SimplePractice Alternative for Multi-Specialty (2026)

SimplePractice Alternatives for Multi-Specialty Clinics (2026)

SimplePractice is designed for solo and small group practices — a psychologist in private practice, a solo physiotherapist, a small counselling group. Its per-practitioner model and solo-practitioner UX work well at that scale. Multi-specialty clinics — practices offering two or more clinical disciplines with separate practitioner teams — often find that SimplePractice's role management, cross-team workflow, and service-line reporting don't scale to their complexity.

This guide covers alternatives for multi-specialty clinics that need stronger cross-team coordination, granular permissions, and service-line visibility.

What Multi-Specialty Clinics Need That Solo-Practice Tools Don't Provide

Service-line separation with shared infrastructure

A clinic offering both physiotherapy and occupational therapy shares a reception desk, a booking system, and a billing workflow — but the two teams need separate appointment types, separate clinical note templates (SOAP for physio vs. OT-structured notes), separate practitioner availability, and separate service-line revenue reporting.

The platform must support this separation without requiring two separate system instances. Separate instances double the admin overhead and make shared client records impossible.

Granular role-based access

In a multi-specialty clinic, role complexity increases significantly:

• A physiotherapy practitioner should see physio appointment records but not OT clinical notes (unless the client is shared)
• A receptionist should see all scheduling but not clinical notes for any specialty
• A manager should see revenue reports for all service lines
• A clinical lead for one specialty should have admin rights within their specialty but not across the whole practice

Simple "admin / clinician / receptionist" role models don't cover this complexity. Role-based access needs to be configurable at the specialty or service-line level.

Cross-specialty referral tracking

Multi-specialty clinics generate internal referrals — a physio refers a client to the OT team, or a counsellor refers a client to the psychiatrist within the same practice. This referral must be tracked: when was the referral made, when was the first appointment with the receiving specialty, was the referral followed up, and what was the clinical outcome?

Without referral tracking, cross-specialty coordination relies on informal communication and paper referral forms — creating dropped follow-ups and incomplete care records.

Service-line reporting

The practice owner needs to see revenue, appointment volume, no-show rate, and new client acquisition per service line — not just as a single practice total. Service-line reports answer: which specialty is growing? Which has the highest no-show rate? Where is revenue below projection?

Platform Comparison

Tregovia

Tregovia's multi-practitioner, multi-service architecture supports service-line separation within a single practice instance.

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

• Multi-practitioner scheduling with service type and availability configuration per practitioner
• Role-based access: receptionist, staff, practitioner, manager, admin, owner — six levels
• Appointment types configurable per specialty/service line
• Revenue and appointment reports filterable by appointment type and practitioner
• Client records shared across the practice (one record, accessible by authorised staff)

Clinical modules:

• Medical Records (EUR 15/month): SOAP notes per appointment — separate note templates can be configured per appointment type, allowing physio SOAP notes and OT-structured notes within the same system
• Forms Intake (EUR 15/month): specialty-specific intake questionnaires per appointment type — new physio patient form vs. new OT patient form delivered based on the appointment type booked

Reporting by service line: Reports in Tregovia filter by appointment type, practitioner, and service category — providing service-line revenue and utilisation data from the same system without manual data aggregation.

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

Tregovia's limitation for multi-specialty: The role model (six fixed levels) may not provide the granular specialty-level access control that a large multi-specialty clinic needs. A practitioner with "practitioner" role level can access all client records that their role permits — not per-specialty restriction. For clinics where practitioners should be strictly siloed from other specialties' clinical records, evaluate whether Tregovia's role model is sufficiently granular.

Cliniko

Allied health platform widely used by multi-discipline practices. Per-practitioner pricing.

Pricing: Per-practitioner — verify at cliniko.com.

Strengths: Strong multi-practitioner support, good service-type configuration, SOAP notes included.

Consideration: Per-practitioner cost accumulates across specialties.

Jane App

Allied health platform with reasonable multi-practitioner support.

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

EU consideration: Canadian data hosting — verify GDPR compliance.

Nookal (AUS/EU market)

Allied health practice management platform. Per-practitioner pricing.

Pricing: Verify at nookal.com.

Strengths: Multi-discipline support, good report configuration.

Best for: Multi-specialty clinics wanting purpose-built allied health depth.

Feature Comparison

Feature	Tregovia	Cliniko	Jane App	Nookal
Multi-specialty scheduling	Yes	Yes	Yes	Yes
Per-specialty appointment types	Yes	Yes	Yes	Yes
SOAP notes	EUR 15/month	Included	Included	Included
Specialty-specific note templates	Configurable	Configurable	Configurable	Yes
Cross-specialty referral tracking	Limited	Limited	Limited	Limited
Service-line revenue reports	Yes	Yes	Yes	Yes
Granular specialty-level permissions	Limited (6 roles)	Limited	Limited	Limited
Privacy controls	Review	Ireland	No (Canada)	EU available
Privacy terms	Review current terms	Yes	Verify	Verify
Pricing model	Flat rate	Per practitioner	Per practitioner	Per practitioner

Pilot Scenario for Multi-Specialty Evaluation

Before committing to any platform, run this evaluation scenario:

1. Configure two service lines: Set up appointment types, practitioner availability, and intake forms for two specialties (e.g., physiotherapy and occupational therapy).

2. Run a cross-specialty client flow: Create a shared client. Book them with the physio team. Record a SOAP note. Refer them internally to the OT team. Book the OT appointment. Record an OT note. Verify that both notes are accessible in the client record and that the referral is visible.

3. Test role-based access: Log in as a physio practitioner. Verify what OT records you can and cannot see. Log in as a receptionist. Verify that clinical notes are not visible. Log in as a manager. Verify that revenue reports show both service lines separately.

4. Run service-line revenue reports: Generate a revenue report for one week filtered by each service line separately. Verify that the numbers are correct and match the appointment records.

Any step that reveals a gap during the pilot is a realistic daily operational problem — better discovered in evaluation than after migration.

FAQ

At what size does a multi-specialty clinic outgrow SimplePractice?

SimplePractice works well for a small group practice where all practitioners are in the same discipline. The typical outgrowth signals: practitioners needing access to only their specialty's records (not all clinical records), the need for specialty-level revenue reporting, and cross-specialty referral workflows. For most clinics, this tension appears at 5+ practitioners across 2+ specialties.

Can Tregovia handle a clinic offering both medical and allied health services?

Yes. Appointment types are fully configurable — a GP consultation, a physiotherapy session, and an occupational therapy assessment can all coexist in the same system with appropriate note templates, durations, and pricing. The Medical Records module's SOAP structure applies to all appointment types; specialty-specific assessment fields can be captured in the structured note fields.

How should a multi-specialty clinic handle client record sharing between teams?

In Tregovia, client records are shared across the practice — all authorised staff can see the client's appointment history and, depending on their role, their clinical notes. This shared record model is generally appropriate for multi-specialty clinics where knowing that a client is also being treated by another team is clinically relevant. If strict information barriers are required (e.g., mental health records strictly siloed from physical health records), evaluate whether the platform supports this level of access control — most general practice management platforms do not.

What is the most important feature for multi-specialty reporting?

Appointment type as a reportable dimension — every appointment must be tagged with the service line or specialty so that revenue, no-show rate, and new client acquisition can be filtered per specialty. Verify this before committing to any platform by generating a test report filtered by a single appointment type.

Is a flat-rate or per-practitioner model better for a multi-specialty clinic?

Flat-rate pricing is almost always better for multi-specialty clinics because headcount is higher: a 3-specialty clinic with 2 practitioners per specialty has 6 practitioners, plus reception and admin staff. At a EUR 40/practitioner/month per-user rate, that is EUR 240/month for practitioners alone. A flat-rate EUR 75/month covers all practitioners, all staff, all specialties.