Clinics look for a SimplePractice alternative when SimplePractice is the most widely used practice platform for US therapists, and the reasons clinicians give for leaving are consistent across reviews: no live phone support, clients asked for card details before they can use the portal, account freezes, billing that continued after cancellation and updates that broke working features. This page sets out where Capra is the better fit, where SimplePractice still is, and how switching works.
SimplePractice is the most widely used practice platform for US therapists, and the reasons clinicians give for leaving are consistent across reviews: no live phone support, clients asked for card details before they can use the portal, account freezes, billing that continued after cancellation and updates that broke working features.
Fourteen rows on booking, messaging, records, locations, integrations and support. Features and support only; book a demo for a quote.
| Feature | Capra | SimplePractice |
|---|---|---|
| Online booking without a patient account | Yes | Via client portal (login and card) |
| Self-serve cancel and rebook | Yes | Yes |
| WhatsApp Business shared inbox | Yes | No |
| Two-way SMS | Yes | Reminders; secure messaging in portal |
| Email from your own domain | Yes | Check with vendor |
| Reminder rules per appointment type | Yes | Yes |
| Clinical notes, templates and body charts | Yes | Yes |
| Online forms, consent and outcome measures | Yes | Yes |
| Patient portal with no app and no password | Yes | Login and card capture |
| Video consultations built in | Yes | Yes |
| Multi-location in one account | Yes | Group practice features |
| Reporting on diary use, rebooking and no-shows | Yes | Yes |
| Integrations built for you during onboarding | Yes | Fixed integrations |
| Human support in UK and UAE hours | Yes | No live phone support (reviews) |
Notes on the table: the SimplePractice client portal needs a login and, by default, a card on file, which is why the booking and portal rows carry that note; secure messaging lives inside the portal and SMS is used for reminders; group-practice features exist but multi-location is not a first-class concept; the integration list is fixed; reviews consistently describe the absence of live phone support.
Migration is part of onboarding: a named lead imports your data, checks it with you and stays your contact after go-live. Most clinics run both systems side by side for a couple of weeks before switching the old one off.
Your onboarding lead takes the export of patients, appointments, notes, documents and invoices from SimplePractice, or pulls it with you, and maps it field by field into Capra.
You review the imported records against the originals, and the clinic can run both systems side by side for a couple of weeks before the switch.
Reminders, booking and the inbox switch on, the integrations you agreed are built and tested, and your onboarding lead stays your contact afterwards, in UK and UAE hours.
Defence in depth, from the first message to the last record. This is how we operate, not a badge.
Connections use current TLS with HSTS, and stored data is encrypted with keys managed by our cloud provider.
Permissions come from defined roles, privileged access needs multi-factor authentication, and rights are reviewed regularly.
Security-relevant events are recorded, retained and reviewed so unusual activity can be investigated quickly.
Critical data is backed up regularly and protected like production, with processes to restore service after a disruption.
UK clinics are hosted in the UK by default; deployment in other regions, including the UAE, is available on request with the same protections.
Capra connects to the record, calendar, accounting, messaging and claims systems you already run; integrations are built with you during onboarding.
Yes. Capra gives each therapist a calendar, client list and reporting on one account, with supervisor and owner roles, a client portal with no app and no forced card, video sessions on the same calendar, outcome measures scored on the record and two-way texting from a registered practice number.
Insurance claims through its clearinghouse with ERAs and ICD codes, AI-assisted notes, a consumer-facing directory and the largest community of US therapists. A solo clinician who bills insurance heavily may still find it the simpler choice.
A client portal that opens from a secure link with no login and no card unless you require it, WhatsApp Business alongside texting, integrations built for you during onboarding, hosting options in the UK and UAE, and human support from a named team rather than a ticket queue.
Yes. Your onboarding lead takes the SimplePractice export of clients, appointments, notes, documents and invoices, maps it into Capra and checks it with you before go-live.
Yes. Clients book from your website or a link within the rules you set, confirm or reschedule from the reminder, and complete intake before the first session, all without creating an account.
Most practices are scheduling, messaging and writing notes in Capra within a few days of the import. Clearinghouse and accounting connections follow the onboarding plan agreed with your named lead.
The absence of live phone support is the most repeated complaint in SimplePractice reviews. Capra's support is human, in UK and UAE hours, from a named team; US practices should check those hours fit their day before switching.
Yes. Clinics commonly run both for a couple of weeks after the import: bookings and reminders move to Capra first, notes follow once the team is comfortable, and your onboarding lead checks nothing has been left behind before SimplePractice is switched off.
Consent records and contact preferences are imported with each patient and stored on the record in Capra. Opt-outs are applied through suppression lists from the first send, so a patient who declined messages in SimplePractice is not messaged by Capra either.
Last reviewed 25 October 2026 by Capra Health team. Comparisons are updated quarterly; tell us at info@capra.health if something has changed.
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