Comparison
Metanoa vs Cliniko: which fits your pediatric therapy practice?
On this page
Cliniko is a simple, well-supported clinic system for allied health practices, with a flat price per band of practitioners, unlimited admin users and locations, and telehealth. Metanoa is built around children's therapy goals, from a solo therapist starting out to a clinic running speech, OT, ABA and PT, with AI notes and parents in the loop.
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Goals and session plans for pediatric therapy
Therapists pull goals from a bank filtered by discipline and turn the day's goals into a session plan. Cliniko gives you customizable treatment note templates to build your own.
Parents involved in every goal
The Family Portal shares session reports with parents, lets them comment on a specific goal and gives families with two children in therapy one login for both.
AI notes and reminders built in, from $15
AI note drafts and text reminders come with every Metanoa plan. Cliniko connects to third-party AI apps that charge separately, sends texts at $0.10 each, and starts at $45 for one practitioner.
Metanoa vs Cliniko at a glance
| Compare | Metanoa | Cliniko |
|---|---|---|
| Built for | Pediatric therapists and clinics serving children with developmental needs, from solo practices to multi-location centers | Allied health clinics such as physio, chiropractic, podiatry and massage, plus speech and OT practices |
| Clinic structure | Branches and departments, with department-level access | Unlimited locations and unlimited admin and reception users |
| Goals | Shared goal bank filtered by discipline, with baselines and session plans from goals | Customizable treatment note templates |
| AI notes | Included on every plan | Not built in. Third-party AI apps connect, each with its own pricing |
| Parent access | Family Portal: session reports, comments on a specific goal, one login for siblings | Not mentioned on its features page |
| Reminders | Included, text and email | Email reminders, texts at $0.10 each |
| Online booking | Online appointment form | Online bookings |
| Telehealth | Not supported | Included |
| Insurance claims | Not supported | Not listed on its site |
| Solo price | $15 a month | $45 a month |
| Team of five | Quoted for your clinic | $95 a month |
| Free trial | 15 days, no credit card | 30 days, no payment details |
Which one should you choose?
Choose Metanoa if:
- You're starting a solo pediatric practice and want AI notes, scheduling, billing, reminders and a parent portal for $15 a month.
- You run speech, OT, ABA or PT and want goals and session plans set up for those sessions.
- You want every therapist writing goals from the same bank, with each department keeping its own team, prices and forms.
- Parents are part of the therapy, and you want them reading session reports and commenting on specific goals.
- Your therapists dictate in Spanish, Arabic or Hindi and need notes written in your clinic's language.
Choose Cliniko if:
- You see clients over video. Telehealth comes with every plan.
- You're a team of two to five and want one flat price. Cliniko charges $95 a month for that band.
- You have a large front desk or several sites. Admin users and locations are unlimited at no extra cost.
- You'd rather keep AI out of your notes, or choose your own AI app.
- Your clinic treats adults across several professions as well as children.
How they compare, feature by feature
Goals and session plans
Metanoa
Therapists pull goals from a shared bank filtered by discipline, record baselines and generate a session plan from the goals they pick for that day. Because therapists in the same discipline start from the same bank, goals are worded the same way across your team.
Cliniko
Treatment notes are fully customizable, and you build your own templates (Cliniko). If goal tracking matters to your practice, ask in the demo how goals are written, tracked and shared across therapists.
AI notes
Metanoa
Dictation or jottings from a session become a SOAP, DAP, GIRP or BIRP draft, and nothing is saved until the therapist reviews and confirms it. It captures speech in languages such as Spanish, Arabic and Hindi and writes the note in your clinic's language. AI notes are included on every plan.
Cliniko
Cliniko doesn't build AI note writing into the product. Instead, it lists 34 connected apps in its AI category, such as Heidi and CliniScribe AI, which sync notes back into Cliniko. Most are made by third parties and priced separately (Cliniko).
Keeping parents in the loop
Metanoa
The Family Portal is built around the child's goals. Parents get session reports, comment on a specific goal, sign forms on their phone and see photos or moments the therapist shares. A parent with two children in therapy uses one login for both.
Cliniko
Its features page covers online bookings and text messages to clients but doesn't mention a patient or parent portal. Ask in the demo how parents would see session reports and progress.
Running a team or more than one location
Metanoa
A clinic is organized into branches and departments, with department-level access, rate plans and form libraries by department, and billing analytics broken down by department.
Cliniko
Every plan includes unlimited locations and unlimited admin and reception users, and you can see which location each staff member works at. Pricing moves in bands, so a clinic of two to five practitioners pays the same $95 a month (Cliniko pricing).
Scheduling and reminders
Metanoa
Reminders are included on every plan, families can request appointments through an online form, and it runs in the browser on any phone, tablet or laptop.
Cliniko
The calendar offers flexible views, online bookings and repeat appointments. It sends email reminders, and text messages cost $0.10 each from prepaid credits (Cliniko). Users rate it highly for ease of use and support (Capterra).
Telehealth and insurance
Metanoa
Metanoa doesn't file insurance claims or offer telehealth. Its billing is built for families who pay directly, with each signed session priced from a rate plan and a wallet for each client.
Cliniko
Telehealth comes with every plan and unlocks once you add a payment card (Cliniko). Its site doesn't list insurance claim filing, so ask about it in the demo if you bill payers. If your practice depends on video sessions, choose Cliniko or another tool that has them.
Try it with your own goals
Set up your practice in the trial, add a few goals and invite a parent to the Family Portal.
What each costs
| Compare | Metanoa | Cliniko |
|---|---|---|
| Solo | $15 a month | $45 a month |
| Team of five | Quoted for your clinic | $95 a month (covers 2 to 5 practitioners) |
| Admin users and locations | Ask for your quote | Unlimited, included |
| AI notes | Included | Through third-party apps, priced separately |
| Text reminders | Included | $0.10 per text |
| Telehealth | Not supported | Included |
| Insurance claims | Not supported | Not listed |
| Free trial | 15 days, no credit card | 30 days, no payment details |
Frequently asked questions
Can Metanoa bill insurance?
No. Metanoa doesn't file claims, post ERAs, check eligibility or connect to a clearinghouse. Cliniko's site doesn't list claim filing either, so if insurance is a large part of your income, look for a system built for it.
Does Metanoa have telehealth?
No. Metanoa is built for in-clinic sessions. Cliniko includes telehealth on every plan.
Is Cliniko good for pediatric speech therapy?
Some pediatric speech practices use Cliniko for bookings, invoices and payments, and its users rate it highly for ease of use. It's built for allied health clinics in general, so check how it handles goals and parent updates in the demo.
Which is better for a solo pediatric therapist?
If you need telehealth, Cliniko. If families pay you directly and you see children in person, Metanoa's Solo plan is $15 a month with AI notes, reminders, the goal bank and the Family Portal included, against $45 for Cliniko.
How much does each cost for a team of five?
Cliniko charges $95 a month for two to five practitioners, plus texts and any AI app you add. Metanoa quotes team plans for each clinic, with AI notes and reminders included.
Can I bring my client list over?
Our docs don't describe a bulk import yet, so existing clients are added to Metanoa as they come in. Ask us during your trial if you have a large list to move.
Is Metanoa HIPAA compliant?
Yes. Metanoa is HIPAA compliant, with encrypted storage, access controls and audit logs.
See how your practice would run on Metanoa
If you work with children in speech, OT, ABA or PT and want therapists and parents working from the same goals, start with a few of your own goals in the trial.
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How we compared
We compared both products using Cliniko's pricing, features and connected apps pages, its help center, user reviews on Capterra and Metanoa's own docs, all checked on October 29, 2026. Metanoa is our product, so we've linked every Cliniko fact to its source and named the areas where Cliniko is the better choice. Prices change often, so confirm them with each vendor before you decide.