Best Direct Primary Care EHR Software Solutions for 2026: Features, Pricing & Reviews

Key Takeaways

Pabau is the best all-in-one choice for growing Direct Primary Care teams, combining membership billing, clinical charting, patient records, and communication tools in one platform.

Hint Health is ideal for DPC clinics that want membership billing first, especially startups focused on predictable recurring revenue.

Atlas.md is a great fit for solo or small DPC practices that want a lightweight, simple EMR built around doctor-patient relationships.

CareCloud and Elation work better for larger or hybrid clinics, especially those needing more traditional infrastructure alongside direct care workflows.

If you run a direct primary care (DPC) practice, you’ve probably felt this already: most EHRs just don’t get you. 

They’re built for insurance, codes, and claims—not memberships, modern workflows, or real patient relationships. 

The best EMR for direct primary care fixes that. In this guide, we’ll break down what to look for and compare the top DPC-friendly EHRs shaping 2026.

In this table, we do a quick run-down of the top direct primary care EMR platforms shaping 2026, from membership-first tools to full all-in-one systems.

Pabau: Best complete software for growing direct primary care practices

Pabau is a modern EHR built for practices that want simpler workflows and stronger patient relationships. 

Designed for direct primary care teams managing high-touch, ongoing patient care, it supports everything from fast clinical charting to membership billing, automated follow-ups, and easy online scheduling in one connected system.

Key features

Direct primary care clinics need tools built for memberships, continuity, and simple workflows. Pabau covers the full experience, without the insurance headache.

• Memberships & recurring billing

DPC runs on predictable monthly revenue. Pabau helps you create membership plans, automate recurring billing, and manage payments in one place—no claims or coding required.

• EMR & Patient records built for continuity of care

DPC is about long-term relationships, not one-off visits. Pabau keeps notes, history, prescriptions, labs, and documents together in the client records, so you always see the full patient story over time.

• Precise diagnosis records with standardized coding

Pabau makes diagnosing easier with built-in SNOMED and ICD coding. 

Diagnoses can be logged automatically from forms or entered manually. Allergies are also simple to manage, creating a clearer patient profile and safer care.

• Prescriptions, labs, and referrals

Even without insurance billing, you still need full clinical tools. Pabau supports e-prescribing, lab orders, referrals, and patient letters to keep care smooth and connected.

• Secure patient portal

Patients can view appointments, forms, invoices, and messages in one secure place. That means fewer admin tasks for your team and a more transparent experience for members.

• Paper-free intake & smart forms

Pabau’s digital intake and consent forms help collect health history, updates, and questionnaires ahead of visits—saving time and keeping appointments focused on care, not paperwork.

Pricing

Pabau starts at $69 /month for the US and £53 /month for the UK. It offers several pricing tiers, depending on the size of your team. 

It’s important to note that all Pabau tiers include essential features.

Where Pabau shines

• Built for recurring revenue: Membership billing is simple, automated, and doesn’t rely on insurance workflows.
• All-in-one clinical + admin workflows: Charting, labs, scheduling, and patient communication live in one connected system.
• Great patient experience tools: The secure portal, paperless intake, and follow-ups make care feel smoother for both patients and staff.

Where Pabau falls short

• Learning curve at first: Clinics without onboarding support may find the setup takes time.
• Very feature-rich system: Pabau is built to handle everything from clinical care to billing, so smaller practices may not need the full depth right away.
• More built for scaling: Solo providers may prefer something simpler if they don’t need a full suite yet.

Customer reviews

“This all-in-one system is incredibly convenient. You don’t need to purchase countless add-ons to access the tools that everyone values, which sets it apart from other companies.” – Uliana R. (G2)

“Pabau is a great platform for the clinic I work at. It meets all our needs and more. Not only does it effectively support the services I have already, but is able to integrate other marketing and financial services to elevate the business – all in one place.” – Osanna (Capterra)

Who Pabau is best for 

• Direct Primary Care clinics: Practices managing memberships, recurring billing, and relationship-based care.
• Primary care teams scaling up: Groups that need clinical depth plus scheduling and automation.
• Hybrid modern practices: Clinics wanting an all-in-one EMR for direct primary care with less admin work.

Hint Health

Hint Health is a Direct Primary Care–focused platform built around memberships and predictable recurring revenue. 

It provides a full DPC ecosystem, with Hint Core for billing and business operations, Hint Clinical for EMR charting and AI-powered documentation, and Hint Connect to support practice growth through employer partnerships and a broader direct care network.

Key features

• Membership management: Built specifically for DPC plans, enrollment, membership-based payments and recurring billing.
• Automated payments: Handles monthly billing and collections with less admin work.
• Patient communication tools: Supports messaging and smoother ongoing care outside visits.
• Clinical workflows: Includes charting, scheduling, and core EMR functions for direct care teams.

Pricing

Where Hint Health shines

• Built for memberships first: Designed around DPC enrollment and subscription billing.
• Strong billing automation: Reduces manual payment tracking and admin overhead.
• Great for pure DPC clinics: Best fit when insurance isn’t part of the model at all.

Where Hint Health falls short

• EMR workflows still evolving: Some users note charting and provider efficiency could improve.
• More business-focused than clinical: Billing is the strongest area, while clinical depth may feel lighter.
• Limited flexibility for non-DPC models: Hybrid clinics may need broader tools.

Customer reviews

“It’s easy, it makes our processes way better, more efficient and faster. Patients are happy and our staff too.” – Karla N.(G2)

“They have no notification system, no alert system that would let a clinician know when a lab has resulted or a fax has arrived or a med refill request has come. So you constantly have to scour the EMR looking for these incidentals.” – Verified User in Health, Wellness and Fitness (G2)

Who Hint Health is best for

• DPC clinics focused on membership billing: Practices that want subscriptions and payments handled seamlessly.
• New direct care startups: Teams building around recurring revenue from day one.
• Clinics wanting billing-first software: Best when financial workflows matter most.

Atlas.md

Atlas.md is a modern DPC EMR built for doctors who want simplicity, not insurance clutter. It focuses on the core of Direct Primary Care: strong relationships, clean charting, and easy patient communication. 

Key features

• Simple clinical charting: Notes are fast, clean, and built for everyday primary care.
• Patient messaging: Built-in communication supports care between visits.
• Membership-friendly workflows: Designed for DPC clinics without insurance billing complexity.
• Care continuity tools: Keeps history, labs, documents, and follow-ups easy to track.

Pricing

Atlas.md uses simple, transparent pricing at $300 per month for each registered provider, with a 30-day free trial to get started. Practices can also accept patient payments online, with processing fees of 2.1% + 30¢ per card transaction, or 25¢ per bank transfer payment.

Where Atlas shines

• Made for DPC simplicity: Everything feels focused on direct care, not claims.
• Great communication tools: Messaging supports long-term patient relationships.
• Easy to use: Many clinics like how fast and lightweight the system feels.

Where Atlas falls short

• Limited enterprise depth: Larger multi-location groups may outgrow it quickly.
• Fewer advanced admin tools: Some clinics may need extra systems for full operations.
• Smaller feature set overall: Great for simplicity, but not as comprehensive as bigger platforms.

Customer reviews

“Atlas is awesome for our small chiropractic office. It’s easy to use. I can find a patient quickly and leave notes and update their info and documents quickly and efficiently.” – Verified User in Medical Practice (G2)

Who Atlas is best for

• Solo or small DPC clinics: Doctors who want a lightweight, relationship-first EMR.
• Membership-only practices: Teams avoiding insurance workflows entirely.
• Clinicians who value simplicity: Best for those who want clean charting and messaging.

Expert Picks

The best cloud-based practice software brings scheduling, billing, and records into one secure system — explore what to look for in a modern platform.

A strong private practice EHR should support fast charting and patient communication — see the key features to compare before choosing one.

Great primary care software helps teams manage continuity, intake, and follow-ups — discover the tools that matter most for long-term care delivery.

Elation Health

Elation Health is a popular EHR built for primary care practices that want a more modern, relationship-based approach.

While it isn’t DPC-only, many direct care clinics use it for strong charting, patient engagement, and flexible workflows. 

Key features

• Primary care-focused charting: Built to support long-term patient relationships and continuity.
• Patient communication tools: Messaging and engagement features help care happen between visits.
• Integrated billing options: Supports different payment models, including membership-style care.
• Strong clinical workflows: Includes e-prescribing, labs, referrals, and documentation tools.

Pricing

Elation Health doesn’t publish fixed pricing publicly, but their cost is typically offered through custom quotes based on practice size, provider count, and included services.

According to Reddit users, pricing often starts in the range of $350–$700 per provider per month, depending on the plan and add-ons like billing, patient engagement, or implementation support.

Where Elation shines 

• Built for primary care: Charting and workflows are designed around ongoing patient care.
• Strong clinical depth: Prescribing, labs, and documentation feel complete and reliable.
• Good fit for hybrid models: Works well for clinics mixing DPC and traditional care.

Where Elation falls short

• Not fully DPC-native: Membership billing may require extra setup or external tools.
• Pricing isn’t transparent: Clinics often need a quote to understand total cost.
• Can feel complex for very small practices: Solo DPC doctors may want something lighter.

Customer reviews

“I appreciate how user-friendly Elation is, as it streamlines the process of finding patient’s medical records and scheduling visits with our nurse practitioners and makes the task both easy and efficient.” – Kathy M. (G2)

Who Elation is best for

• Primary care clinics with DPC elements: Teams needing strong clinical tools with flexibility.
• Growing practices: Clinics that want a full-featured system beyond basic charting.
• Hybrid care models: Best for those balancing memberships and traditional workflows.

CareCloud

CareCloud is a cloud-based EHR and practice management platform built for clinics that need both clinical charting and business tools. 

Its product suite includes options like CareCloud Central, Breeze, and Concierge for billing and RCM support.

CareCloud isn’t DPC-only, but it offers scheduling, billing, and patient engagement features that some membership-style practices can adapt for direct care workflows.

Key features

• Cloud-based EHR tools: Supports digital charting, documentation, and patient records.
• Practice management suite: Includes scheduling, revenue tools, and office workflows.
• Patient experience features: Offers portal access, reminders, and engagement tools.
• Integrated billing support: Built for clinics needing full payment and billing workflows.
• Custom templates and reporting: Helps practices tailor documentation and track performance.

Pricing

These are CareCloud’s pricing and tiers according to an independent review site:

Where CareCloud shines

• Full practice platform: Covers EHR, scheduling, and admin tools in one system.
• Strong for larger operations: Better suited for clinics needing robust billing workflows.
• Modern interface: Many users like the clean look and ease of basic navigation.

Where CareCloud falls short

• Not built for DPC-first care: Membership workflows may take extra setup.
• Billing complexity: Some practices report issues with billing support and service.
• Can feel heavy for small clinics: Solo DPC providers may prefer lighter systems.

Customer reviews

“Breeze gives you a clean, easy-to-use, practical and convenient experience that makes using it a delight – for patients and staff. We use it everyday. It is so easy to implement for every user.” – Sydnee A. (G2)

Who CareCloud is best for

• Larger clinics needing full operations support: Practices wanting EHR plus billing and admin tools.
• Hybrid care models: Clinics mixing direct care with traditional workflows.
• Teams needing enterprise structure: Best for groups beyond solo DPC startups.

DrChrono

DrChrono is a flexible cloud-based EHR used by many small practices, including concierge and direct care clinics. 

It combines clinical charting, scheduling, telehealth, and billing tools in one platform. While not built only for DPC, it offers customization that can support membership-style workflows.

Key features

• Custom clinical charting: Templates and workflows can be adapted to fit different practice styles.
• Telehealth tools: Built-in video visits support remote care and follow-ups.
• Patient scheduling: Online booking and reminders help reduce no-shows.
• Mobile-first experience: Strong iPad and app support for providers on the go.

Pricing

DrChrono doesn’t list official pricing publicly, but reports suggest plans start around $249 per provider per month for the entry tier, rise to about $349/month for the mid-level package, and reach roughly $599/month for more advanced features and billing support.

Where DrChrono shines

• Highly customizable: Templates and workflows work well for clinics with unique needs.
• Strong telehealth and mobile tools: Great for modern care delivery outside the office.
• Good for smaller practices: Often used by independent clinics and concierge providers.

Where DrChrono falls short

• Not DPC-native: Membership billing may require extra setup or workarounds.
• Support complaints: Some users report slow customer service responses.
• Costs can rise with add-ons: Advanced features may require higher-tier plans.

Customer reviews 

“It was very user-friendly at the beginning up to 10 years ago. Things went down slightly until their recent sale of the platform to a new company, where it took a downward slide in quality.” – Yasmina E. (Capterra)

Who DrChrono is best for

• Concierge or hybrid clinics: Practices blending direct care with traditional workflows.
• Mobile-first providers: Doctors who want charting and visits on tablets.
• Small practices needing flexibility: Best for teams wanting customization over DPC-native tools.

How to Choose the Best Direct Primary Care EHR

Choosing the right DPC EHR comes down to more than charting. The ideal direct primary care EMR should support memberships, continuity of care, and patient communication without the insurance clutter.

Membership billing is built in

DPC practices rely on predictable monthly revenue, so recurring billing should feel effortless. Look for an EHR that lets you create plans, automate payments, and track membership history without extra tools. 

Pabau supports this with built-in membership management made for subscription-style care.

Want billing that fits the DPC model from day one?👉 Explore Pabau memberships here

Strong patient records for continuity

Direct Primary Care is all about long-term relationships, so your EMR should show the full patient story over time. Notes, labs, prescriptions, and history should stay in one clear timeline. 

Pabau makes this easy with complete patient records designed for ongoing care.

Patient-friendly communication and portal tools

DPC care happens between visits too. The best systems include secure messaging, digital intake, and a portal where patients can view forms, invoices, and updates. 

Pabau supports this with automated follow-ups and a secure patient portal that keeps communication simple.

Looking for an all-in-one EHR built for modern primary care workflows? 👉 Learn more about Pabau here: Book a demo

Stay Compliant & Optimize EHR Handling With Pabau

Choosing the right Direct Primary Care EHR depends on your workflow and growth goals. 

If you want an all-in-one system with memberships, clinical depth, and patient communication, Pabau is a strong fit for scaling primary care teams. 

Smaller solo clinics may prefer simpler tools like Atlas.md or Hint Health. Ready to take the next step? 

Explore Pabau’s direct primary care features or read our guide on EMR vs PMS.