Nextvisit AI vs TheraPulse (2026)
Two small behavioral health documentation tools, both built only for that specialty, which is the right instinct given how different psychiatric and therapy notes are from the rest of medicine. Nextvisit was founded by a practicing psychiatrist with an engineer, and that shows in documentation shaped around how those visits actually run. It is also the better documented of the two by a distance: three published tiers from $49 a month, a business associate agreement signed with every customer, a SOC 2 Type I report with a Type II audit underway, a full list of its AI models and subprocessors, and nine record systems named, including Epic, Cerner, athenahealth and eClinicalWorks. TheraPulse produces progress notes and summaries for mental health clinicians in SOAP, DAP and BIRP formats, publishes its tiers by session volume from $29 a month, and answers retention plainly: no audio recording is stored, and uploaded files are held in memory and cleared once transcription finishes. What TheraPulse does not have is anything independent behind its controls. It describes encryption and access controls and names no audit, attestation or certification of its own. It also markets notes that are complete every time, which is a promise no documentation tool can keep.
- It was founded by a practicing psychiatrist alongside an engineer, which shows in documentation shaped around how psychiatric visits actually run rather than around a generic encounter.
- The paperwork is published: three tiers from $49 a month, a business associate agreement signed with every customer, a SOC 2 Type I report, a full list of AI models and subprocessors, and nine record systems named.
- It is becoming a practice platform rather than a scribe alone, which suits a psychiatrist who would rather add than integrate.
- Retention is answered without asking: no audio recording is stored, and uploaded files are cleared from memory once transcription finishes.
- Pricing is published by session volume from $29 a month, so a small caseload can size it without a conversation.
- A clinician who will not record can dictate their reflections after the session and have them structured into a note.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. Nextvisit AI and TheraPulse are each graded against the same capability taxonomy, from each vendor's own public materials and the regulatory record, under the AI Health Index verification standard. No vendor pays for placement, and no vendor has reviewed this page. How this evidence is graded
Plain facts
| Fact | Nextvisit AI | TheraPulse |
|---|---|---|
| Primary category | Behavioral Health AI | Behavioral Health AI |
| Headquarters | New York, New York, United States | Not recorded |
| Website | nextvisit.ai | therapulse.ai |
Side by Side
Select any grade to read the note behind it.
Each vendor in one paragraph
Written to be quoted whole. Each paragraph opens the AI Health Index profile of the vendor: what the product is, who buys it and what it does.
Nextvisit AI is a New York company founded by a practicing psychiatrist and a health IT engineer, building clinical documentation and, increasingly, a whole practice platform exclusively for behavioral health. It serves psychiatrists, psychiatric mental health nurse practitioners, psychologists, therapists, licensed clinical social workers and physician assistants across outpatient psychiatry, therapy clinics, community mental health, group practices and academic sites.
Source: AI Health Index, October 2026
TheraPulse is a small ambient documentation tool for mental health clinicians, producing progress notes and summaries in about a minute in SOAP, DAP and BIRP formats, alongside session summaries, client progress tracking and session insights. It accepts three input paths: live session recording, dictation after the session for clinicians who prefer not to record, or upload of an existing audio file.
Source: AI Health Index, October 2026
Questions buyers ask
How do Nextvisit AI and TheraPulse work with the EHR?
For Nextvisit AI, a Chrome extension docks a sidebar beside the record system for practices without an interface, and finished sections are dragged into the chart. Separately the platform connects to Surescripts for prescribing, which moves part of the clinical record through a named national network, and to Change Healthcare and Availity on the claims side.
Compatibility rather than integration, and TheraPulse says both things about it. Its FAQ says the product is compatible with most browser based EHR and telehealth platforms, while a feature page says it is designed to integrate with major electronic health record systems for seamless incorporation of notes. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified October 29, 2026. No vendor pays for placement.
How are Nextvisit AI and TheraPulse priced and sold?
Nextvisit Go is $49 a month billed monthly for non prescribing therapists and counselors, covering 100 notes a month, SOAP, DAP and BIRP formats, interactive note editing, one click copy out to any record system, and a signed business associate agreement. Provider+ is $199 a month billed monthly for prescribers, adding the AI assistant, custom templates and cohort tags, AI assisted peer review, the patient timeline, and unlimited notes.
For TheraPulse, pricing is metered by session volume rather than by seat: $29 a month for 30 sessions, $49 for 50, $99 for 100 and $149 for 150 with priority support and training. Annual plans are offered at discounted rates on request, which is the one figure not published. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified October 29, 2026. No vendor pays for placement.
How do Nextvisit AI and TheraPulse handle patient data?
With Nextvisit AI, training on patient or provider information requires explicit opt in, and the default asks for consent from both the provider and the patient. Eligible data passes through full redaction first, data from connected sources such as Google accounts, calendars and record systems stays excluded even after opting in, and the company explains that withdrawal stops future training without undoing training already done.
There is no published position on whether session content is used to train or refine models, though the site says TheraPulse continuously refines its models to improve speech recognition, without saying what those refinements learn from. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified October 29, 2026. No vendor pays for placement.
Which settings and specialties do Nextvisit AI and TheraPulse cover?
For Nextvisit AI, specialties listed on the product's own page: psychiatry, adult therapy, adolescent therapy, psychiatric nursing, addiction medicine, couples and family, neuropsychology and group therapy. The distinguishing depth is treatment specific rather than categorical.
TheraPulse states that more than 1,200 therapists use it. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified October 29, 2026. No vendor pays for placement.
Related comparisons
Other published head to head assessments involving these vendors or their closest peers. The full set for this category is on the Ambient Scribes page.
Mental health documentation is especially sensitive, and both vendors are small companies. Neither publishes an accuracy figure, a model card, an evaluation method or any result compared across accent, dialect or language, which compounds in psychiatric populations where medication effects on speech sit alongside accent and dialect. Nextvisit's SOC 2 report is a Type I shared under NDA, with the Type II in progress and the assessor unnamed.
It requires opt in from both provider and patient before training on their information, but its internal quality evaluations use transcripts and model traces by default unless an enterprise agreement excludes them. TheraPulse answers retention and deletion clearly, no audio stored and uploaded files cleared once transcription finishes, but names no independent check of its security at all, publishes no host, region or residency option, and offers its business associate agreement through a request form rather than publishing it.