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Two-way patient texting in psychiatric EHRs

Two-way patient texting options and published prices for psychiatric practices, from EHR vendor documentation.

Draft 2026-10-23. Vendor facts verified 2026-10-21 to 2026-10-23 (see dated Sources).

Disclosures

  • How we make money: Some links may earn us a referral fee at no cost to you. Fees never affect scores, rankings, or what we cover, and we accept no paid placement.
  • How this was researched: Everything on this page comes from public vendor documentation, regulators, and third-party sources, each linked below with the date we checked it. We did not test these products hands-on.
  • Not advice: General business software information, not medical, legal, billing, or compliance advice. Confirm current prices, state rules, and BAA terms directly with the vendor before you buy.

Quick answer

Most EHRs in our comparison publish appointment reminders, not general two-way texting. Two publish a two-way price: CharmHealth (1,000 messages or calls/mo included on its Provider plan, then $0.08 each) [1] and OptiMantra ($75/mo; group texting $100/mo) [2].

By vendor

EHRPublished terms
CharmHealthTwo-way text and calls: Provider plan grid shows 1,000/mo included, then $0.08 each; $20/mo add-on for 0 to 250 on other plans [1] Vendor-reported
OptiMantraTwo-way $75/mo; group $100/mo; reminders in base [2] Vendor-reported
TheraNest (Ensora Health)Reminders only: 50/mo on Advanced, then $0.10 each; unlimited on Premier [3]. Replies limited to Confirm or Cancel plus staff alerts [4] Vendor-reported
ValantReminders and broadcast messages $0.09 each [5]; two-way not documented Documentation reviewed
PracticeQ (IntakeQ)SMS appointment reminders; not two-way client texting [6] Documentation reviewed
Others in our comparisonNot found in public docs Not publicly disclosed

Texting patients carries HIPAA and consent questions; confirm the texting feature is covered by the vendor's BAA.

How we researched this page

Only prices published by the vendor are listed. We did not test these features hands-on.

Sources

  1. CharmHealth: EHR pricing and add-ons. Checked 2026-10-23.
  2. OptiMantra: Pricing. Checked 2026-10-23.
  3. Ensora Health: TheraNest pricing and add-ons. Checked 2026-10-23.
  4. Ensora Experience: Set up text appointment reminders. Checked 2026-10-23.
  5. Valant: Pricing list for additional services, effective Dec 16, 2024 (PDF). Checked 2026-10-23.
  6. PracticeQ help: SMS appointment reminders. Checked 2026-10-23.