SimplePractice Alternatives for Europe (2026)

SimplePractice Alternatives for Europe (2026 Guide)

SimplePractice is a US-based practice management platform widely used by therapists, counsellors, psychologists, and allied health practitioners — primarily in the North American market. European practitioners who discover SimplePractice through professional communities often find that it has the right feature set for private practice management, but faces a fundamental GDPR obstacle: US data hosting for special category health data (therapy records, clinical notes, assessment results) requires substantial compliance work that many European sole practitioners are not positioned to do.

This guide covers the best SimplePractice alternatives for European practices, with a focus on GDPR compliance, EU hosting, and feature parity for private practice clinicians.

Why European Practitioners Look for SimplePractice Alternatives

GDPR and US data hosting

SimplePractice stores data in the United States. Therapy records, session notes, and clinical documentation are special category personal data under GDPR Article 9. Processing this data with a US-hosted platform requires:

• Standard Contractual Clauses signed between the practitioner and SimplePractice
• A Transfer Impact Assessment evaluating whether US data access laws (FISA, EO 12333) create risk for EU data subjects
• Documentation that the practitioner, as data controller, has assessed and accepted this risk

Most EU solo practitioners — therapists, counsellors, psychologists — are not equipped to complete this compliance work. EU-hosted alternatives eliminate the requirement entirely.

USD billing and pricing model

SimplePractice bills in USD and uses a per-practitioner model. For EU practitioners, this creates currency exposure and variable effective cost. EUR-billed alternatives with predictable euro pricing are generally preferable for EU budgeting.

Feature fit vs. depth

SimplePractice has deep US-specific features: insurance billing (CPT codes, HCFA forms, insurance ERA), US-specific telehealth compliance features, and integration with US insurance networks. European practitioners paying for a SimplePractice subscription are often paying for US-market features they will never use.

Platform Comparison

Tregovia

Tregovia is a multi-vertical CRM with clinical record modules relevant to European private practice. Unlike SimplePractice, it is not purpose-built for therapy — it is a general service-business platform adapted for health and allied health use.

Base plan (EUR 47/month):

• Appointment scheduling with practitioner availability and recurring appointments
• Client records, secure notes, appointment history
• Automated SMS and email appointment reminders
• Invoice generation, payment tracking, online payment option
• Client portal: booking, invoices, documents

Clinical modules relevant to private practice:

• Medical Records (EUR 15/month): SOAP-structured session notes, ICD-10 coding, problem lists, referral letters, progress notes across sessions
• Forms Intake (EUR 15/month): pre-session intake questionnaires, mental health history forms, consent to treatment forms, digital completion with e-signature
• Contracts eSign (EUR 15/month): therapy services agreement, cancellation policy consent, AES-level e-signature with audit trail
• Telehealth (EUR 15/month): browser-based video sessions, waiting room, post-session clinical notes
• Unified Inbox (EUR 12/month): secure client messaging between sessions

Total for a private therapy practice setup: EUR 47 (base) + EUR 15 (SOAP notes) + EUR 15 (forms) + EUR 15 (telehealth) = EUR 92/month — flat rate for solo or group practice.

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

Cliniko

Allied health platform widely used in EU markets, including by therapists and counsellors.

Pricing: Per-practitioner — verify at cliniko.com. EUR card accepted.

EU hosting: Ireland.

Strengths: Purpose-built allied health workflows, strong SOAP note management, good EU presence and GDPR track record.

Best for: Allied health practitioners (physio, OT, speech) who want a purpose-built tool. Also used by therapists wanting a simpler note management interface than SimplePractice.

TherapyNotes (US-only alternative)

US-based therapy-specific platform. Not suitable for EU practitioners — US hosting, USD billing, US-specific insurance features.

Writeupp

UK-origin allied health and therapy platform. UK/EU privacy position should be verified.

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

EU hosting: UK (post-Brexit — UK has EU adequacy decision; verify current status).

Strengths: Purpose-built for therapy and allied health, telehealth included, UK-origin with GDPR focus.

Best for: EU and UK therapists wanting a therapy-specific tool with built-in telehealth.

Power Diary

Allied health platform with growing EU presence. Per-practitioner pricing.

Pricing: Verify at powerdiary.com.

Strengths: Clean UI, telehealth included, solid appointment and note management.

Best for: Allied health and therapy practices wanting a simple, well-designed tool.

Feature Comparison

Feature	Tregovia	Cliniko	Writeupp	Power Diary
Appointment scheduling	Yes	Yes	Yes	Yes
Session/SOAP notes	EUR 15/month	Included	Included	Included
Intake forms / consent	EUR 15/month	Included	Included	Included
E-signature (AES)	EUR 15/month	No	Limited	No
Telehealth	EUR 15/month	No (separate)	Included	Included
Client portal	Yes	Yes	Yes	Yes
Secure messaging	EUR 12/month	Limited	Included	Limited
Insurance billing	No	No	No	No
Privacy controls	Review	Ireland	UK	EU available
Privacy terms	Review current terms	Yes	Yes	Yes
EUR billing	Yes	AUD/EUR card	GBP/EUR card	AUD/EUR card
Pricing model	Flat rate	Per practitioner	Per practitioner	Per practitioner

GDPR Considerations for Therapy Practices

Therapy records represent some of the most sensitive personal data processed by any private practice. GDPR Article 9 requires explicit consent or another specific legal basis for processing. For therapy practices:

Legal basis: Treatment notes are typically processed under Article 9(2)(h) — processing necessary for health care — which does not require explicit consent for clinical records but does require that processing is by a professional under professional secrecy.

Data retention: Therapy notes must be retained for the period required by member state law (varies: typically 7–10 years after last contact in most EU jurisdictions). The platform must support retention period enforcement.

Data subject access: Clients have the right to access their records. The platform must support record export for this purpose.

Third-party access: Any sub-processors (email provider, SMS provider, cloud host) must have GDPR-aware data processing terms. Verify the sub-processor list of any platform before using it for therapy records.

FAQ

Is SimplePractice available for EU practitioners?

SimplePractice accepts EU practitioners, but US data hosting applies. GDPR compliance for EU therapy records on a US-hosted platform requires the practitioner to implement Standard Contractual Clauses and complete a Transfer Impact Assessment. Most EU sole-practitioner therapists do not complete this process. If you are a EU-based therapist using SimplePractice and have not implemented SCCs and a TIA, you should evaluate your GDPR exposure.

What is the most important criterion for a EU therapy platform?

EU data hosting. Therapy records are GDPR Article 9 special category data. Using a platform that stores this data outside the EU (or EEA) without a valid legal transfer mechanism is a compliance risk. Prioritise platforms with EU data centres before evaluating any other features.

Does Tregovia include the therapy-specific features that SimplePractice has?

Tregovia covers the core private practice administrative and clinical workflow: scheduling, session notes, intake forms, invoicing, telehealth, and client portal. It does not include US-specific features (insurance billing, CPT codes, ERA) because these are not relevant to EU private practice. It does not include some therapy-specific tools like formal assessment scoring (PHQ-9, GAD-7 built-in scoring) that dedicated therapy platforms may offer. For practitioners who need formal assessment tools, these are typically managed through separate assessment platforms regardless of which practice management system is used.

How does Tregovia compare on price for a solo EU therapist vs. SimplePractice?

SimplePractice's Essential plan (USD 29/month billed annually at time of writing — verify current pricing at simplepractice.com) is cheaper than Tregovia's base plan. However, a EU therapist also needs session notes and intake forms — the equivalent feature set in Tregovia (base + Medical Records + Forms Intake) is EUR 77/month. At EUR/USD exchange rates near parity, the cost is similar. The comparison should also include: review current hosting and privacy terms, EUR billing without currency risk, and avoid importing sensitive data before that review.

Can Tregovia handle group therapy or couples sessions?

Yes. Group appointments can be configured with participant lists — multiple clients linked to a single appointment record. Invoicing can be set per-session or per-client within the group. Notes can be recorded at the session level (applying to all participants) or at the individual client level for separate clinical records.

Is there a free trial for Tregovia?

Yes — 14 days, no credit card required. For a therapist evaluating SimplePractice alternatives, the recommended trial scope: set up one recurring client with weekly appointments, record session notes using the Medical Records module, create an intake form in Forms Intake, test the client portal from the client's perspective, and run the invoice and payment flow for one session. This covers the full weekly cycle of a private therapy practice.