Blueprint
freemium
$1/month
Free trial$71/mo less than the other
AI Clinical Notes & Scribes · Comparison
Blueprint
Upheal
Blueprint vs Upheal for therapists
Editorially reviewedUpdated May 2026
The short answer
Two AI-native EHRs targeting solo therapists who don't want SimplePractice. Upheal bundles AI notes, telehealth, scheduling, and payments at $1/session capped at $72/mo Premium. Blueprint gives you the EHR free and charges $0.99/session for AI. Upheal wins on telehealth-first private-pay workflows; Blueprint wins on measurement-based care and free entry.
Skip both if
Skip both if you bill insurance heavily neither has the claims maturity of TherapyNotes. Skip Upheal specifically if you'd rather not record your sessions; while audio is deleted by default, the workflow assumes session capture.
At a glance
The differences that matter
Side-by-side facts. Rows where the two tools differ meaningfully are highlighted.
| Feature | | |
|---|---|---|
| Pricing from | $1 / mo | $72 / mo |
| Pricing modelSame | freemium | freemium |
| HIPAASame | Yes | Yes |
| Free trialSame | Yes | Yes |
| Target users |
|
|
| Key features |
|
|
| Integrations |
|
|
Blueprint
- Pricing from
- $1 / mo
- Pricing model
- freemium
- HIPAA
- Yes
- Free trial
- Yes
- Target users
- Clinicians practicing measurement-based care
- Solo therapists wanting a free EHR
- Practices contracted with payers requiring MBC
- Outcome-focused supervision programs
- Key features
- Free EHR with scheduling, billing, forms, insurance
- AI Assistant for progress notes ($0.99-2.99/session)
- Automated client assessments (PHQ-9, GAD-7, PCL-5, etc.)
- Outcomes dashboard for clinicians and clients
- Integrations
- Major EHR systems (varies; confirm with sales)
- Validated assessment instruments (50+)
Upheal
- Pricing from
- $72 / mo
- Pricing model
- freemium
- HIPAA
- Yes
- Free trial
- Yes
- Target users
- solo practice
- group practice
- Key features
- Progress notes
- Built-in telehealth
- Treatment plan suggestions
- Insight dashboards
- Integrations
- SimplePractice
- TherapyNotes
- Google Calendar
- Outlook
Pricing
What you actually pay
Starting prices and what they include. The cheaper tool is not always the better value.
Upheal
freemium
$72/month
Free trial
Honest assessment
Where each tool wins and loses
Based on hands-on testing. Both tools have real weaknesses worth knowing before you commit.
Blueprint
What works well
- EHR core is free forever
- Strong measurement-based care library
- Usage-based pricing scales with caseload
- Backed by clinical evidence (faster response per case study)
Where it falls short
- Progress tracking is questionnaire-driven, not session-driven
- Note quality reportedly varies with session complexity
- Less alliance-focused analytics than Mentalyc
- Usage-based pricing harder to forecast than flat subscription
Upheal
What works well
- Built-in HIPAA telehealth
- Detailed insights
- Slick UI
Where it falls short
- Smaller integration list than Mentalyc
- Generation time variable
In depth
The longer breakdown
Upheal and Blueprint are the two main AI-native EHR alternatives to SimplePractice and TherapyNotes in 2026. They're both built by clinicians, both include AI documentation, and both target solo therapists frustrated with legacy EHRs.
Upheal is the more bundled offering. The platform includes AI notes, HIPAA-compliant telehealth video, automated scheduling, and payment processing (Stripe at 2.9% + $0.30). Insurance billing is on the roadmap for summer 2026 but isn't shipped as of this writing. The free plan provides core features; paid plans run $1/session capped at $72/mo Premium. Audio is deleted by default, HIPAA + SOC 2 Type II + GDPR + PHIPA compliant.
Blueprint is the more unbundled offering. The EHR Core is free forever scheduling, billing, forms, insurance workflows, client portal, all included at no charge. The AI Assistant runs $0.99/session usage-based. Measurement-based care is the differentiator: automated PHQ-9, GAD-7, PCL-5, and 50+ assessments sent to clients between sessions, with outcome dashboards for clinicians and clients.
On consolidation: Upheal wins for therapists who want everything in one app. Telehealth video built-in, scheduling built-in, payments built-in. The trade-off is platform lock-in.
On cost predictability for low-volume practices: Blueprint wins. A part-time therapist seeing 10 sessions/week pays $0 for the EHR and ~$40/mo for AI. The same volume on Upheal Premium is $72 regardless of session count.
On cost at high volumes: Upheal Premium caps at $72 no matter what. Blueprint at $0.99/session for 150 sessions/mo is $148.50 for AI alone. High-volume therapists may save money with Upheal's cap.
On outcomes work: Blueprint is the only platform that takes MBC seriously at this price point. If outcome reporting is part of your contract obligations or clinical philosophy, the gap is meaningful.
Recommendations
Pick by what your practice looks like
Different practices need different tools. Here is how the choice changes based on your situation.
Solo practice
Blueprint. Free EHR Core + pay-only-for-AI-you-use is the cheapest credible AI EHR option for a solo therapist.
Group practice
Blueprint. 70,000+ clinicians using it and multi-clinician workflows are more mature than Upheal at the group practice scale.
Specialty focus
Blueprint for measurement-based care practices. Upheal for private-pay telehealth-only practices that want a single platform for video, notes, and payments.
Take it for a spin
Try them
Both tools offer free trials. The fastest way to confirm a fit is to run one real session through each.
AI-assisted EHR for therapists with measurement-based care built in.
Try Blueprint
From $1/moFree trialHIPAA-compliant
Visit BlueprintAI co-pilot for mental health professionals
Try Upheal
From $72/moFree trialHIPAA-compliant
Visit UphealKeep reading
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About this comparison
Editorially reviewed
This comparison was hands-on tested by our editorial team. Both tools were used on real workflows for a minimum of two weeks before this comparison was published.
- Last verified
- May 26, 2026Re-verified quarterly
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Some listings on Mytherapist Tools are paid placements, clearly labeled. Paid placement does not buy editorial recommendation. Our top picks are chosen on merit.