The answer
The strongest alternative to Cliniko for a clinic that wants the consultation written up and the phones answered is wai, which drafts the note and letters and runs the front desk, booking and payments on one record. Semble and Jane are the other well-known practice systems, and the table compares all of them from each company's own pages.
Every rival cell in the table is footnoted to that company's own page as it read on 16 October 2026. The wai cells come from our own product and pricing pages. Read the table first, then the reasons below.
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| What you get | Cliniko | Semble | Jane | wai |
|---|---|---|---|---|
| Published price | From $45 a month for one practitioner to $395 for 26 to 200, shown in US dollars1 | Not published. A demo request is the route in2 | Balance $59, Practice $79 and Thrive $99 a month, in US dollars3 | Clinician Plus $550 and Clinician $350 a clinician a month, both published |
| Clinical record and notes | Yes, customisable treatment notes4 | Yes, one record to consult, prescribe, treat and follow up2 | Yes, charting with forms and surveys5 | One record for the consult, the front desk and the patient's own profile |
| Patients book online | Yes, online appointment booking4 | Yes, patients book online through Semble or through TopDoctors and OneWelbeck6 | Yes, patients book their own appointments5 | Yes, booking links that read each doctor's calendar, with waitlist backfill |
| Deposits and payments at booking | Yes, invoices, online payments and prepayments7 | Yes, Semble Pay, with Klarna, Apple Pay, Google Pay and more8 | Yes, Jane Payments, with a card, deposit or pre-payment required at online booking9 | Yes, deposits, invoices and memberships through the clinic's own Stripe |
| Note drafted from the consultation | No built-in scribe listed. AI scribes such as Heidi connect as third-party apps10 | AI-powered notes within the record, and AI scribes as integrated partners2 | Jane AI Scribe, 5 notes a month at no charge, or $15 a month per practitioner for unlimited notes3 | Yes, in the room or on video, for the clinician to sign |
| Referral and clinic letters | Yes, letters to patients, doctors and third parties, with templates11 | Yes, referral letters and treatment plans written and shared from the record12 | Not listed on its features page5 | Referral and clinic letters, prescriptions and result explanations |
| Calls and patient messages answered | SMS to clients at 10 cents a message. AI receptionists offered as third-party apps10 | Automated SMS and email reminders and a patient portal. No phone answering listed8 | Human virtual receptionists answer calls. An AI receptionist is in development13 | Calls, email, web forms and WhatsApp in one thread per patient, replies drafted for approval |
| Cited answers to clinical questions | Not listed on its site4 | Not listed on its site2 | Not listed on its site5 | Yes, cited to current guidance and peer-reviewed papers |
Why clinics look beyond Cliniko
Cliniko publishes its prices, keeps customisable treatment notes and letters with templates, and takes online bookings, invoices, payments and prepayments. The reason to look further is rarely the record. It is the rest of the day. Cliniko lists no scribe and no phone answering of its own, offering both through third-party apps, and no cited answers.
Why wai is the alternative to start with
The consultation writes up as it happens. wai drafts the note, the referral and clinic letters, the coding and cited answers from the consultation for the clinician to sign, on the same record as the booking.
The front desk answers. Calls, email, web forms and WhatsApp land in one thread per patient with replies drafted for approval, so the clinic answers the patient who would otherwise ring the next practice on the list.
Every AI action that affects a patient is drafted for a person to review and approve. The clinician signs the note, the letter and the codes, and the front desk approves each reply before it goes.
The other alternatives
Semble keeps one record to consult, prescribe, treat and follow up, with referral letters and treatment plans written from it, online booking, reminders and Semble Pay. Semble's own pages list no phone answering and no cited answers, and its price is not published.
Jane publishes its prices, lets patients book their own appointments, charts with forms and surveys, and has Jane Payments built in. Jane's features page lists no letters and no cited answers, and its AI receptionist is described as in development.
Who should choose which
Stay with Cliniko if you run an allied health practice that wants dependable booking, notes and invoices at a low published price, and you are content to assemble a scribe and a receptionist from third-party apps.
Choose Semble if you want a mature UK practice record with billing, your team answers the phones itself, and you are content to bring a scribe in as a partner.
Choose Jane if you run an allied health clinic that wants polished booking and payments, a scribe add-on for notes, and people rather than software on the phones.
Choose wai if you want the note and letters drafted from the consultation and the phones and messages answered, on the same record as the booking. The Cliniko and wai comparison goes row by row.
Moving from Cliniko to wai
Start with one clinician, alongside what you use today. Request a demo and bring one real consultation. In fifteen minutes you see the note, the letter and the codes it produces, on your own workflow.
Your history can stay in Cliniko while wai runs the consultation and the front desk alongside it. Signed notes and letters export to your record, and calendars connect from Google, Outlook and Apple. The switching checklist covers what to move, and when.
Then a 90 day pilot shaped around your team, which ends with three numbers from your own clinic, revenue, hours saved and patients cared for. The decision is then made on your data, not ours.
What it costs
wai publishes its prices. Clinician Plus is $550 a clinician a month, with bespoke templates, a records sync and a larger allowance, and Clinician is $350, with the note, letters, coding and cited answers from every consultation. Admin, the front desk, is priced per location after a demo.
Each alternative's published price, as its own page showed it on 16 October 2026, is in the first row of the table with its source. Set the seat against what it replaces. An hour of a clinician's evening, a letter that waits a day, a call that goes to voicemail and a patient who books elsewhere each cost more than the line on the invoice, which is why the comparison worth making is the whole day, not the note.
Would one real consultation settle it? Bring one, and see the note, the letter and the codes it produces.
Frequently asked questions
What is the best alternative to Cliniko?
For a clinic that wants more than the record, wai. It drafts the note, letters, coding and cited answers from each consultation and runs the front desk, booking and payments on one record. Semble and Jane are the other well-known options.
Is there an alternative to Cliniko with a published price?
Yes. wai Clinician Plus is $550 and Clinician is $350 a clinician a month, both published. Semble, from its own page on 16 October 2026. Not published. A demo request is the route in. Jane, from its own page on 16 October 2026. Balance $59, Practice $79 and Thrive $99 a month, in US dollars.
Which alternatives to Cliniko answer the phone?
wai answers calls, email, web forms and WhatsApp in one thread per patient, with replies drafted for approval. Semble, from its own pages on 16 October 2026. Automated SMS and email reminders and a patient portal. No phone answering listed. Jane, from its own pages on 16 October 2026. Human virtual receptionists answer calls. An AI receptionist is in development.
Can we switch from Cliniko without losing records?
Yes. Start with one clinician alongside Cliniko. Signed notes and letters export to the record you already keep, so nothing has to be switched off on the first day, and a 90 day pilot ends with revenue, hours saved and patients cared for from your own clinic.
Who should stay with Cliniko?
Stay with Cliniko if you run an allied health practice that wants dependable booking, notes and invoices at a low published price, and you are content to assemble a scribe and a receptionist from third-party apps.
Sources
- Cliniko, cliniko.com/pricing, read 16 October 2026
- Semble, semble.io, read 16 October 2026
- Jane, jane.app/pricing, read 16 October 2026
- Cliniko, cliniko.com/features, read 16 October 2026
- Jane, jane.app/features, read 16 October 2026
- Semble, semble.io/platform/scheduling-software, read 16 October 2026
- Cliniko, cliniko.com/features/transactions, read 16 October 2026
- Semble, semble.io/platform/patient-experience, read 16 October 2026
- Jane, jane.app/features/jane-payments, read 16 October 2026
- Cliniko, cliniko.com/connected-apps, read 16 October 2026
- Cliniko, cliniko.com/features/health-records, read 16 October 2026
- Semble, semble.io/platform/ehr, read 16 October 2026
- Jane, jane.app/features/admin-and-receptionists, read 16 October 2026
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