The whole picture
Everything for your practice.
All in one place.
Set up your practice, support your staff, and care for your patients. Explore included tools and optional extras.
See prices and calculate your costIncluded means part of the base practice plan. Patient accounts are free. Add-ons and extra capacity cost more; see pricing. Contractor billing options and outside services have separate terms. Access depends on your role and the patient’s sharing choices.
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Your patient account
Free patient account
FreeSign up without waiting for a practice invitation.
One account across practices
FreeUse the same account with participating practices.
Your daily overview
FreeSee appointments, messages, unfinished tasks, and unpaid bills.
Your health history
FreeFind visits, results, diagnoses, medications, and shared documents.
Record sharing
FreeChoose which practices and people can access your information.
Record activity
FreeSee who viewed your record and what changed.
Profile and contact details
FreeUpdate your details and review each section’s history.
Insurance information
FreeAdd and manage your insurance plans.
Notification preferences
FreeChoose how and where you receive notices.
Family health history
FreeKeep relevant information about health conditions in your family.
Mobile, tablet, and desktop
FreeUse your account on the screen you have with you.
Family, caregivers & collaboration
Family and caregiver access
FreeInvite someone to help and choose what they can see and do.
Acting for a family member
FreeSwitch to someone you help while keeping both records separate.
Cross-practice collaboration teams
FreeBring your doctors, family, and caregivers into one conversation.
Team invitations and membership
FreeInvite participants and manage who belongs to each team.
Shared care plans
FreeDiscuss plans shared with your collaboration team.
Independent practitioner accounts
FreeInvite an outside practitioner without requiring their employer to subscribe.
Team video conferences
FreeJoin a collaboration-team call; hosting follows the practice’s video allowance.
Control over record access
FreeJoining a team does not automatically open your whole record.
Appointments & messages
Book an appointment
FreeChoose from the services and times your practice offers.
Appointment requests
FreeAsk your practice for a visit when approval is needed.
Upcoming and past appointments
FreeCheck visit details and find earlier appointments.
Appointment changes
FreeRequest changes or cancel when your practice allows it.
Video visits
FreeJoin your appointment from your account.
Message your practice
FreeSend questions and read replies in one conversation.
Appointment reminders
FreeReceive reminders using the channels your practice offers.
AI assistant
FreeAsk “When’s my next appointment?” or get help finding a record.
Forms, medications & care plans
Forms and questionnaires
FreeComplete forms your practice sends you.
Save and return
FreeContinue an unfinished questionnaire later.
Update sent answers
FreeMake corrections before your visit starts.
Tasks and checklists
FreeSee what your practice needs you to do and when it’s due.
Send requested files
FreeUpload a document your practice has asked for.
Your medications
FreeReview prescribed medications and medicines you have added.
Care plans
FreeSee your plans and the steps you need to follow.
Health goals
FreeSet goals and follow your progress.
Visit notes and results
FreeRead the information your care providers share with you.
Bills & payments
View your bills
FreeSee charges, payments, and what you still owe.
Pay online
FreePay through your account when your practice offers online payments.
Partial payments
FreePay part of a bill when available and see the remaining balance.
Payment history
FreeReview previous payments and receipts.
Practice setup & administration
Self-service practice setup
IncludedCreate your practice and its first administrator.
Guided setup checklist
IncludedWork through setup and return to unfinished steps.
Practice profile and branding
IncludedManage your name, contact details, and logo.
Multiple locations and services
IncludedOrganize your practice across sites and departments.
Booking settings
IncludedChoose how patients request and book appointments.
Clinician readiness
IncludedSee what a clinician still needs before taking appointments.
Role permissions
IncludedChoose what each role can view and manage.
Practice ownership
IncludedManage ownership and handover from a contractor.
Contractor access
IncludedGive your web or IT contractor access, and remove it anytime.
Close and reopen a practice
IncludedClose your practice account and reopen it when appropriate.
Plan, seats & storage
Subscription management
IncludedReview clinician seats, add-ons, storage, and charges.
Additional clinicians
Paid capacityAdd clinician seats after your first free clinician.
Unlimited non-clinician staff
IncludedAdd reception, billing, and other non-clinician staff without seat fees.
Files and attachments
IncludedStore 5 GB of files per practice.
Extra storage
Add-onAdd capacity in 5 GB blocks.
Appointments & front desk
Appointment calendar
IncludedBook by practitioner, service, location, and available time.
Patient self-booking
IncludedOffer immediate booking, requests for review, or requests without a time.
Appointment details
IncludedKeep visit information and the next action with the appointment.
Rescheduling and cancellation
IncludedHandle changes from the appointment.
Arrivals and readiness
IncludedSee who’s checked in, who’s late, and what’s still needed before the visit.
Patient registration
IncludedFind an existing account or register a patient before booking care.
Duplicate-account review
IncludedReview possible matches and verify identity before connecting accounts.
Pre-visit preparation
IncludedAssign forms, instructions, and document requests before the visit.
Email appointment reminders
IncludedRemind patients about upcoming visits by email.
Text appointment reminders
Add-onRemind patients about upcoming visits by text.
Visits & notes
Practitioner overview
IncludedSee your next patient, visits in progress, and follow-ups.
Rooming and vitals
IncludedRecord measurements and prepare a patient for the clinician.
Visit notes
IncludedWrite, review, and save notes alongside the visit.
Pause visit recording
Add-onPause visit recording when you need privacy.
Ambient AI scribe
Add-on$129 per clinician/month: capture the visit with consent and have a first draft waiting for review. Fair use: 60 minutes per session and 12,800 recorded minutes per clinician each month; no automatic overage charges.
Review before saving
IncludedReview and edit your note before saving, whether typed or prepared by the optional ambient scribe.
Add clinical items from notes
IncludedAkashic reads your note and suggests conditions, medications, and results for the chart. You approve each one. No scribe subscription required.
The patient chart
Patient directory and chart
IncludedFind patients and review their shared history.
Conditions and diagnoses
IncludedReview current conditions and their history.
Observations and results
IncludedRecord and review measurements, findings, and test results.
Allergies and immunizations
IncludedKeep these details in the clinical record.
Medications and prescriptions
IncludedReview medication records and prescribed treatments.
Procedures, devices, and supplies
IncludedRecord clinical procedures and equipment used or requested.
Documents and attachments
IncludedKeep files connected to the patient and relevant care.
Record history
IncludedSee earlier versions, who changed what, and the record as it was at any time.
Standardized health information
IncludedUse and share structured clinical data through HL7 FHIR standards.
Messages & AI assistance
Patient-practice messaging
IncludedKeep patient questions and replies in a secure conversation.
Staff messaging
IncludedFind colleagues and message them from your workspace.
Shared inbox handling
IncludedSee unread messages and which conversations a colleague is handling.
Patient AI assistant
IncludedGive patients help finding appointments and information in their accounts.
Practitioner AI assistant
IncludedAsk about patient information you have permission to see.
Help using Akashic
IncludedAsk the assistant how to find or use a feature.
Answers linked to records
IncludedOpen the information behind an assistant’s answer.
Access-aware assistance
IncludedThe assistant can only use information available to your account.
Collaboration across practices
Family and caregiver access
IncludedWork with the family members and caregivers your patient has authorized.
Cross-practice collaboration teams
IncludedCoordinate with your patient, outside clinicians, and invited caregivers in one team.
Team invitations and membership
IncludedManage invitations and membership for the collaboration teams you participate in.
Shared care plans
IncludedDiscuss a patient’s shared care plans with their collaboration team.
Independent practitioner accounts
IncludedInvite outside practitioners without requiring their employer to subscribe.
Team video conferences
IncludedHost or join a team conference; hosting uses your practice’s video allowance.
Care plans, goals & patient tasks
Care plans
IncludedCreate plans, name the clinicians responsible, and track each activity, including recurring work.
Patient goals
IncludedSet goals and review progress, reached goals, and retired goals.
Assigned tasks
IncludedSend instructions or requests to a patient.
Task lists, priorities and due dates
IncludedShow what is urgent, when it’s due, and what’s already done.
Checklists and packets
IncludedGroup related preparation into a checklist or questionnaire packet.
Document requests
IncludedAsk patients to provide a file with their task.
Saving and editing answers
IncludedPatients can finish a questionnaire later and correct answers before the visit.
Forms & automation
Clinical questionnaire builder
IncludedCreate patient questionnaires without writing code.
Question types and logic
IncludedUse text, numbers, dates and choices, and show questions based on earlier answers.
Clinical field matching
IncludedChoose standard clinical meanings for the information you collect.
Panel imports
IncludedStart from a standard clinical panel and review its questions.
Preview, draft and publish
IncludedTry a form, edit a draft without touching the live one, and choose when it’s available.
Public website forms
IncludedCollect enquiries from people without an Akashic account.
Public-form inbox
IncludedReview enquiries, match patients, and follow up.
Submission notifications
IncludedChoose who is notified about new public-form replies.
Automated assignments
IncludedAssign questionnaires and tasks using timing and assignment rules.
Recurring tasks
IncludedSet up repeated preparation and follow-up.
Video visits
Video appointments
IncludedHost 20 video appointments per practice each month.
Unlimited video hosting
Add-onAdd unlimited hosting for your practice.
Join from the appointment
IncludedOpen the call from the visit rather than a separate meeting app.
Pre-call device checks
IncludedChoose and check your camera and microphone.
Call controls
IncludedManage audio, video, and the call window during a visit.
Host ends the conference
IncludedGive the host control to end the call for everyone.
Referrals
Incoming and outgoing queues
IncludedTrack each referral by patient, practice, and status.
Within your practice
IncludedRefer to a service or practitioner in your organization.
To another Akashic practice
IncludedSend and follow a referral between participating organizations.
To a practice outside Akashic
IncludedPrepare and send a referral through your external delivery setup.
Manual inbound referrals
IncludedAdd referrals received from practices outside Akashic.
Patient and destination matching
IncludedResolve who the referral is for and where it should go.
Contact and follow-up history
IncludedRecord attempts to reach the patient or receiving practice.
Acceptance, refusal, and closure
IncludedTrack the outcome and why a referral could not proceed.
Fax provider setup
External serviceSend through your own supported fax provider account.
Documents and delivery history
IncludedKeep the referral’s files and delivery attempts together.
Laboratory work
Lab orders, in and out
IncludedOrder tests in-house or from another lab, take orders from any practice, and record refusals or changes.
Bench worklist
IncludedSee what needs collecting, processing, review, or release.
Specimen collection
IncludedRecord collection, reject a bad specimen, and request a new one.
Result entry
IncludedRecord results and units, including each test in a panel.
Review, release and delivery
IncludedCheck results, release the report, add corrections later, and keep the delivery history.
Outside lab results
IncludedEnter or attach results from an outside laboratory.
Quality controls
IncludedLog control runs and corrective actions.
Lab catalogues and codes
IncludedSet up your tests, outside laboratories, and matching codes.
Imaging
Imaging orders, in and out
IncludedOrder studies in-house, send and receive them between practices, and handle practices outside Akashic.
Department worklist
IncludedFollow requested studies, scheduling, images, and reports.
Rooms and study scheduling
IncludedChoose when and where a study will take place.
Image upload and viewing
IncludedBring images into the study and open them for review.
Device connections
Setup requiredConnect your imaging equipment so images go straight into the patient’s record.
Reading and reports
IncludedReview studies, write the report, and keep its full history.
Outside reading
IncludedSend studies to an outside reader and track their return.
Billing & patient payments
Billing overview
IncludedSee outstanding balances, payments, and work needing follow-up.
Invoices and line items
IncludedReview each bill’s charges and payment status.
Service pricing
IncludedSet the services and rates your practice uses.
Online patient payments
Add-onAccept payments through your own Stripe account.
Partial payments
Add-onLet patients pay part of a bill and track the balance.
Payment setup and status
Add-onConnect Stripe and see whether payments are ready.
Overdue invoices
IncludedFind unpaid bills and follow up.
Sensitive-care billing privacy
IncludedRestrict clinical details shown to parents and others paying a bill.
Insurance billing exports
IncludedDownload CSV or JSON for manual import into your billing system.
Patient bills and receipts
IncludedGive patients a place to review their bills, payments, and receipts.
Staff & HR
Staff directory
IncludedFind staff and open their profiles.
Staff onboarding
IncludedInvite people and connect existing accounts to your practice.
Roles and responsibilities
IncludedGive each staff member the workspaces they need.
Location and service assignments
IncludedChoose where each person works and which services they support.
Staff schedules
IncludedPlan availability for staff, locations, and services.
Staff profile management
IncludedReview and update work-related staff details.
Multiple roles per person
IncludedUse one account for different responsibilities.
Access management
IncludedChange or end staff access when responsibilities change.
Reports
Appointments and attendance
IncludedReview bookings, attendance, cancellations, and no-shows.
Billing and payments
IncludedReview charges, balances, and collections.
Staff time
IncludedReview recorded staff time for your selected period.
Referral follow-up
IncludedFind referrals waiting for their next step.
Orders and results
IncludedReview outstanding diagnostic work.
Tasks and forms
IncludedSee incomplete preparation and follow-up.
Communication and phone activity
IncludedReview messages, emails, texts, and the phone calls your staff record.
Compliance and access
IncludedReview available access and compliance activity.
Filter, compare, chart and export
IncludedNarrow any report by date and location, compare with earlier periods, see trends, and export or print to PDF.
Marketing & notifications
Email notifications
IncludedReceive practice and patient notices by email.
Communication preferences
IncludedRespect how patients choose to hear from you.
SMS notifications
Add-onEnable texts with monthly and usage-based charges.
Email campaigns
Add-onCreate and send promotional email campaigns.
Campaign audiences
Add-onChoose eligible recipients for your message.
Scheduled campaigns
Add-onPrepare a campaign and choose when it sends.
SMS campaigns
Add-onSend text campaigns with both Campaigns and SMS enabled.
Opt-in and unsubscribe handling
Add-onKeep promotional choices separate from routine care notices.
Campaign reporting
Add-onReview sending, delivery, and failures.
Your website & portals
Hosted patient and staff portals
IncludedUse your practice’s included Akashic web address.
Optional WordPress plugin
OptionalEmbed full patient and staff portals on your own website.
Portal page management
OptionalChoose and manage your WordPress portal pages.
Public forms on your website
IncludedEmbed forms for enquiries and other requests.
Shared accounts across portal addresses
IncludedUse your website or Akashic-hosted portal for the same practice.
Practice web address
IncludedChoose your practice’s Akashic subdomain.
Privacy, access & accountability
Patient-controlled sharing
IncludedManage who can access the patient’s information.
Sensitive-record restrictions
IncludedLimit access to protected information, including sensitive care for minors.
Family and proxy permissions
IncludedGive help without automatically granting access to everything.
Staff access by role
IncludedSeparate viewing, editing, and administrative permissions.
Record authors and change history
IncludedPreserve who made an entry and how it changed.
Access history
IncludedMake record access visible to the patient.
Privacy agreements
IncludedComplete required agreements before taking on access responsibilities.
Account identity checks
IncludedVerify account access and review possible duplicate identities.
Support without unrestricted chart access
IncludedKeep technical support permissions separate from clinical access.
Your contractor account
Contractor profile
FreeCreate an account for an agency, independent developer, or support business.
Contractor staff
FreeChoose which staff have access to each client practice.
Plugin downloads
FreeGet the latest available plugin build for manual installation.
Requests to Akashic support
FreeKeep your own support requests separate from your clients’ tickets.
Your client practices
Client practice list
FreeManage the healthcare practices you support in one place.
Practice enrollment and handover
FreeHelp a practice get started and nominate its owner.
Client-organized support tickets
FreeGroup incoming requests by practice, with unread and unresolved work visible.
Support notification recipients
FreeChoose which assigned staff receive alerts for each client.
Contractor AI assistant
FreeAsk for help before escalating a support request.
Billing your clients
Client subscription overview
FreeSee amounts, due dates, totals, and payment status.
Volume discount visibility
FreeSee your current discount based on active client subscriptions.
Client package pricing
OptionalAdd a percentage or flat markup and your own service line items.
Client invoicing and Stripe payments
OptionalUse your own Stripe account to bill and collect from clients.
Recurring client subscriptions
OptionalOffer recurring billing and auto-pay through Stripe.
Failed-payment handling
OptionalSee failures and follow up on overdue client subscriptions.
