Aesthetics EMR plus lifecycle marketing in one
A capable, documentation-and-marketing-heavy aesthetics platform best for established practices; just go in clear-eyed about premium quote pricing and support feedback.
PatientNow is a medical-aesthetics platform that combines a HIPAA-compliant EMR with practice management and a strong lifecycle-marketing and patient-retention engine. Founded in 2004, it targets med spas, plastic surgery, cosmetic dermatology, weight-loss and wellness practices that need detailed clinical documentation alongside automated email and SMS campaigns to drive repeat visits. The platform integrates photography management through its RxPhoto app, before-and-after imaging, on-screen procedure guides and a consultation center.
Beyond charting, PatientNow leans heavily into growth: KPI dashboards, employee and revenue goal tracking, inventory management, online booking with deposits, automatic waitlists, appointment reminders and secure payment processing. Pricing is quote-only and tends toward the higher end, and customer reviews are mixed, with praise for scheduling and ease of use offset by recurring complaints about support responsiveness and contract/cancellation friction. It suits established, documentation- and marketing-focused practices more than price-sensitive startups.
Ideal customer
Established, documentation- and marketing-driven medical aesthetic practices that want EMR and patient-retention marketing unified.
PatientNow is aimed at established medical aesthetic practices plastic surgery, cosmetic dermatology, med spas, weight-loss and wellness that treat documentation and patient retention as equally important. Operating since 2004, it positions itself not just as an EMR but as a growth platform, pairing clinical charting with a lifecycle-marketing engine. If your practice already runs a steady patient volume and wants one system to chart procedures and automatically win repeat visits, that combination is the core appeal.
The standout is the fusion of clinical and marketing. On the clinical side you get a HIPAA-compliant aesthetics EMR, on-screen procedure guides, a consultation center and robust before-and-after photography through the integrated RxPhoto app one of the more respected imaging tools in aesthetics. On the growth side, PatientNow layers in email and SMS automation, recall and retention campaigns, KPI dashboards and goal tracking, plus online booking with deposits, automatic waitlists and reminders. Reviewers consistently praise the scheduling and ease of day-to-day appointment management. For a documentation-heavy practice that also wants to systematize marketing rather than buy a separate CRM, the breadth genuinely differentiates it.
Two themes recur in user feedback. First, pricing is opaque and skews high there is no published rate card and no public free trial, so you negotiate a custom quote, and the platform is generally not the budget choice. Second, and more concerning, multiple reviewers cite poor support responsiveness and friction around contracts and cancellation. Its aggregate directory rating sits around 3.9 out of 5, respectable but not best-in-class, and the value-for-money and support sub-scores tend to drag. The platform is also comprehensive to the point of being heavy: solo or just-launched spas may find it more system than they need on day one.
PatientNow makes the most sense for mid-size to larger, multi-provider aesthetic and surgical practices that prioritize deep documentation, serious before-and-after imaging and built-in retention marketing, and that have the volume to justify a premium, quote-based platform. Practices that want transparent pricing, a lightweight setup, or a frictionless contract should weigh the support concerns carefully and compare against Boulevard, Pabau and Aesthetic Record. Before signing, get a full written quote, confirm contract length and cancellation terms, and ask pointed questions about onboarding and support SLAs.
By Med Spa Vendor Hub Editorial Team. Last reviewed June 20, 2026. Independent editorial review — how we score.
Pricing is not published; PatientNow requires a sales quote and tends toward the higher end of aesthetics platforms. No public free trial. Verify current pricing and contract terms directly with the vendor.
Custom
Quote-based
Pricing is tailored to practice size, number of providers and selected modules (EMR, marketing, photography). Contact PatientNow sales for a quote and confirm contract length.
Pricing is researched from public sources and verified periodically; confirm current rates with the vendor.
Independent ratings from third-party review platforms, cited with sources. These are not our score.
A layer-by-layer map of the modern med spa software stack—practice management, booking and payments, CRM, AI, imaging, and reputation—plus the all-in-one vs best-of-breed decision, integration strategy, HIPAA requirements, and stacks by practice stage.
A practical, vendor-neutral guide to choosing med spa software—covering all-in-one vs best-of-breed, the capabilities that actually matter for aesthetics practices, pricing, and how to run a smart demo.
Med spa software ranges from about $25/mo for solo calendar tools to custom enterprise quotes. Here's a transparent, vendor-neutral breakdown of real 2026 prices, pricing models, and the hidden costs to budget for.
Practice Management SoftwareAesthetic Record is an all-in-one aesthetics EMR and practice-management platform with charting, telehealth, payments and patient engagement built for med spas.
Practice Management SoftwareA purpose-built aesthetics platform pairing a deep clinical EMR, e-consents, and clinical photography with scheduling, POS, marketing, and HIPAA compliance.
Practice Management SoftwareBoomerangFX is an AI-enabled, all-in-one platform that combines practice management, EMR, digital marketing, patient financing and e-learning for aesthetic and cosmetic medical practices.
