Consistency from demo to daily use.

PatientNow has been in the med spa space for years. Prospyr offers a different approach — consistent support before and after you sign, AI features that are available today, and a platform you can try before you commit.

Honest features, consistent support, and AI tools available today

Feature-by-Feature Comparison

Prospyr leads in 8 of 16 categories

Features & Capabilities
PatientNow
HIPAA-Compliant EHR
Complete electronic health records built for aesthetic medicine. Clinical charting with SOAP notes, ICD-10 diagnosis codes, vital sign tracking, lab results, and secure document storage. Every patient record is encrypted with full audit logging and role-based staff permissions — so you always know who accessed what.
Online Patient Booking
Patients book directly from your website with real-time provider availability, multi-service selection, and provider preference. The system automatically checks room and equipment availability to prevent conflicts. Supports recurring appointments, group bookings, and deposits — with automated SMS and email reminders to reduce no-shows.
ePrescribing (eRx)
Prescribe directly from the patient chart with access to nationwide pharmacy networks. View medication history, track pending refills, manage prescription change requests, and handle prior authorizations — all without leaving Prospyr. Each provider enrolls individually for full compliance.
Before & After Photo Management
HIPAA-secure photo documentation with side-by-side before and after comparisons, image markup and annotation tools, and organized media galleries. Photos link directly to patient records and treatment timelines. Patients can view their own photos securely through the portal.
Intake Forms & Digital Consent
Drag-and-drop form builder with unlimited custom fields for any intake workflow. Digital consent management with e-signatures and automatic PDF generation. Set location-specific or service-specific consent requirements, send paperwork requests before appointments, and import your existing forms.
Integrated Payment Processing
Accept payments in-office with terminal integration or remotely via payment links and Apple Pay. Full invoice management with deposits, discounts, tips, surcharges, refunds, and authorization holds. Patients can pay through the portal or from an emailed link — reducing front desk bottlenecks.
Memberships & Packages
Create membership programs with recurring billing and automatic benefit application at checkout. Bundle treatments into packages. Built-in patient wallet with store credit, gift card purchasing and transfers, coupon management, and a loyalty rewards program — all managed from one place.
Basic
Full Patient Portal
A branded self-service portal where patients book appointments, pay invoices, view treatment history, manage memberships, update payment methods, access shared clinical notes, view before/after photos, message your team, redeem rewards, and manage gift cards. Passwordless login keeps it simple for patients.
Email & SMS Marketing Automation
Visual email builder with customizable templates, scheduled campaigns, and open/click analytics. SMS campaigns with scheduling and delivery tracking. Build targeted audiences using patient data, appointment history, or even natural language descriptions — then preview audience size before you send.
AI-Powered Features
AI smart notes that transcribe and structure clinical documentation from audio — saving providers time on charting. AI audience targeting that builds patient segments from plain-English descriptions. AI-powered voice call analysis for quality and training. AI lead form generation and an AI knowledge base for patient-facing Q&A.
Inventory & Consumable Tracking
Track every product in your practice with brand, type, and location-level quantities. Get low-stock alerts and expiration date monitoring. Map consumables to services so inventory decrements automatically after each treatment. Manage purchase orders and vendor relationships from one dashboard.
Basic
Multi-Location Management
Run multiple locations from a single account with location-specific schedules, provider assignments, consent forms, phone numbers, pricing, and surcharge rates. Providers can float between locations. Supports multi-brand operations with centralized reporting or independent configurations per site.
Telehealth / Video Consultations
Offer virtual consultations with integrated video that creates meeting links automatically, sends join instructions via SMS, and supports session recording. Telehealth visits flow through the same scheduling and billing system as in-person appointments — no separate platform needed.
Reputation & Review Management
Pull in Google Reviews automatically, monitor reviews across platforms, and reply to Google reviews directly from Prospyr. Track provider-level review performance and spot trends with a sentiment dashboard — helping you protect and grow your online reputation.
Basic
Lead Generation & CRM
Build custom lead capture forms and embed them on your website. Track every lead through a visual pipeline with event logging, tagging, call notes, and list views. AI can generate lead forms for you. Integrates with popular CRMs for bi-directional sync so no lead falls through the cracks.
Basic
Built-In VoIP Phone System
Make and receive calls directly from Prospyr with call recording, AI transcription, and smart routing. Assign dedicated phone numbers per location with caller ID. Includes full fax support — send, receive, and manage faxes without a separate service.
Switch to Prospyr See the full comparison

Common reasons practices explore alternatives

Based on user reviews and industry feedback — here's where practices often want more from PatientNow.

1

Support Experience Can Change After Signing

Some practices report that the attentive sales experience doesn't always carry over to post-sale support. Consistent, responsive help — before and after you sign — should be the standard.

2

Feature Delivery Gaps

A few users mention that features described during the evaluation process didn't work exactly as expected in practice. It's worth seeing a live demo with your actual workflows before committing.

3

No Free Trial

PatientNow doesn't offer a free trial. It's worth being able to evaluate a platform hands-on with your actual workflows before making a commitment.

Why practices choose Prospyr instead

Try Before You Commit

A free trial so you can experience the platform firsthand with your real workflows. We'd rather earn your business through product quality than sales pressure.

Consistent Support Experience

The same responsive support before and after the sale. Dedicated onboarding, live assistance, and a team that's there when you need help — not just when you're evaluating.

AI Features Available Today

AI smart notes, AI audience targeting, and voice call analysis — available now, not on a future roadmap. Technology that saves your team time on charting, marketing, and operations.

Switching is easier than you think

Our dedicated migration team handles everything — patient records, appointment history, consent forms, clinical notes, and photos. You keep running your practice while we bring everything over securely.

Every migration gets a dedicated specialist, a step-by-step timeline, and a verification process so nothing gets left behind.

Ready to make the switch?

Join practices across the country that chose Prospyr for their med spa. We handle the data migration for you, for free.

Free data migration. Dedicated onboarding. Live in days, not months.