Lalyn P.
Lack consideration
Just a heads up for other private practice owners considering TheraNest. Our practice signed up for an annual plan while we were in the process of transitioning to Jane. We realized TheraNest didn't have the functionality our practice needed long-term, so we began migrating our client files and only needed TheraNest for another month or two while we completed the transition. Once the migration was finished, we reached out multiple times to ask if they would allow us to end the contract early or work with us on a reasonable solution. They declined every request and are requiring us to pay for the full remaining year. As a result, our small private practice is now paying for two EHR systems at the same time—Jane, which we actively use every day, and TheraNest, which we no longer use at all. What has been most disappointing isn't simply the annual contract itself. It's that, despite multiple good-faith requests, TheraNest was unwilling to offer any flexibility or reasonable accommodation for a small practice that no longer needed the platform. I'm sharing our experience because I think other therapists deserve to know what to expect before signing an annual agreement. If there's any chance your practice may outgrow the platform or you're considering it as a temporary solution while transitioning to another EHR, make sure you're comfortable with the possibility of paying for the entire year regardless. Please read the annual contract carefully before choosing TheraNest.
Response from TheraNest by Ensora HealthSep 23, 2026
Thank you for taking the time to share your experience, and we're sorry the transition period was so stressful. Managing two platforms at once is really difficult, and we understand why that felt frustrating. We do want to be transparent for others reading this: our annual plans are offered at a lower rate than month-to-month because they represent a full-term commitment, and our subscription terms, including the 90-day notice requirement and non-refundable policy, are outlined in the agreement before signing. We never want anyone to feel caught off guard by that, which is why we always encourage practices to review those terms carefully before choosing an annual plan. If you'd like to talk through your situation, we'd welcome that conversation at [email protected] (put 'Madison' in the subject line to route to me directly). Madison TheraNest by Ensora Health



