Mental health practice management
The all-in-one EHR for private-pay therapists
Scheduling, notes, billing, and patient portals in one plan from $25/mo.
- Signed BAA
- AES-256 encryption
- No data selling or patient tracking
All private pay income comes from charging patients, so credit card fees add up. Other EHRs don't offer bank transfers at all – we built our HIPAA-compliant EHR around it.
Our ACH payments are a fraction of typical card processing but we've included credit cards for good measure:
- ACH bank transfers: 1% fee
- Credit Cards: 3.1% + 30¢
No Paid Add-Ons
Calendar, notes, billing, superbills, patient portals — all in one plan.
Therapist-Built
Every feature came from the insights of real day-to-day clinical therapy work.
Couples & Groups
Specialized features for couples and group therapy.
How much could you save?
We’re the only mental health EHR with 1% ACH bank transfers — a fraction of the 3%+ credit-card fees that quietly eat into private-pay income.
Slide to estimate your annual savings with FiftyMinutes.
Your current EHR and billing fees
standard 3% card charges
$2,100
FiftyMinutes pricing
1% bank transfers + $25/mo (paid yearly)
$800
Your potential annual savings
$1,300
A partner in your practice's success
We never sell your data — or track your patients.
Not now, or ever.
Our Mission
Our goal is to help those that help others. We've created a secure EHR that's actually enjoyable to use and saves therapists time and money.
Independently-Owned
No outside investors. We answer to therapists, not a board. Every product decision starts with what helps your practice.
Giving Back
We believe in supporting the larger mental health community. Every year, we pledge to donate 1% of our earnings to non-profit clinics or community mental health initiatives.
Extended Free Trials
Graduate students, supervised trainees, and recent graduates get a 180-day free trial, so future clinicians can focus on their training, not their software.
See it in action
A clean, re-imagined EHR interface.
Home page
We built everything you need
Therapist-designed, for therapists.
features
- Only mental health EHR with 1% ACH bank transfers
- Real-time, color-coded payment status on your calendar
- Progress and private process notes in one window
- Couples & group notes — per patient or shared
- One click marks sessions complete and generates bills — two clicks to batch-charge all bills
- 1% of revenue donated to mental-health nonprofits
Billing & Payments
Stripe Payment Options
ACH billing at a low 1% fee or credit card processing at 3.1% plus 30 cents per transaction.
Batch Billing
Send bills for a day, week, or month of recurring sessions with minimal clicks.
Real-Time Payment Status
Color-coded calendar shows sent, processing, or deposited — at a glance.
Earnings Analysis
Track real-time earnings across a day, week, month, or year as payments process.
Off-Platform Payments
Mark sessions paid by cash, Venmo, Zelle, or check — tracked alongside everything else.
Clinical Documentation
Automated Superbills
Generate professional superbills patients can submit for insurance reimbursement.
Progress Notes
Custom templates plus one-click “copy previous note” — finish documentation faster.
Therapist Process Notes
Record clinical reflections separately, kept private from the chart.
Document Uploads
Upload patient PDFs. Download notes and superbills anytime.
Practice Management
Dynamic Calendar
Day, week, and month views with color-coded payment status, recurring appointments, and time blocks.
Couples & Group Therapy
Assign patients to a couple or group, schedule shared appointments, and write individual progress notes for each — or copy one note to everyone at once.
ICD-10 Search
Quickly find and assign F-codes, automatically applying them to superbills.
Works on Any Device
Full functionality on phone, tablet, laptop, or desktop.
Licensure & Supervision
Enter multiple licenses for different states, indicate supervisee status if needed.
Patient Experience
Patient Portal
Patients can independently access superbills, recent activity, Good Faith Estimates, or e-sign forms. Choose which features you’d like to enable.
Patient E-Signatures
Upload any form once, send to any patient — signatures collected digitally, stored in the chart automatically.
Good Faith Estimates
Customize per patient, accessible from the patient portal.
Automated Reminders
Patients get email reminders for upcoming appointments.
A forward-thinking workflow
Add patients, then:
Create recurring appointments
With a single click:
Mark appointments as complete
(records superbill info & auto-generates bills)
With two clicks:
Use batch billing to charge multiple bills at once
At a glance:
Track color-coded payment statuses in the calendar
Once access is granted:
Patients can view & download superbills independently from their portal
Simple, transparent pricing
Subscription
Choose the plan that works best for your practice.
Monthly Plan
Perfect for getting started
Yearly Plan
Best value for your practice
Billed annually at $300
Prices shown are exclusive of any applicable taxes. Depending on your state or jurisdiction, this service may be subject to sales tax.
Payment Processing
Choose which Stripe payment method to use with your patients.
ACH Processing
Bank-to-bank transfers
May incur a one-time $1.50 verification fee
Card Processing
Credit & debit card payments
Card payments are screened for fraud by Stripe Radar.
Payments secured by Stripe.All-in-one practice management for private pay therapists – from scheduling and notes to payments.
Therapist-designed to anticipate your practice needs.
Secure, ethical, & affordable.