Cliniko Alternatives for EU Clinics (2026 Comparison)

Cliniko Alternatives for EU Clinics (2026 Comparison)

Cliniko is a well-regarded allied health platform used across EU markets — particularly by physiotherapy, chiropractic, occupational therapy, and psychology practices. Its strengths include purpose-built SOAP note management, strong appointment workflows, and a clean UI. But EU clinics considering alternatives often cite two concerns: per-practitioner pricing that scales with team size, and the need to verify GDPR controls in detail before committing.

This guide compares Cliniko alternatives specifically for EU clinic buyers, with a focus on compliance, workflow fit, and total cost.

Why EU Clinics Look for Cliniko Alternatives

Per-practitioner pricing accumulates

Cliniko charges per practitioner. For a solo clinician, this is often competitive. For a clinic with four or five practitioners — a common size for a mid-sized physiotherapy or chiropractic practice — the monthly cost can reach EUR 150–250+ depending on the tier and currency conversion (verify current pricing at cliniko.com). A flat-rate alternative may represent significant savings at this scale.

GDPR verification requires attention

Cliniko is Australian-origin software. Its EU data hosting (Ireland) addresses the data residency requirement, and it provides GDPR documentation. However, EU buyers should specifically verify: the current processor terms, data subject rights fulfilment process, and sub-processor list. These are standard due diligence steps for any non-EU-origin platform processing health data under GDPR Article 9.

Feature depth vs. feature fit

Cliniko has strong allied health depth — intake forms, SOAP notes, treatment notes — that is overkill for some practices and exactly right for others. Clinics that don't need deep clinical note management may find that a leaner, lower-cost platform meets their actual needs.

Platform Comparison

Tregovia

Tregovia is a multi-vertical CRM with a modular approach to clinical records. The base plan handles scheduling, billing, and communications; clinical modules are added as needed.

Base plan (EUR 47/month, flat rate):

• Appointment scheduling, multi-practitioner calendar
• Client records with appointment history
• Automated SMS and email reminders
• Invoicing, payment tracking, reports

Clinical modules relevant to allied health:

• Medical Records (EUR 15/month): SOAP-structured notes per appointment, ICD-10 coding, problem list, referral letter generation, progress notes
• Forms Intake (EUR 15/month): pre-appointment questionnaires, consent forms, digital intake with e-signature
• Online Booking (included): patient-facing booking with practitioner selection, availability calendar, deposit rules, waitlist

Total for a full allied health setup (equivalent to Cliniko mid-tier): EUR 47 (base) + EUR 15 (SOAP notes) = EUR 62/month — flat rate regardless of practitioner count.

Privacy controls: Configure access roles, consent records, exports, deletion requests, and retention rules before publishing this workflow.

Pricing comparison at scale:

Team Size	Tregovia	Cliniko (Est. Mid-Tier)
1 practitioner	EUR 70/month	EUR 35–55/month
3 practitioners	EUR 70/month	EUR 105–165/month
5 practitioners	EUR 70/month	EUR 175–275/month

At a single practitioner, Cliniko may be cheaper. At three or more practitioners, Tregovia's flat rate becomes substantially more cost-effective.

Power Diary

Australian-origin allied health platform. Per-practitioner pricing, EU region available.

Pricing: Verify current pricing at powerdiary.com.

EU hosting: EU region available — verify current data residency.

Strengths: Clean UI, telehealth integration, growing EU client base.

Best for: Allied health practices wanting a Cliniko-style tool with telehealth built in.

Jane App

Canadian-origin allied health platform. Strong clinical note management and online booking.

Pricing: Per-practitioner, USD — verify at janeapp.com.

EU consideration: Canadian data hosting — requires Transfer Impact Assessment for GDPR compliance.

Best for: Practices prioritising clinical note depth and comfortable with Canadian data hosting.

Halaxy

Australian-origin platform. Transaction-fee model — free at low volume.

Pricing: Free at base; fees per invoice transaction — verify at halaxy.com.

EU hosting: Verify current data residency.

Best for: Solo practitioners at low appointment volume who want to minimise fixed costs.

Feature Comparison

Feature	Tregovia	Cliniko	Power Diary	Jane App
Scheduling	Yes	Yes	Yes	Yes
SOAP clinical notes	EUR 15/month	Included	Included	Included
Online booking	Included	Included (higher tiers)	Included	Included
Intake forms	EUR 15/month	Included	Included	Included
Telehealth	EUR 15/month	No (separate tool)	Included	Included
Privacy controls	Review	Yes	Yes	No
Privacy terms	Review current terms	Yes	Yes	Verify
EUR billing	Yes	AUD (EUR card OK)	AUD	USD
Pricing model	Flat rate	Per practitioner	Per practitioner	Per practitioner
Published pricing	Yes	Yes	Yes	Yes

GDPR Due Diligence Checklist for EU Clinic Buyers

Before migrating to any Cliniko alternative, verify:

• Processor terms: Are current processor terms available for review without a sales call?
• Data residency: Where exactly is data stored? Which cloud provider and region?
• Sub-processor list: What third-party services have access to patient data (email, SMS, analytics)?
• Data subject rights: How does the platform support access requests, correction requests, and erasure requests?
• Breach notification: What is the vendor's process and timeline for notifying you of a breach?
• Data export: Can you export all patient data in a usable format (CSV, PDF) without paying extra or waiting for support?

Any platform unable to provide clear answers to these six questions before contract signing is a compliance risk.

FAQ

Is Cliniko GDPR-ready?

Cliniko offers EU data hosting (Ireland) and GDPR documentation including processor terms. Whether it meets your specific compliance requirements depends on your data processing activities and the due diligence steps you've completed. Review processor terms, sub-processor list, and data subject rights procedures before making a decision. This applies equally to any alternative you consider.

What is the main reason EU clinics switch from Cliniko?

Per-practitioner pricing is the most commonly cited trigger for evaluation. A clinic that starts as a solo practice on a competitive Cliniko tier and grows to three or four practitioners often finds that total software cost has increased substantially, prompting a comparison of alternatives. Compliance questions are the second most common trigger.

How long does migration from Cliniko to a new platform take?

For a clinic with up to 500 client records and 2 years of appointment history, a well-prepared migration typically takes 2–4 weeks: one week for data export and import, one week for configuration and staff training, and one to two weeks of parallel operation before full cutover. The bottleneck is usually data quality — inconsistent record formats in the source system slow the import.

Does the alternative include the same SOAP note features as Cliniko?

Yes. Tregovia's Medical Records module provides SOAP-structured notes per appointment, ICD-10 coding, problem lists, and referral letter generation. Cliniko includes SOAP notes in its base plan; in Tregovia they are a EUR 15/month add-on. For a 3-practitioner clinic, the add-on cost plus the base plan (EUR 62/month total) is still substantially less than Cliniko at the same practitioner count.

Should a solo allied health practitioner consider switching?

At a single practitioner, Cliniko's per-practitioner pricing is often competitive with flat-rate alternatives. The case for switching at solo scale is primarily about EU hosting preference, modular feature selection, or specific workflows. For practices planning to grow to multiple practitioners within 12 months, the flat-rate model becomes increasingly attractive.