Healthcare-grade software for healthcare practices.
Square is an incredible platform for retail and general services. For med spas handling patient health information, treatment records, and medical histories, you need purpose-built healthcare software with HIPAA compliance — which Square explicitly does not provide.
Purpose-built healthcare software with the compliance med spas require
Feature-by-Feature Comparison
Prospyr leads in 13 of 16 categories
| Features & Capabilities |
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Square Appointments |
|---|---|---|
| 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.
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| 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.
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| 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.
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| 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.
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| 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.
|
Waivers only |
| 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.
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| 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.
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| 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.
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| 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.
|
Via Square Marketing |
| 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.
|
Basic |
| 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.
|
Retail only |
| 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.
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| 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.
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| 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.
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| 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.
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| 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.
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| 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 Square Appointments.
Not HIPAA-Compliant
Square explicitly states it is not HIPAA-compliant. Storing patient medical information, treatment histories, or clinical photos on Square creates compliance risk for your practice.
No Clinical Capabilities
Square doesn't offer EHR, clinical charting, consent management, before/after photos, or ePrescribing. It's a powerful payments and scheduling platform — but not a clinical one.
Designed for Retail, Not Healthcare
Square's ecosystem is optimized for product-based retail businesses. Service-based medical practices with clinical workflows, provider schedules, and treatment documentation have fundamentally different needs.
Why practices choose Prospyr instead
HIPAA-Compliant From Day One
Full HIPAA compliance with encrypted records, audit logging, role-based access controls, and BAA included. Protect your practice and your patients with purpose-built healthcare software.
Complete Practice Management
EHR, ePrescribing, clinical charting, consent management, treatment plans, and vital signs — everything a med spa needs to deliver and document care professionally.
Purpose-Built Growth Tools
Memberships, treatment packages, loyalty programs, lead CRM, and AI-powered marketing. Prospyr doesn't just process payments — it helps you build a thriving practice.
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.