and billing workflows. Of those, small to medium medical practices and primary care clinics are not what VisionVPM is typically brought in for.
What can Practice Fusion do that VisionVPM cannot?
Practice Fusion covers Electronic Health Records, e-Prescribing, Lab Orders, Patient Portal. VisionVPM covers Local database, Large and mixed animal modules, Stock and wholesale ordering, Debtor and account management.

Answered from the vendors’ own pages

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
VisionVPM: Can VisionVPM run in the cloud?

Only by hosting the Windows server yourself or through a partner and connecting over remote desktop. It is not a browser application and hosting it does not make it one.

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
VisionVPM: Is VisionVPM still being developed?

It receives maintenance and compliance updates, but its owner sells a separate cloud product and directs new development there. Plan on a migration within the life of your next server.

VisionVPM: Does it work outside Australasia and the UK?

It is sold and supported in Australia, New Zealand, the UK and Ireland. Tax handling and supplier integrations are built for those markets.

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