Is there a free EHR for physical therapy?
No, there is no genuinely free EHR built for physical therapy; what free actually gets you is open-source software or a time-limited trial on a paid system. OpenEMR is the main open-source option, free to license and ONC-certified, but it is general-purpose rather than PT-specific, and professional support is sold separately. Practice Fusion, the best-known name in free EHRs, is not free either: it lists $199 per provider per month with a required annual commitment. If the real goal is a price you can trust, Orion publishes its pricing, $189–$249 per provider, per month, everything included.
Practice Fusion is the name that comes up most often here, and it is not free. Its pricing page lists $199 per month per provider with a required annual commitment.
What survives is open source. OpenEMR is real, ONC-certified, and “Free Software, Always and Forever” in its own words. It is also a general-purpose medical record: nobody built its templates around initial evals, timed codes, or plans of care, and when something breaks you are choosing between a volunteer forum and a paid support vendor. For a PT clinic, the license fee just moves; you pay it in configuration hours and in every note that takes longer than it should.
The honest comparison is not free versus paid, it is opaque versus published. Quote-gating is the norm in PT EHR pricing: SPRY’s pricing page, for example, lists its tiers with no dollar figure on any of them. Orion’s price is public, $189–$249 per provider, per month, with the ambient AI scribe, billing, and multi-location support included, and only billing providers pay. And instead of a self-serve trial in an empty system, the Test Drive is a guided trial on dummy data with an Orion specialist alongside. It costs $1,500, credited back in full when you switch.
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See Orion on your own patients.
See Orion run your practice in a live demo, or take a guided Test Drive in a safe sandbox. Your current EHR keeps running the whole time.