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Healthcare · head to head

SimplePractice vs VisionVPM

SimplePractice logo

SimplePractice

Healthcare

Practice management and EHR for mental health and therapy

From
$49/month
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

  • Each has a real cost: SimplePractice no API or webhook support for integrations, preventing connections to Zapier or custom automation tools; 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: SimplePractice covers Scheduling, VisionVPM covers Local database.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which SimplePractice and VisionVPM actually diverge.

Attributes where SimplePractice and VisionVPM differ
AttributeSimplePracticeVisionVPM
Starting price$49/monthOn request
Pricing modelUnknownquote
PlatformsWeb, iOS, AndroidWindows
CategoryHealthcareVeterinary
Founded2011Unknown

Identical on both: 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 SimplePractice

  • Scheduling
  • Client Portal
  • Notes
  • Billing
  • Telehealth
  • Documents
  • Stripe
  • PayPal

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.

SimplePractice

  • Patient Carenot VisionVPM
  • Medical Recordsnot VisionVPM
  • Practice Managementnot VisionVPM
  • Telehealthnot VisionVPM

VisionVPM

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

Where each one falls short

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

SimplePractice

  • No API or webhook support for integrations, preventing connections to Zapier or custom automation tools
  • Lacks AI clinical documentation in base plan, requiring manual note typing which takes 15-30 minutes per session
  • Reporting and customization features are limited compared to competitors, with weak insurance workflow support
  • Hidden costs beyond base pricing, with real cost often 3x higher after add-ons and annual increases
  • Telehealth component reported as unstable and frequently unreliable by some users

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

SimplePractice

$49/month
  • Starter$49/month
    • Scheduling
    • Documentation
    • Client portal
  • Essential$79/month
    • Billing and payments
    • Insurance claim filing
    • Telehealth
  • Plus$99/month
    • Website builder
    • Advanced reporting
    • ePrescribe integration

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 SimplePractice if

  • You need scheduling.
  • You work on Web, iOS, Android.
  • You also want client portal.
SimplePractice 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 SimplePractice or VisionVPM better?
Neither clearly leads. SimplePractice starts at $49/month and VisionVPM at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, SimplePractice or VisionVPM?
SimplePractice starts at $49/month and VisionVPM at On request.
Does SimplePractice or VisionVPM run on more platforms?
SimplePractice runs on Web, iOS, Android. VisionVPM runs on Windows.
What is SimplePractice best used for?
SimplePractice is most often used for patient care, medical records, practice management, telehealth. Of those, patient care and medical records are not what VisionVPM is typically brought in for.
What can SimplePractice do that VisionVPM cannot?
SimplePractice covers Scheduling, Client Portal, Notes, Billing. VisionVPM covers Local database, Large and mixed animal modules, Stock and wholesale ordering, Debtor and account management.

Answered from the vendors’ own pages

SimplePractice: What does SimplePractice pricing include?

SimplePractice tiers start at $49 (Starter), $79 (Essential), and $99 (Plus) per clinician per month. Add-ons cost extra, including AI Note Taker at $35/month and ePrescribe at $49/month plus $89 setup.

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.

SimplePractice: Does SimplePractice include telehealth?

Yes, all SimplePractice tiers include HIPAA-compliant integrated telehealth, allowing therapists to conduct secure video sessions directly from the platform.

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.

SimplePractice: Is AI documentation included in SimplePractice?

No, AI clinical notes are not included in base pricing. SimplePractice offers an optional AI Note Taker add-on for $35/month that provides basic transcription, though it lacks advanced note generation features of competitors.

Source
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.

SimplePractice: Does SimplePractice support international or non-US workflows?

No, SimplePractice is designed for US practices only and does not support non-US workflows, insurance structures, or currencies, limiting its use for international practitioners.

Source
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