Azalea Health vs ICANotes

Azalea Health was founded in 2008 in Valdosta, Georgia, and is now headquartered in Atlanta. They provide cloud-based healthcare IT solutions tailored to small practices, rural health clinics, and critical access hospitals. Their platform combines electronic health records, practice management software, revenue cycle management, analytics, and telehealth services into one system designed to simplify operations and improve patient care. Core features include a single patient record that unifies clinical and billing information, a patient portal for engagement, customizable templates, real-time updates, integrated billing workflows, and built-in telehealth sessions. Customer experience with Azalea Health is mixed but leans positive overall. Users often praise the system’s ease of use, responsive customer support, and quick onboarding, with some users reporting full training completed in under a week. At the same time, negative reviews mention long-term contracts, additional fees for features, and occasional performance slowdowns. Azalea does not publish standard pricing; instead, they offer a quote-based model. While some practices found them initially affordable, others reported rising costs due to add-ons and package changes. 

Founded in 1999 and based in Annapolis, Maryland, ICANotes is an electronic health record system designed exclusively for behavioral health clinicians. They serve psychiatrists, therapists, counselors, and other mental health professionals seeking streamlined, compliant documentation with minimal typing. Their platform includes point-and-click note templates, customizable treatment plans, and integrated tools for assessments, group therapy, and medication management. ICANotes also supports patient tracking, real-time charting, secure messaging, eligibility verification, and telehealth, all accessible online. Their modernized interface, ICANotes+, introduces faster navigation and an updated layout, although it has received mixed feedback during early adoption. Many users appreciate their documentation speed, compliance readiness, and wide array of mental health–specific templates. Others have noted issues with billing processes, mobile limitations, and system reliability during the platform transition. ICANotes offers flexible pricing for full-time and part-time providers, with optional features like telehealth and revenue cycle management. They are fully HIPAA-compliant and ONC-certified, making them a specialized choice for behavioral health professionals. Read our full review to see if their tools and workflows align with your practice’s needs.