No setup fee, everAesthetic Record Alternative

$399 before you have charted a single patient.

Aesthetic Record charges a one-time onboarding fee, then a monthly rate for every person who needs a login, then extra for AI charting. Zdrovia starts at nothing and tops out at $149 flat for ten practitioners.

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The short answer

The per-user maths depends entirely on your headcount.

Stay with Aesthetic Record if

Aesthetic Record is an established aesthetics platform with very good photo tooling. At a small headcount its monthly rate is competitive and we will not pretend the gap is enormous.

  • Standardised before-and-after photography is central to how you sell
  • Your team is small and stable, so per-user pricing stays predictable
  • You are already set up and the onboarding fee is behind you

Move to Zdrovia if

Zdrovia charges for the account rather than the seat, and includes the things that usually arrive as add-ons.

  • You are hiring, and per-user pricing has started to sting
  • You would rather not pay $399 before you know the software fits
  • AI scribe and uncapped SMS reminders should not be separate line items
Side-by-Side Comparison

Zdrovia vs Aesthetic Record

More features, simpler pricing, and a migration that takes days, not weeks.

Zdrovia
Aesthetic Record
Setup and onboarding fee*Aesthetic Record published pricing
$0
$399 one-time*
Monthly price per user
Not charged per user
$15–$19 per user
Price at eight practitioners
$149 flat
About $120–$152, plus add-ons
AI scribe for treatment notes
Included on Small Practice and Team Practice
Paid add-on
SMS appointment reminders
Included
Capped by plan
Injectable lot, expiry and FEFO
Lot numbers, expiry, oldest-first, quarantine
Inventory tracking
Before and after photo tooling
Dated pairs on the chart with annotation
Strong, and a reason people buy it
Card processing
Your own Stripe account
Bundled processing
Patient portal
Booking, messages, documents, insurance and a shop, one login
Client-facing booking

Aesthetic Record pricing from aestheticrecord.com, checked August 2026: $15–$19 per user per month plus a one-time $399 onboarding fee. Terms and features change, so confirm with the vendor. Zdrovia pricing and features are also subject to change.

Run the numbers

First month, including the part nobody quotes

These are first-month totals, because the onboarding fee is a real cost and it lands before you have seen a patient in the software.

Solo injector

1 practitioner, $6,000 a month in bookings

Zdrovia Solo (free)4% of processed bookings$240
Zdrovia Small Practice$79 + 3.5%$289
Aesthetic Record$19 first month + $399 onboarding$418

Three-room studio

3 practitioners, $18,000 a month in bookings

Zdrovia Team Practice$149 + 3%$689
Aesthetic Record3 users at $19 + $399 onboarding$456

Busy clinic

8 practitioners, $60,000 a month in bookings

Zdrovia Team Practice$149 + 3%$1,949
Aesthetic Record8 users at $19 + $399 onboarding$551

Aesthetic Record figures use $19 per user per month plus the one-time $399 onboarding fee, published pricing checked August 2026; from month two the onboarding fee drops away. Aesthetic Record also charges card processing separately through AR Pay (published at 2.1% for bank payments; its standard card rate isn't publicly listed), not included above. Zdrovia's card processing is all-in: 4% + 30¢ per transaction on Solo, 3.5% on Small Practice, 3% on Team Practice, no setup fee and no separate gateway charge on any plan. All figures USD.

Reading the pricing

Per-user pricing is a bet on never growing

A per-seat rate looks small next to a flat fee. It stays small exactly as long as your team does, which is not usually the plan.

The number that moves when you hire

At $19 a user, four people cost $76 and ten cost $190. Neither is outrageous. What changes is the shape of the decision: every new hire now carries a software cost, and so does every part-time aesthetician who only needs a login two days a week.

Clinics respond to that in predictable and slightly unhealthy ways. Logins get shared, which wrecks your audit trail. The new nurse gets added late. The front desk works out of someone else's account. None of it is catastrophic, and all of it is the pricing model shaping behaviour you would not otherwise choose.

Our Team Practice plan is $149 for up to 10 practitioners across every location you run. Adding the eighth person changes nothing on the invoice, so nobody has to think about it.

Add-ons are where quotes and invoices part company

AI charting sold as an add-on is the one to watch. It is the feature most likely to be used daily and the one most likely to be priced separately, so the tool that saves the most time becomes the tool you have to justify.

Our scribe is included for every practitioner on Small Practice and Team Practice. It listens during the appointment, transcribes, separates speakers, and writes into the structured fields on the chart rather than producing a block of prose. That last part is the bit that matters: a dictated note in most systems is text, and text does not graph.

SMS reminders are the other one. Capped allowances mean your no-show prevention has a monthly budget, which is a strange thing to ration. Ours are included.

  • AI scribe included on Small Practice and Team Practice
  • SMS reminders without a monthly allowance
  • Injectable inventory with lot, expiry, FEFO and quarantine
  • No onboarding fee on any plan

Where they are still ahead

Aesthetic Record has spent years on photo standardisation and it shows. If your consultations live and die on consistent before-and-after imagery, that is a real strength and worth weighing against everything above.

Ours handles dated pairs on the chart with annotation, encryption at rest, and separate consent records for clinical use and marketing use. For most injectors that is enough. If you are running a photography-led sales process, compare the two properly rather than taking our word for it.

Canadian clinics: records are held in Canadian data centres, which answers PIPEDA outright rather than by policy. Figures here are USD to match Aesthetic Record's published rates.

See how Zdrovia is set up for medical spas, laser clinics and aestheticians.

The Migration Process

Three steps and you're live. No IT team needed.

Export your data

Download a CSV or PDF export from your current EHR: Jane, Cliniko, or any other. No special format required, and our team helps you prep it for free.

< 15 minto export from any EHR

We handle the migration

Send us your export and our onboarding team handles the data import. Patient records, appointment history, and notes, all mapped cleanly into Zdrovia. It's free on Small Practice and Team Practice, and how long it takes depends on the size and complexity of your export.

24 hrstypical turnaround, standard export

Go live with your team

Once your data is in, we run a 30-minute live walkthrough with your team. Most clinics with a standard export are seeing live patients in Zdrovia within 48 hours of signing up.

48 hrsfrom sign-up to first live appointment

Leaving Aesthetic Record

The questions that come up most, answered straight.

Does Aesthetic Record really charge $399 to get started?▾

Its published pricing lists a one-time onboarding fee alongside the per-user monthly rate. Check the current figure on their site before deciding, because these terms move. The reason it matters is not the amount so much as the timing: you pay it before you know whether the software suits you.

Per user at $15 to $19 does not sound expensive. Why switch?▾

Per-user pricing is cheap until you hire. Every front desk person, every nurse injector, every part-time aesthetician who needs a login adds to it, and the number only moves in one direction. Our Team Practice plan is $149 whether that covers four people or ten. We are honest that at eight users the monthly figures land close together, so the real differences are the onboarding fee, the add-ons and what the chart can do.

What is included that Aesthetic Record charges extra for?▾

The AI scribe, included for every practitioner on Small Practice and Team Practice. SMS reminders without a monthly cap. Injectable inventory with lot numbers, expiry dates and oldest-first dispensing. Those tend to be the line items that make a quoted price and an actual invoice diverge.

Is Aesthetic Record better at anything?▾

Its before-and-after photo tooling has been a benchmark in this market for years and the standardisation features are good. Ours attaches dated pairs to the chart with annotation and encryption, which covers what most injectors need, but if photography is the centre of how you sell, look closely at both.

How does Zdrovia's pricing actually work?▾

Card processing is all-in: 4% + 30¢ per transaction on Solo (free, one practitioner), 3.5% on Small Practice ($79, 3 practitioners) and 3% on Team Practice ($149, 10 practitioners across any number of locations, then $15 each). There is no onboarding fee on any of them, and no separate gateway charge stacked underneath the percentage.

How do I move my data across?▾

Export your patient and appointment data and send it over. We do the import by hand rather than handing you a wizard, which matters when an export has half-finished records and inconsistent column names in it. Migration is free on Small Practice and Team Practice, and how long it takes depends on the size of the file.

Free to use

No setup fee. One flat price to ten.

Charting, photo documentation, injectable lot tracking, consent forms, booking and payments, with the AI scribe and SMS reminders included rather than quoted.

Try Zdrovia free →See pricing

Moving a team of practitioners? Book a call and we'll plan the move with you.

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