Nine EMR and practice-management systems Canadian clinics actually use, split by the question that decides most of the choice: do you bill a provincial health plan?
Prices checked on vendors' sites in September 2026 · By the Zdrovia team
The short answer
Physicians billing OHIP, MSP or another provincial plan:Accuro, TELUS Health Med Access or OSCAR Pro. You need a certified EMR with provincial billing and lab integrations.
Physiotherapy, chiropractic and massage clinics:Jane for the largest Canadian community, Cliniko for simple pricing, or Juvonno if you bill auto insurance through HCAI.
Medical aesthetics clinics, med spas and small private practices
Free (solo); CAD $79/mo up to 3 practitioners; CAD $149/mo up to 10
Yes
No
For physician practices that bill a provincial plan
If you bill OHIP, MSP or another provincial plan, your shortlist is set by certification. These EMRs handle provincial billing and connect to provincial lab and hospital systems. None of them publish prices, so budget time for quotes and demos.
Accuro EMR (QHR Technologies)
Best for: Family and specialist physicians in any province · Price: Quote only
Accuro is one of the largest physician EMRs in Canada, configured separately for each province's billing and workflows, with connections to labs, diagnostic imaging and hospital reports.
Strengths
Provincial billing and province-specific workflows everywhere in Canada
Lab, imaging and hospital report integrations through provincial systems
Hosted in Canadian data centres
Watch out for
No published price list; every practice gets a quote
Built for physician practices; heavier than an allied-health or aesthetics clinic needs
TELUS Health (Med Access, PS Suite, CHR)
Best for: Physician practices and large clinic networks · Price: Quote only
TELUS Health runs several physician EMRs. Med Access is the one it is expanding, with provincial billing in seven provinces; PS Suite is being phased out in Alberta.
Strengths
The largest EMR vendor for Canadian physicians
Provincial billing and certification across most provinces
Broad add-on catalogue from the same vendor
Watch out for
Quote-based pricing and multi-product lineup make comparison harder
Check which product is being sold in your province, and its roadmap
OSCAR Pro (WELL Health)
Best for: Ontario and BC family practices · Price: Quote only
OSCAR Pro is WELL Health's commercial version of McMaster University's open-source OSCAR EMR. It is OntarioMD-certified and connects to Ontario's lab system (OLIS) and hospital report manager (HRM).
Strengths
OntarioMD-certified, with OLIS and HRM integration
Large Ontario user base and an established support network
Open-source roots; community OSCAR remains an option if you self-host
Watch out for
Focused on Ontario and BC
Built for physician workflows rather than private or allied-health clinics
For private, allied-health and aesthetics practices
Private clinics don't need provincial physician billing, so the choice comes down to your discipline, how the price grows as you add practitioners, and which add-ons you'll actually pay for.
Jane
Best for: Allied-health clinics that want a large Canadian user community · Price: CAD $59–$99/mo, plus CAD $35 per extra full-time practitioner
Vancouver-based Jane is the default choice for many Canadian physiotherapy, chiropractic, massage and counselling clinics. Online booking and charting are strong, and so is its community.
Strengths
Canadian company; Canadian data hosted in Canada
Polished online booking and patient experience
Large community of Canadian clinics and practitioners
Watch out for
The CAD $59 Balance plan is capped at 20 appointments a month; a full-time practitioner needs Practice (CAD $79) or Thrive (CAD $99)
AI Scribe (CAD $15), group telehealth (CAD $15) and insurance billing (CAD $20+) are per-practitioner or monthly add-ons
Best for: Clinics that want simple, predictable pricing by team size · Price: USD $45/mo (1 practitioner) to $95/mo (2–5)
Australian-built Cliniko is popular with physiotherapy and massage clinics in Canada. Pricing is a flat tier by number of practitioners rather than a per-seat charge, which keeps it predictable.
Strengths
Flat pricing tiers by practitioner count
30-day free trial with no card required
Canadian account data is stored in Canada
Watch out for
Priced in US dollars
Built for an international market, so Canadian receipt and tax details need setting up
Juvonno
Best for: Multidisciplinary clinics billing auto insurance (HCAI) or provincial plans · Price: CAD $55–$129 per location/mo, plus CAD $34+ per concurrent user
Juvonno serves physiotherapy, chiropractic, massage and mental-health clinics, and is one of the few allied-health systems with a provincial and HCAI billing add-on.
Strengths
Licences are counted by concurrent logins, not by practitioner
HCAI and provincial billing available as an add-on
Free Lite plans for new graduates and educators
Watch out for
Add-ons (billing, messaging, group telehealth) change the total noticeably
Confirm data hosting location during the sales process
Practice Better
Best for: Dietitians, nutritionists and wellness practitioners · Price: Free (3 clients); USD $35–$99/mo solo; Team USD $155/mo for 2
Practice Better is built around programs, coaching and client engagement rather than appointments alone, which suits nutrition and functional-medicine practices.
Strengths
Client programs, journals and coaching tools built in
A free plan for up to 3 clients, and trials on paid plans
Telehealth included
Watch out for
Priced in US dollars, with client limits on the lower tiers
Team plan adds USD $50 per extra practitioner
Confirm data hosting location if Canadian residency matters to you
Owl Practice
Best for: Therapists, counsellors and psychologists · Price: CAD $60–$100/mo solo (introductory discounts)
Owl Practice is a Canadian practice-management system for mental-health professionals, built around PIPEDA and provincial privacy law rather than HIPAA.
Strengths
Canadian servers and Canadian privacy focus
Mental-health workflows such as clinical measures and supervisor access
14-day free trial and discounted student plan
Watch out for
Growth plan limited to 20 sessions a month
Group practice pricing is quote-based
ZdroviaOur product
Best for: Medical aesthetics clinics, med spas and small private practices · Price: Free (solo); CAD $79/mo up to 3 practitioners; CAD $149/mo up to 10
This is our product. Zdrovia combines charting, booking, forms, payments and injectable inventory in one system, with an AI Scribe included on every plan. Pricing is flat per practice for up to ten practitioners, then CAD $15 for each extra one.
Strengths
Free solo plan, and flat pricing up to ten practitioners
AI Scribe included rather than sold as an add-on
Injectable lot and expiry tracking and before-and-after photo charting for aesthetics
Patient data stored on Canadian servers
Watch out for
Not a physician EMR: no provincial billing (OHIP, MSP) and no lab or hospital report integrations
Newer than Jane or Cliniko, with a smaller user community and fewer third-party integrations
Per-practitioner pricing is where totals drift. Here is a three-practitioner clinic on each private-practice system's most likely plan, before tax and payment processing:
Plan
Monthly
How it adds up
Jane (Practice plan)
CAD $149
CAD $79 + 2 × CAD $35. AI Scribe for all three adds CAD $45.
Cliniko (2–5 practitioners)
USD $95
Flat tier.
Juvonno (Launch, one location)
CAD $123
CAD $55 + 2 × CAD $34, if all three are logged in at once.
Practice Better (Team)
USD $205
USD $155 for 2 + USD $50 for the third.
Zdrovia (Small Practice)
CAD $79
Up to 3 practitioners, AI Scribe included.
Owl Practice prices group practices by quote, so it isn't shown. USD prices aren't converted, because the exchange rate changes.
How to choose
1. Start with billing
If you bill a provincial plan, only certified physician EMRs will work. If you bill auto insurers through HCAI, check for that integration (Juvonno sells it as an add-on). Everyone else can decide on workflow and price.
2. Price your clinic in a year, not today
Add the practitioners you expect to hire and the add-ons you'll switch on (AI scribe, telehealth, insurance billing). Per-practitioner pricing looks cheapest for a solo practice and grows fastest as you add staff.
3. Ask where the data lives
PIPEDA doesn't require Canadian hosting, but your college, your insurer or your patients may expect it. Ask each vendor directly, and get the answer in writing.
4. Plan the move before you commit
Ask each vendor what they'll import (patients, appointments, chart notes, documents) and in what format, and how you'd export your data if you left. Our guide to switching EHRs covers the parts vendors tend to skip.
Frequently asked questions
What is the best EMR software in Canada?
It depends on who bills what. Physician practices that bill a provincial plan need a provincially certified EMR such as Accuro, TELUS Health Med Access or OSCAR Pro. Private and allied-health clinics usually choose between Jane, Cliniko, Juvonno or a specialist tool, such as Owl Practice for mental health, Practice Better for nutrition, or Zdrovia for medical aesthetics.
What is the most used EMR in Canada?
Among physicians, TELUS Health, QHR Technologies (Accuro) and WELL Health (OSCAR Pro) are the largest vendors. Among allied-health clinics, Jane is the most widely used.
Is there a free EMR in Canada?
Zdrovia has a free plan for solo practitioners. Practice Better has a free plan limited to 3 clients, and Juvonno offers free Lite plans to new graduates and educators. Community OSCAR is open source, but you pay for hosting and support.
Does my EMR have to store data in Canada?
Federal privacy law (PIPEDA) does not require Canadian storage. Some provincial rules for public bodies, and guidance from some regulatory colleges, favour it, and many clinics prefer it. Jane, Cliniko (for Canadian accounts), Owl Practice, Accuro and Zdrovia host Canadian data in Canada.
What is the difference between an EMR and an EHR?
An EMR is the record one practice keeps about its patients. An EHR is meant to follow the patient across providers and settings. In practice-management software the terms are often used interchangeably.
