Practice Fusion

The free cloud EHR for small practices

Overview

Practice Fusion made its name as the free EHR, and that remains its honest claim to fame. The base tier costs nothing, which makes it the most accessible starting point in this entire lineup for a new or budget-strapped practice. You get real, working fundamentals: cloud charting, e-prescribing, lab connections to the major networks, and a basic patient portal. What you do not get is the modern layer, so no AI documentation, thin telehealth, and limited mobile access. Plenty of small practices run happily on it for years anyway, because the fundamentals are what they actually use. If your budget is the deciding factor, or you want to open your doors without adding another subscription, start here and see whether you ever feel the ceiling.

Key Features

  • Free base tier
  • Cloud-based charting
  • E-prescribing
  • Lab integration with major networks
  • Patient portal
  • Appointment scheduling
  • Basic reporting and analytics
  • Referral tracking
  • Customizable templates

Pricing

Free base tier. Premium features available at $150/provider/month.

Best For

Budget-conscious practicesSolo practitionersNew practices starting outPractices wanting free software

Founded: 2005

Headquarters: San Francisco, CA

Website: https://practicefusion.com

Where It Shines

  • Genuinely free to start, with working fundamentals
  • Fast to learn and light to run
  • Lab connections that punch above the price

Worth Weighing

  • No AI features to speak of
  • Telehealth and mobile are weak spots
  • Billing needs outside help at any real volume