Blueprint

AI-assisted EHR — free practice management, pay only per session.

4.7/ 5

The most accessible entry point in the category — a genuinely free EHR with pay-per-session AI makes Blueprint uniquely low-risk for solo and part-time therapists.

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Pros and cons

What Blueprint does well

The free EHR is genuinely complete

Most "free" tiers in the therapy tech space are either crippled trials, usage-capped, or missing critical compliance features. Blueprint's Core plan is none of those things.

The free tier includes scheduling with client self-booking, calendar sync, HIPAA-compliant built-in telehealth, progress notes, treatment plans, diagnosis management, customisable intake forms, client payment processing, and electronic claim submission. The only cost is a transaction fee on payments (3.15% + $0.30) and a per-claim fee on insurance submissions ($0.30 per claim) — both of which are waived until September 2026.

For a therapist starting a private practice or moving off a legacy EHR, this represents a complete administrative foundation at zero recurring cost. The AI layer is optional and usage-based — you activate it only when you want it, session by session.

Pay-per-session AI removes the barrier to trying it

Every other AI scribe in the therapist market charges a flat monthly fee whether you use the tool or not. A therapist going on leave, seeing a reduced caseload, or just testing the technology pays the same $29–$99/month regardless of usage.

Blueprint's $0.99/session model means a therapist seeing 20 sessions in a month pays $19.80 for AI documentation. A therapist seeing 5 sessions in a light month pays $4.95. A therapist on parental leave pays nothing. Credits do not expire, so purchased credits carry forward indefinitely without pressure to use them before a billing cycle resets.

This pricing structure is uniquely suited to the way therapy practices actually operate — variable session volumes, seasonal caseload changes, and the reality that not every session warrants AI-assisted documentation.

The 600+ intervention library is a genuine clinical differentiator

Most AI scribes generate notes from session audio. Blueprint's Plus plan adds a layer that no therapy-specific competitor currently matches: a library of 600+ clinician-vetted, evidence-based therapeutic interventions and worksheets surfaced during Session Prep.

Before each session, Blueprint generates a client recap with focus area highlights and suggests relevant interventions pulled from the evidence-based library based on the client's diagnosis, treatment history, and prior session themes. A therapist working with a client on OCD might see suggested ERP exercises. A trauma-focused session might surface relevant grounding or stabilisation resources.

This is not a note-generation feature — it is a clinical decision-support tool that operates before the session starts, not after it ends. For therapists who want AI assistance at the clinical level rather than just the administrative level, this is a meaningful step beyond what the rest of the category offers.

HIPAA compliance is thorough with no caveats

Blueprint is HIPAA and PHIPA compliant, SOC 2 Type II certified, and includes a signed Business Associate Agreement on every plan — including the free Core tier. There is no compliance tier or premium required to access the BAA.

The 60-day money-back guarantee on paid credits further reduces commitment risk. A therapist who tries the AI scribe for two months and finds it does not fit their workflow can request a refund of unused credits.

What Blueprint doesn't do well

Per-session pricing scales poorly for high-volume practices

Blueprint's pricing model is ideal for low-to-mid volume therapists but becomes expensive relative to flat-rate competitors at higher session counts.

At $0.99/session on the Plus plan, a therapist seeing 40 sessions per month pays $39.60/month for AI documentation. Mentalyc's Pro plan at $59.99/month (annual billing) covers 160 notes with a richer feature set including Alliance Genie and more note formats. AutoNotes' annual plan at $14/month covers unlimited notes. Once a practice crosses approximately 35–40 sessions per month, the per-session model loses its cost advantage.

The Pro tier at $1.49/session — which adds the conversational AI Assistant — reaches $59.60/month at 40 sessions, more expensive than several flat-rate alternatives with equivalent or greater feature depth.

Note format breadth is not published

Blueprint does not publish a list of supported clinical note formats on its website. The AI scribe generates notes and treatment plans from session audio, but whether it supports SOAP, DAP, BIRP, GIRP, and other therapy-specific formats — or generates a single proprietary format — is not confirmed in public documentation. Therapists with specific format requirements mandated by their EHR, supervisor, or insurer should verify format support before switching.

Mobile app availability is not confirmed

Blueprint operates primarily as a web platform. A native iOS or Android app has not been confirmed in available documentation. Therapists who conduct sessions or review notes on mobile should verify current app availability directly with Blueprint before committing.

Pro features still in development

Several advertised Pro tier features — insurance coverage checks and cost summaries, claims follow-up calls, and financial performance summaries — are listed as "coming soon" on Blueprint's pricing page. The Pro tier is available now at $1.49/session, but the features that most justify the price premium over Plus are not yet live.

Pricing breakdown

Blueprint's pricing is best understood in terms of monthly session volume. The Core tier is free and includes a full EHR — the only reason to pay anything is to access the AI scribe layer.

The Plus tier at $0.99/session makes sense for practices seeing up to approximately 35 sessions per month, where the monthly spend stays below $35. Beyond that volume, flat-rate tools like AutoNotes ($29/month billed monthly) or Mentalyc's solo plans become more cost-effective.

The Pro tier at $1.49/session adds the conversational AI Assistant for complex clinical questions and document drafting, plus administrative automation. Given that several advertised Pro features are still "coming soon," the current value proposition is primarily the AI Assistant chat rather than the full feature set.

For group practices, the Enterprise tier offers annual contracts with volume discounts and custom EHR integrations — pricing requires a sales consultation.

Who it's for

Blueprint is the right choice for therapists who:

• Are starting a private practice and need a free, complete EHR without a monthly commitment
• See a variable or low-to-mid caseload where per-session pricing is more economical than a flat monthly fee
• Are migrating from SimplePractice, TherapyNotes, or TherapyPortal and want to consolidate into one platform
• Want AI documentation without committing to a subscription before testing the technology on real sessions

Who it's not for

Therapists with full caseloads of 40+ sessions per month will find flat-rate competitors cheaper once the per-session costs accumulate. Practices that require specific note formats (BIRP, GIRP, DAP) should verify format support before switching. Therapists who need a confirmed mobile app should check current availability directly.

Alternatives

Mentalyc offers more note format variety (10+ formats) and the Alliance Genie therapeutic alliance scoring feature. Its flat-rate plans ($19.99–$69.99/month) are more cost-effective for high-volume solo practices. See our review of Mentalyc for therapists.

Upheal combines a free-tier EHR with AI notes at a $69/month cap, plus built-in telehealth and billing. Its usage-based model is similar to Blueprint but with a monthly ceiling rather than no ceiling. See our review of Upheal for therapists.

AutoNotes offers unlimited notes at $14/month (annual billing) — the lowest flat rate in the category. It lacks EHR and telehealth but is the right pick for a therapist who needs documentation only at minimum cost.

For a full comparison of AI tools for therapists including compliance guidance and a buyer's guide, see our best AI tools for therapists page.

The verdict

Blueprint earns a 4.5 rating primarily on the strength of its pricing model and clinical intervention library. A genuinely free EHR with pay-per-session AI is the most accessible entry point in the category — it removes the financial risk of trying AI documentation in a way no competitor currently matches.

The 600+ evidence-based intervention library surfaced in Session Prep is a meaningful step beyond documentation-only tools. For therapists who want AI assistance at the clinical level before the session, not just at the administrative level after it, Blueprint offers something uniquely useful.

The main limitation is scalability: per-session pricing favours low-to-mid volume practices but loses cost advantage at 35+ sessions per month. For a therapist running a full caseload, one of the flat-rate competitors will likely be cheaper.

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