Best EMR Software for Med Spas in 2026: 8 Tools Compared

How we make this list: we compare pricing pages, product documentation and public user reviews. Ratings come from G2, Capterra or Trustpilot, with the date we checked them.

Which EMR is best for a med spa in 2026

Aesthetic Record is the best EMR for most med spas in 2026 because it was built for aesthetic charting, consent forms, before and after photos, and injectable treatment notes at a low per user price. Pabau is the strongest alternative for a growing practice that wants every core feature in one plan.

What should a med spa EMR do that salon software does not

A med spa EMR must keep a complete clinical record for each patient, and that record must stand up to review by a medical director, an insurer, or a regulator. It needs structured treatment notes, often in SOAP form, with the product used, the lot number, the dose, the injection site, and the provider who gave the treatment. It needs consent forms with a signature and a date, medical history forms that flag allergies, and a clear record of who changed a chart and when. Before and after photos are part of the record, not a marketing extra, and they should sit against the treatment with a date and a ghosting guide.

How much does med spa EMR software cost per month

Med spa EMR software costs from about $24 per month for a single calendar on Vagaro to about $468 per month per location for the Boulevard Aesthetics bundle, with most clinical tools priced between $104 and $400 per month for a small practice. The headline price rarely tells the full story, because vendors price by different units. Aesthetic Record charges per user, Mangomint charges per location plus per user, Vagaro charges per bookable calendar, and Zenoti and PatientNow charge by quote. Add ons often sit outside the base plan, so model the first year, not the first month.

Do med spas need HIPAA compliant software and a BAA

Most med spas in the United States need HIPAA compliant software and a signed business associate agreement, known as a BAA, when the software stores protected health information. That includes patient names linked to treatment notes, photos, medical history, consent forms, and messages about care. A booking tool that stores only a name and a time may sit outside that scope, but a med spa EMR that stores charts, photos, and consent forms does not. Ask each vendor whether it will sign a BAA, what plan the BAA sits on, and whether it covers texting, photos, and any AI charting add on. The vendor should describe how it encrypts data, who can access charts, and how it logs chart changes. Show your shortlist to your medical director and your lawyer before you buy.

What is the difference between an EMR and practice management software for a med spa

An EMR, or electronic medical record, is the clinical record of the patient, with notes, history, consent, photos, and treatment details. Practice management software is the operational layer, with scheduling, billing, inventory, marketing, and reporting. Most med spa tools now combine both, but the balance differs. Aesthetic Record, AestheticPro, PatientNow, and Pabau lean clinical, with deep charting and form libraries. Mangomint, Boulevard, and Vagaro lean operational, with strong booking, client experience, and marketing, and clinical tools added on or bought as extras. If your providers spend most of their day charting injectables and laser treatments, pick a clinical first tool and accept a simpler booking flow. If your treatments need only light charting, pick an operational first tool. Test the charting workflow in a live demo, and ask the vendor to chart a Botox visit and a filler visit.

Med spa EMR software compared

How we picked

We compared vendor pricing pages and help centre pages, plus third party guides where the vendor does not publish a price, between 5 November and 12 November 2026. Prices were checked on 12 November 2026. Where a vendor page did not render a dollar figure, we used the figure reported by multiple third party sources, and we say so. Last verified: 12 November 2026.

Worked cost example for a 3 room med spa with 4 providers

A 3 room med spa with 4 providers, one front desk user, and one location needs 5 user seats on a per user tool, 4 calendars on a per calendar tool, and one location licence on a per location tool. Prices below were checked on 12 November 2026, before processing fees, add ons, and tax. Aesthetic Record costs $75 per month for 5 users at $15, plus $399 one time onboarding. Vagaro costs $53.99 per month on the promotional rate for 4 calendars, plus $10 for Forms. Mangomint costs $170 per month, which is $120 per location plus $10 for 5 users. AestheticPro costs $245 per month for 3 users on Pro-Plus, so a fourth user needs Executive at $285 per month for unlimited users. Pabau costs $271 per month for 4 to 5 users on the Medium plan. Boulevard costs $468 per month for the Aesthetics bundle. Zenoti and PatientNow are quote only. Here, Vagaro is cheapest overall before add ons, and Aesthetic Record is cheapest for clinical charting.

Decision table: pick by your main need

Quick comparison

Tool	Best for	Starting price	Free plan
Aesthetic Record	Injector led med spas that need charting, consent, and photos first	$15 per user per month, Essentials, plus $399 onboarding, third party reported	No free plan, 14 day trial
Zenoti	Multi location med spa chains that need central reporting	Quote	No free plan and no free trial reported
Boulevard	Upscale med spas that want a polished client experience	$468 per month per location, Aesthetics bundle, third party reported, $421 on annual billing	No free plan and no free trial, demo required
Mangomint	Med spas where the front desk is the bottleneck	$120 per month per location plus $10 per user per month	No free plan, free trial available
Vagaro	Solo providers and small teams that need low cost booking and payments	$23.99 per month for one calendar, promotional, $30 regular, plus $10 per extra calendar	No free plan, 30 day trial
PatientNow	Established med spas and plastic surgery practices	Quote, third party reported from about $400 per month	No free plan and no free trial reported
AestheticPro	Forms led med spas that need many clinical templates	$160 per month for 2 users, Pro-Plus	No free plan, free trial reported by some listings and not by others
Pabau	Growing med spas that want every core feature included	$104 per month for one user, Solo, US list rate	No free plan

Best EMR software for med spas

#1

Aesthetic Record

Best for: Injector led med spas that need charting, consent, and photos first

5.0/5 on G2 (3 reviews, checked Oct 2026)

Visit aestheticrecord.com

Starting price$15 per user per month, Essentials, plus $399 onboarding, third party reported

Free planNo free plan, 14 day trial

Aesthetic Record leads because it pairs real aesthetic charting with the lowest published starting price here. Essentials costs $15 per user per month and Accelerator $19, according to third party guides that cite the vendor pricing page. We opened that page on 12 November 2026 and it confirmed the $399 onboarding fee, but the fetched copy did not render the plan dollar figures, so treat $15 and $19 as third party reported.

What we like

• Aesthetic SOAP notes, consent forms, photo management, lot tracking, memberships, and mobile point of sale

Watch out for

• Onboarding fee, usage caps on SMS and storage, and e-prescribing and AI charting cost extra

#2

Zenoti

Best for: Multi location med spa chains that need central reporting

4.5/5 on G2 (317 reviews, checked Oct 2026)

Visit zenoti.com

Starting priceQuote

Free planNo free plan and no free trial reported

Zenoti is the enterprise pick here, and it is priced like one. The vendor does not publish a price, and every enquiry goes to a quote based on location count, provider count, and modules. Third party guides report from about $225 per month per location at the low end to $300 to $500 per month per location for many businesses, and $10,000 to $15,000 per month for large chains. Those figures conflict, so treat them as third party reported only.

What we like

• Multi location management, broad integrations, marketing automation, and central reporting

Watch out for

• No published price, reported implementation fees of $2,000 to $5,000, and slow setup

#3

Boulevard

Best for: Upscale med spas that want a polished client experience

4.5/5 on G2 (124 reviews, checked Oct 2026)

Visit joinblvd.com

Starting price$468 per month per location, Aesthetics bundle, third party reported, $421 on annual billing

Free planNo free plan and no free trial, demo required

Boulevard is the luxury pick, and its buying process signals that from the start. There is no self serve signup and no free trial, and a 12 month minimum contract follows a demo call. The salon tiers are reported at about $176 per month for Essentials, $293 for Premier, and $410 for Prestige per location. Med spas need the Aesthetics bundle, reported at about $468 per month per location, or about $421 on annual billing, so get the current bundle price in writing.

What we like

• Polished booking, smart scheduling, client portal, loyalty, and marketing automation

Watch out for

• No self serve signup, a 12 month contract, and Forms and Charts as a paid add on

#4

Mangomint

Best for: Med spas where the front desk is the bottleneck

4.9/5 on G2 (108 reviews, checked Oct 2026)

Visit mangomint.com

Starting price$120 per month per location plus $10 per user per month

Free planNo free plan, free trial available

Mangomint simplified its pricing in August 2026 to $120 per month per location plus $10 per user per month, with all core features included rather than gated by tier. We opened the vendor pricing page on 12 November 2026 and it showed the add on prices and a product offer of $130, which matches $120 plus $10 for one user. Phone costs $70 per month per line, Marketing starts at $30 per month, and Payroll costs $50 per month plus $8 per worker. The limit is clinical depth, because Mangomint is a salon and spa platform first.

What we like

• Fast interface, Express Booking, unlimited confirmations included, no contracts, and free data import

Watch out for

• Clinical charting is lighter than on med spa native tools, and add ons lift the real bill

#5

Vagaro

Best for: Solo providers and small teams that need low cost booking and payments

4.6/5 on G2 (397 reviews, checked Oct 2026)

Visit vagaro.com

Starting price$23.99 per month for one calendar, promotional, $30 regular, plus $10 per extra calendar

Free planNo free plan, 30 day trial

Vagaro prices by bookable calendar, not by user or location. One calendar costs $23.99 per month on a limited time promotional rate, or $30 regular, and each extra calendar costs $10 per month up to 7, after which extra employees are free on the vendor help centre pricing page. That page was updated on 27 October 2026. Forms costs $10 per month, text marketing starts at $20 per month, and MySite costs $20 per month. The gap is clinical, because Vagaro is a salon and spa tool first.

What we like

• Lowest starting price here, no commission on bookings, and a large marketplace

Watch out for

• Clinical charting and consent forms are paid add ons

#6

PatientNow

Best for: Established med spas and plastic surgery practices

3.0/5 on G2 (20 reviews, checked Oct 2026)

Visit patientnow.com

Starting priceQuote, third party reported from about $400 per month

Free planNo free plan and no free trial reported

PatientNow is a full EMR and practice management platform built for med spas, plastic surgery, dermatology, and wellness clinics. It covers charting, scheduling, billing, inventory, marketing automation, memberships, and a patient portal, plus AI booking through its Recura tool. Pricing is custom and quoted by practice size, location count, and package. Third party estimates put the starting point at about $400 per month, but one guide lists $30 per user per month, so treat those figures as third party reported only.

What we like

• In aesthetic practices since 2004, EMR templates, photo management, patient portal, and marketing automation

Watch out for

• No published price, custom quote only, and implementation can take 2 to 3 months

#7

AestheticPro

Best for: Forms led med spas that need many clinical templates

Visit aestheticspro.com

Starting price$160 per month for 2 users, Pro-Plus

Free planNo free plan, free trial reported by some listings and not by others

AestheticPro is made for medical spas, and its form library is the clearest sign of that focus. Pro-Plus costs $160 per month for 2 users, with a third user at $85 per month, up to 3 users. Executive costs $285 per month with unlimited users and multi location support, and Enterprise costs $350 per month. Those figures come from the vendor pricing page as cited by multiple third party guides checked in October and November 2026, and they are consistent across sources. AP Photo helps staff take matching before and after photos.

What we like

• More than 500 customisable forms, telemedicine, e-prescribing, client portal, and AP Photo

Watch out for

• A third user costs $85 per month, texting and marketing cost extra, and trial status is unclear

#8

Pabau

Best for: Growing med spas that want every core feature included

4.7/5 on G2 (329 reviews, checked Oct 2026)

Visit pabau.com

Starting price$104 per month for one user, Solo, US list rate

Free planNo free plan

Pabau is an all in one practice management platform for medical and aesthetic clinics, and its pricing model is simple in intent. Every plan includes the full platform, so a bigger plan buys seats rather than features. Solo costs $104 per month for one user, Team costs $187 per month for 2 to 3 users, Medium costs $271 per month for 4 to 5 users, and Group costs $386 per month for 6 to 15 users, according to Pabau US list rates cited in third party guides checked in September 2026. Some Pabau pages list $62 per month for one user instead, so ask Pabau to confirm the current rate.

What we like

• Full platform on every plan, with clinical notes, consent forms, photos, scheduling, and payments included

Watch out for

• Larger team prices are quoted on a demo, and Pabau pages show conflicting one user prices

Frequently asked questions

Shihab Mia · Founder, Rankite

Shihab has 5+ years in B2B and SaaS SEO. He writes Rankite's software buying guides from pricing pages, documentation and public user reviews. More about Shihab.