European Physiotherapy Practice Software Tools

#1 Physitrack

London, United Kingdom Standard plan $18.99 per practitioner per month or $227.88 per practitioner per year (page lists USD); Enterprise for 20+ practitioners on request; 2-week free trial; founding members get 30% off for 12 months if they sign up before 1 January 2027 Demo on request

Best for: Physiotherapists who prescribe exercise to patients between visits and want one vendor for programmes, telehealth and records

• Operating company. Physitrack PLC
• Jurisdiction. United Kingdom (adequacy decision, outside the EEA)
• Where the data sits. Hosting region depends on the customer's contracted service region; Amazon Web Services provides EMR hosting and storage
• Source code. Closed source
• Replaces. Jane App

Physitrack is the exercise-prescription platform from Physitrack PLC, which gives a London address on Aldersgate Street. A therapist builds a programme from a library of 18000+ exercises and sends it to the patient's phone through the free Physiapp. Telehealth, progress tracking and remote therapeutic monitoring sit on the same platform.

The company is registered in England with Companies House number 8106661, plus an ICO registration and a UK VAT number in the imprint. The EMR with scheduling, charting and an AI scribe is newly live, so billing depth is unproven. Standard is $18.99 per practitioner a month, in dollars, and the privacy policy names Amazon Web Services as host.

Standout feature. Physitrack is the one tool here that started from home exercise programmes and then added a clinic record.

#2 PPS (Private Practice Software)

Burton-on-Trent, United Kingdom PPS Express from £16.80 per user per month; PPS Advanced £50 a month plus £25 per additional user; PPS Onsite £35 a month plus £15 per additional user; 30-day free trial without a card; UK VAT extra Demo on request

Best for: UK and Irish clinics that want published prices, concurrent-user pricing and the option of a local install

• Operating company. Rushcliff Ltd
• Jurisdiction. United Kingdom (adequacy decision, outside the EEA)
• Where the data sits. Terms state all PPS servers are housed in UK or EU-based data centres
• Source code. Closed source
• Replaces. Jane App

PPS is the practice software from Rushcliff Ltd, whose address is Granary Wharf in Burton-on-Trent. PPS Express covers scheduling, payments, notes, treatment history and reminders at £16.80 per user a month. PPS Advanced adds room management, multiple locations, waiting lists and third-party billing.

Users are priced concurrently while named users stay unlimited, so a clinic of part-timers pays for simultaneous logins only. The terms say all servers sit in UK or EU data centres, and an appointed agent runs the hosted service. PPS Onsite is a local install from £35 a month. PPS Scribe AI is free for up to 3 consultations a week.

Standout feature. PPS prices by concurrent logins, which a clinic of part-timers can use to cut its bill.

#3 WriteUpp

Chester, United Kingdom Flex from $34.95 a month per user; Solo $49 a month; team plan with extra users at £15, £12 or $18 each depending on size; online booking add-on $7.95 per clinic per month; 30-day free trial (page showed dollar prices) Demo on request

Best for: Small physiotherapy and therapy practices that want EU-stored data and a free trial before choosing a plan

• Operating company. Pathway Software (UK) Limited
• Jurisdiction. United Kingdom (adequacy decision, outside the EEA)
• Where the data sits. Stored on servers within the EU, in Dublin and Amsterdam, per the privacy policy
• Source code. Closed source
• Replaces. Jane App

WriteUpp is the practice product of Pathway Software (UK) Limited, registered office Watergate Street in Chester. Its diary, smart forms, video consultation, patient portal and WriteUpp Pay serve physiotherapy, podiatry, psychotherapy and speech therapy clinics alike. An AI medical scribe is available.

The privacy policy states that information sits on servers in Dublin and Amsterdam, and also admits some external third parties outside the UK. The company number is 06844098. Flex starts at $34.95 a month per user and Solo at $49, with online booking an add-on on Flex. The page we fetched mixed dollars and pounds, so confirm the UK figure.

Standout feature. WriteUpp is the tool in this list that names two EU cities as the storage location.

#4 Smilenotes

not stated on the pages we read, United Kingdom Lite £5 a month (£49 a year), Plus £8 a month (£96 a year), Pro £12 a month (£139 a year), Team £25 a month with up to 3 users and £10 per extra user; prices include VAT; 30-day free trial Demo on request

Best for: Solo physiotherapists who mainly need notes, body charts and a diary at the lowest price

• Operating company. Smile Notes Ltd
• Jurisdiction. United Kingdom (adequacy decision, outside the EEA)
• Where the data sits. Site states data centres are in the UK and the European Union
• Source code. Closed source
• Replaces. Jane App

Smilenotes is the notes and diary product of Smile Notes Ltd, registered in England and Wales under number 9447490. Lite costs £5 a month with 20 client records, Plus £8 with unlimited records, and Pro £12 with automated reminders and 10GB of storage. Body charts and two-factor authentication come with every plan.

Team is £25 a month for up to 3 users, with £10 per extra user, and all prices include VAT. The site says data centres are in the UK and EU. The plan tables list no online booking, payments or insurance billing, and neither the company address nor the hosting provider appears on the pages we read.

Standout feature. Smilenotes puts body charts and two-factor authentication on its £5 plan.

#5 Medesk

London, United Kingdom Free: 2 users, 1,000 patient records, 50 appointments a month; Pro $16 a month per 50 appointments with unlimited users and records; 7-day free trial of Pro without a card (page showed dollars) Demo on request

Best for: Small clinics that want to start at no cost and scale the price with appointment volume

• Operating company. Medesk Limited
• Jurisdiction. United Kingdom (adequacy decision, outside the EEA)
• Where the data sits. not stated on the pages we read
• Source code. Closed source
• Replaces. Jane App

Medesk is a clinic management product from Medesk Limited, whose privacy policy gives a Regent Street address in London. The Free plan allows 2 users, 1,000 patient records and 50 appointments a month, with online booking, a patient portal and email reminders. Pro costs $16 a month per 50 appointments and adds unlimited users, records, branding and telemedicine.

Medesk serves more than 50 specialties and lists physiotherapy among them, so exercise prescription is not described. The privacy policy is dated 17 September 2021, refers to UK and EU data protection law and does not state a hosting region. A 7-day Pro trial needs no card.

Standout feature. Medesk lets a small clinic start with online booking and a patient portal at no cost.

#6 Pabau

Bedford, United Kingdom Plans by number of users (Solo 1, Team 2-3, Medium 4-5, Group 6-15, Enterprise 16+), unlimited patients; prices not shown, book a demo; Pabau Pay card fees about 2.9% to 3.1% plus £0.20 Demo on request

Best for: Multi-practitioner clinics that want one system across physiotherapy, wellness and aesthetics services

• Operating company. Hambrand Technology Limited
• Jurisdiction. United Kingdom (adequacy decision, outside the EEA)
• Where the data sits. UK customers: data and backups in London data centres, not transferred outside the UK; other regions use regional data centres
• Source code. Closed source
• Replaces. Jane App

Pabau is clinic software sold by Hambrand Technology Limited, with a contact address at St Cuthbert's in Bedford. It serves GP, aesthetics, mental health, physiotherapy and wellness practices. Every plan lists scheduling, online booking, a patient portal, forms, payments, packages, memberships, marketing tools and reporting, with unlimited patients.

For UK customers the privacy policy keeps data and backups in London data centres, with subprocessors including DigitalOcean and Amazon Web Services restricted to London. Plans run from Solo to Enterprise at 16+ users, and prices come only through a demo. Pabau Pay card fees are about 2.9% to 3.1% plus £0.20, and Pabau Scribe is the AI note tool.

Standout feature. Pabau is the only tool here with packages and memberships on every plan.

#7 Semble

London, United Kingdom not shown on the pages we read (demo on request) Demo on request

Best for: Private clinics and MSK rehab practices that want integrations with labs, pharmacies and NHS records

• Operating company. Semble Technology Limited
• Jurisdiction. United Kingdom (adequacy decision, outside the EEA)
• Where the data sits. not stated on the pages we read
• Source code. Closed source
• Replaces. Jane App

Semble is a practice management system from Semble Technology Limited, company number 09891593, registered at Bell Yard in London. Its allied health page targets physios, occupational therapists and MSK rehab clinics. The product lists a health record, telehealth, scheduling and Semble Connect for workflow automation.

Semble announces an NHS GP record viewer powered by ORB Connect, with consented access to the patient's record. Semble France SAS in Paris is named as EU representative in the privacy policy. No prices or hosting region appear on the pages we read, and some analytics and data-broker providers sit outside the EU.

Standout feature. Semble is the only tool here with a built-in viewer for NHS GP records.

#8 Rehab Guru

Sheffield, United Kingdom Basic £10 a month (£100 a year); Pro £20 a month (£200 a year); Enterprise on request; appointments/invoicing and notes are £5 a month add-ons each on Basic; prices exclude VAT Demo on request

Best for: Clinics that lead with exercise prescription and want booking and notes without a separate system

• Operating company. Rehab Guru Limited
• Jurisdiction. United Kingdom (adequacy decision, outside the EEA)
• Where the data sits. not stated on the pages we read (data held in a central encrypted database)
• Source code. Closed source
• Replaces. Jane App

Rehab Guru is the exercise-prescription product of Rehab Guru Limited, registered in England and Wales under 06725431, with its office on Burton Road in Sheffield. Basic is £10 a month and includes 5000 exercises with HD video, custom exercises, templates, a branded client portal and a free client app.

Appointments with invoicing and notes with forms are £5 add-ons each on Basic. Pro at £20 includes bookings, online payments, notes, body charts, outcome measures and telehealth. Enterprise lists FHIR and HL7 integrations. Card payments run through Braintree and Chargebee, and the pages we read name no hosting country.

Standout feature. Rehab Guru lets a clinic buy the exercise library first and add clinic functions as £5 add-ons.

#9 PraxiPro

Berlin, Germany Starter €10 per practitioner per month (1 practitioner, up to 100 patients); Professional €25 per practitioner per month (1 to 5 practitioners, unlimited patients); Enterprise on request; 14-day free trial without a card Demo on request

Best for: German-speaking physiotherapy practices that bill privately or self-pay clients and want very low prices

• Operating company. PraxiPro (Jamil Hallal, sole trader)
• Jurisdiction. EU (Germany)
• Where the data sits. not stated on the pages we read (cloud infrastructure under an Art. 28 processing agreement)
• Source code. Closed source
• Replaces. Jane App

PraxiPro is a German-language practice product for physiotherapy, occupational therapy, speech therapy and psychotherapy. The imprint names Jamil Hallal as sole trader at an address in Berlin, with a German VAT number. Starter is €10 per practitioner a month for up to 100 patients, and Professional is €25 with unlimited patients.

Professional adds a waiting list, absence management, e-invoice and online booking, and Enterprise covers six or more practitioners. The site says billing focuses on private patients, self-payers, Beihilfe and cost reimbursement. Patient data can be imported by CSV or Excel. The hosting provider is not named, and automatic email reminders may cost extra.

Standout feature. PraxiPro is the only tool here that lists euro prices from €10 with a German interface.

#10 PracticePal

Canterbury, United Kingdom Core system £25 a month; modules £3 a month each (clinic notes, marketing, practice income, online booking, expenditure, recall); extra accounts £5 full-time diary, £2.50 part-time diary, £1 administrative; VAT extra; 1-month free trial Demo on request

Best for: Small UK clinics that want to pick modules and pay a low monthly amount

• Operating company. Astute Data Systems Limited
• Jurisdiction. United Kingdom (adequacy decision, outside the EEA)
• Where the data sits. London server farms of Rackspace UK Ltd, per the privacy policy
• Source code. Closed source
• Replaces. Jane App

PracticePal is practice software from Astute Data Systems Limited of Canterbury, company number 3168444, and the site says it has existed since 2006. The core system costs £25 a month and covers patient details, diary scheduling, a report generator and reminders. Modules such as Clinic Notes, Online Booking, Recall and Practice Income cost £3 a month each.

Extra accounts cost £5 for a full-time diary, £2.50 for a part-time diary and £1 for an administrative login. The privacy policy names Rackspace UK Ltd and London server farms, and casts the clinic as controller. VAT is extra. The pages we read list no telehealth, insurance billing or exercise library.

Standout feature. PracticePal is the only tool here where each function is a separate £3 module.

#11 Physica

Seljord, Norway Package #1 (all in the cloud) from kr. 769 per user per month excluding VAT; Package #2 (for NHN subscribers) from kr. 1,483; add-ons such as e-resept kr. 242 and EHF invoice kr. 177 Demo on request

Best for: Norwegian physiotherapists and MSK clinics that bill Helfo and need NHN messaging

• Operating company. Aspit AS
• Jurisdiction. EEA, not EU (Norway)
• Where the data sits. not stated on the pages we read
• Source code. Closed source
• Replaces. Jane App

Physica is a journal system from Aspit AS of Seljord in Norway, organisation number 983 439 977. The terms say the contracting entity is a Nordhealth group company such as EasyPractice ApS, Aspit AS or Nordhealth Therapy Oy. According to its site, more than 4000 customers in Norway use it.

The journal has themes and phrases, predefined appointment types for settlement with Helfo and insurers, SMS reminders and NHN messages. Package #1 starts at kr. 769 per user a month excluding VAT and Package #2 for NHN subscribers at kr. 1,483. Add-ons include e-resept at kr. 242 and EHF invoice at kr. 177. Pages are in Norwegian and list no hosting region.

Standout feature. Physica is the only tool here that combines Helfo settlement with NHN messaging in one journal.

#12 Fysio Manager

Heerenveen, Netherlands Per FTE with a fixed low base amount; lower rate for solo practitioners and reception accounts; no extra cost for multiple locations; amounts not shown, quote or demo on request Demo on request

Best for: Dutch physiotherapy and paramedic practices that declare to Dutch insurers

• Operating company. World of Health (Fysiomanager)
• Jurisdiction. EU (Netherlands)
• Where the data sits. not stated on the pages we read
• Source code. Closed source
• Replaces. Jane App

Fysio Manager is the Dutch physiotherapy package of World of Health, whose privacy policy gives Postbus 205 in Heerenveen as controller. The package lists an electronic record, Online Plannen, declaring and invoicing, the MijnZorgtoegang patient portal, FM-VideoConsult and FM Analytics. Therapists work from the agenda and the invoice is prepared from the appointment.

The vendor states NEN 7510 and ISO/IEC 27001 certification. Practices pay a fixed amount plus a rate per FTE, solo practitioners and reception accounts pay less, and extra locations cost nothing. No euro amounts, hosting location or legal form appear on the pages we read. Data conversion from systems such as SpotOnMedics and Intramed is mentioned.

Standout feature. Fysio Manager is the only tool here that charges per full-time equivalent.