A med spa buys software for two jobs at once. The front of the business looks like a spa: booking, deposits, packages, retail. The back has to hold up like a clinic: who assessed the patient, which product and lot went in, how many units went where, what the patient consented to, and photos that prove the result. Most platforms are good at one half.
This is a comparison of the medical spa software Canadian clinics actually end up shortlisting, judged on both halves. Where a vendor publishes its price we quote it, in the currency it bills in. Where it doesn’t, we say so.
We build Zdrovia, so we’re not neutral. We’ve put ourselves in the list rather than pretend otherwise, and everything we say about the others is sourced so you can check it. Prices change, so confirm before you sign.
If your menu is mostly facials, peels and skin treatments without injectables, our aesthetician software comparison is the better read.
What a med spa needs that a salon doesn’t
Five things separate medical spa software from booking software with a notes field.
An injectable chart, not a note
Product, units and sites as structured fields, ideally on a face map, so the next injector can read last visit in a few seconds and numbers can be compared across visits. A free-text line that says “20u glabella” is not a record anyone wants to defend. Our guide to what a defensible injectable record contains goes through it field by field.
Lot and expiry tracking linked to the patient
When a supplier flags a lot, you need to know which patients received it. That means stock received with lot numbers and expiry dates, and each dispense linked to the visit. A spreadsheet updated when there’s time can’t answer the question quickly. More in our post on injectable inventory and lot tracking.
Consent that matches the procedure
Neurotoxin, filler, laser and photo consent are different documents. The system should send the right form before the visit, store the signed copy with the version the patient saw, and keep clinical photo consent separate from marketing photo consent.
Medical director oversight
In most provinces, nurse injectors work under a physician or nurse practitioner. Software that lets an RN request approval before dispensing, and lets a director sign charts, turns that relationship into a record rather than a text thread.
Canadian data, and a price that doesn’t punish hiring
Patient photos and charts are health information. Storing them in Canada keeps the privacy conversation simple. And because med spas grow by adding injectors, check whether the price is flat or multiplies per user.
The comparison, at a glance
| Platform | Starting price | Scales by | Best for |
|---|---|---|---|
| Zdrovia | Free (one practitioner); $79 / $149 flat | Practitioner tier | Injector-led med spas in Canada |
| Aesthetic Record | ~$12–16/user/mo USD + onboarding | Per user | Injectable-focused practices |
| Boulevard | $199/mo USD (Aesthetics Essentials) | Per location, tiered | High-volume med spas with a front desk |
| Mangomint | $120/mo + $10/user USD | Per location and user | Spas without clinical work |
| Jane App | CAD $59–99/mo per practitioner | Per practitioner | Clinics with allied health under one roof |
| Phorest | Quote only | Flat, unlimited staff | Large salon and spa teams |
| Pabau | Quote only | Clinic size and modules | Clinics buying marketing depth |
| PatientNow | Quote only | Per practice | Consult-led, high-ticket practices |
| Zenoti | Quote only | Quote and scope | Multi-location spa groups |
Zdrovia
Best for: injector-led med spas, solo injectors, and small teams in Canada that want the clinical record and the front desk in one system, at a published price.
Zdrovia is built around the injectable chart. Mark points and units on the face map and the treatment note writes itself, the lot is deducted from inventory, and the invoice is priced from the units. Stock is received with lot numbers and expiry dates, dispensed oldest first, and can be quarantined, so a recall is a search. Consent forms are built per treatment, sent before the visit, and versioned, with clinical and marketing photo consent kept separate. On the paid plans, an RN or NP can request medical director approval before dispensing, and the approval stays on the chart and the lot record.
The front desk side covers online booking, deposits, reminders, packages, commissions and payments through your own Stripe account. Patient data is stored in Canadian data centres.
Pricing is published: free forever for one practitioner, $79 a month for up to three, and $149 for up to ten, with the AI scribe included on paid plans and no onboarding fee.
The honest caveat: we’re newer than everyone on this list, without Boulevard’s polish or Pabau’s depth of marketing automation. What we have is a product built for this work and a price that doesn’t move every time you hire. Start free, no card required.
Aesthetic Record
Best for: injectable-focused practices that want a dedicated aesthetics EMR and are comfortable paying per user.
Aesthetic Record is a genuine aesthetics EMR with before-and-after photo charting, treatment packages and consent workflows. Pricing runs roughly $12 to $16 per user per month, with a one-time onboarding fee in the $199 to $399 range, in USD.
At one user it’s one of the cheapest options here. At eight users the per-user model adds up, and the bill rises with every hire. Our Aesthetic Record alternative page goes through the comparison.
Boulevard
Best for: established, high-volume med spas with a front desk and a marketing budget.
Boulevard is the most polished product on this list, with the best client-facing booking experience. Med spa pricing starts at $199 a month for Aesthetics Essentials (one location, up to three providers), then Aesthetics Premier at $455 a month per location ($364 on a limited-time offer as of October 2026) and Prestige at $520, all in USD. It’s aimed at a business several sizes up from a solo injector. More in our Boulevard alternative comparison.
Mangomint
Best for: spas where nobody injects.
Mangomint runs one of the best front desks in the category. Published pricing (checked October 2026) is $120 USD a month per location plus $10 for every user, front desk included, plus its own processing fee. For a med spa the gap is that it’s spa operations software with notes attached rather than a clinical record. See our Mangomint alternative page.
Jane App
Best for: clinics where allied health practitioners and aesthetics share one roof.
Jane is Canadian, PIPEDA-compliant, and the default in Canadian allied health, with pricing published in CAD: Balance at $59 a month (capped at 20 appointments), Practice at $79 and Thrive at $99, each for one full-time practitioner with more staff billed on top. AI Scribe is $15 a month per opted-in practitioner. It’s built around the clinical visit model of physio and RMT clinics, so retail, packages and injectable workflows aren’t its centre. We compare the two in Zdrovia vs Jane.
Phorest
Best for: large salon and spa teams that want unlimited staff on one plan.
Phorest runs a Canadian operation with salon plans and two med spa tiers, and advertises unlimited staff rather than per-seat pricing. Its client retention and marketing tools are the main reason people choose it. Pricing is quote-only, and the Starter plan is aimed at businesses with three or more staff. Our Phorest alternative page lists what to check in the demo.
Pabau
Best for: clinics buying marketing automation and reporting depth, with someone to run them.
Pabau has real breadth, particularly on campaigns and reports, and is priced by quote according to clinic size and modules. Expect a demo, a proposal and a configuration period before you chart anyone. More in our Pabau comparison.
PatientNow
Best for: consult-led practices selling high-ticket treatments through a coordinator.
PatientNow’s lead nurture and patient financing tools suit practices that run consultations as a sales pipeline, often with surgical work in the mix. It’s quoted per practice, usually on a term. See the PatientNow alternative breakdown.
Zenoti
Best for: operators running many locations under one brand.
Zenoti is built for central control across many sites, with an implementation project and annual contract that make sense at that scale. For one clinic or a small second site, you’re paying for machinery you won’t use. We cover the size question on the Zenoti alternative page.
What about Vagaro, Fresha, Square and Mindbody?
They’re common in the shortlist because they’re common in beauty. All four are booking and payment platforms first, built for salons, studios or classes. They can take the booking and the payment, but none was designed to hold an injectable record with lot numbers and versioned consent. If you inject, you’ll end up adding a second system. Our comparisons with Vagaro, Fresha, Square Appointments and Mindbody go into the details.
The short version
- Solo injector or small team in Canada: Zdrovia. Free for one practitioner, flat pricing after, with the injectable chart, consent and lot tracking built in.
- Injectable practice happy to pay per user: Aesthetic Record.
- High-volume med spa with a front desk and a marketing budget: Boulevard.
- Spa with no injectables: Mangomint.
- Allied health and aesthetics under one roof: Jane.
- Large salon and spa team: Phorest.
- Marketing automation is the priority: Pabau.
- Consult-led, high-ticket practice: PatientNow.
- Many locations and a head office: Zenoti.
Whatever you choose, price it at your staff count three years from now, and ask the vendor to chart a tox visit in front of you before you sign. See how Zdrovia handles it on the medical spa software page, or check what Canadian clinics charge for the treatments you offer.
If growing the client base is the harder problem, read our med spa marketing guide for Canada and the breakdown of marketing software before you pay for another platform.