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 cost

Included 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.

Practice setup & administration

  • Self-service practice setup

    Included

    Create your practice and its first administrator.

  • Guided setup checklist

    Included

    Work through setup and return to unfinished steps.

  • Practice profile and branding

    Included

    Manage your name, contact details, and logo.

  • Multiple locations and services

    Included

    Organize your practice across sites and departments.

  • Booking settings

    Included

    Choose how patients request and book appointments.

  • Clinician readiness

    Included

    See what a clinician still needs before taking appointments.

  • Role permissions

    Included

    Choose what each role can view and manage.

  • Practice ownership

    Included

    Manage ownership and handover from a contractor.

  • Contractor access

    Included

    Give your web or IT contractor access, and remove it anytime.

  • Close and reopen a practice

    Included

    Close your practice account and reopen it when appropriate.

Plan, seats & storage

  • Subscription management

    Included

    Review clinician seats, add-ons, storage, and charges.

  • Additional clinicians

    Add clinician seats after your first free clinician.

  • Unlimited non-clinician staff

    Included

    Add reception, billing, and other non-clinician staff without seat fees.

  • Files and attachments

    Included

    Store 5 GB of files per practice.

  • Extra storage

    Add capacity in 5 GB blocks.

Appointments & front desk

  • Appointment calendar

    Included

    Book by practitioner, service, location, and available time.

  • Patient self-booking

    Included

    Offer immediate booking, requests for review, or requests without a time.

  • Appointment details

    Included

    Keep visit information and the next action with the appointment.

  • Rescheduling and cancellation

    Included

    Handle changes from the appointment.

  • Arrivals and readiness

    Included

    See who’s checked in, who’s late, and what’s still needed before the visit.

  • Patient registration

    Included

    Find an existing account or register a patient before booking care.

  • Duplicate-account review

    Included

    Review possible matches and verify identity before connecting accounts.

  • Pre-visit preparation

    Included

    Assign forms, instructions, and document requests before the visit.

  • Email appointment reminders

    Included

    Remind patients about upcoming visits by email.

  • Text appointment reminders

    Remind patients about upcoming visits by text.

Visits & notes

  • Practitioner overview

    Included

    See your next patient, visits in progress, and follow-ups.

  • Rooming and vitals

    Included

    Record measurements and prepare a patient for the clinician.

  • Visit notes

    Included

    Write, review, and save notes alongside the visit.

  • Pause visit recording

    Pause visit recording when you need privacy.

  • Ambient AI scribe

    $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

    Included

    Review and edit your note before saving, whether typed or prepared by the optional ambient scribe.

  • Add clinical items from notes

    Included

    Akashic 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

    Included

    Find patients and review their shared history.

  • Conditions and diagnoses

    Included

    Review current conditions and their history.

  • Observations and results

    Included

    Record and review measurements, findings, and test results.

  • Allergies and immunizations

    Included

    Keep these details in the clinical record.

  • Medications and prescriptions

    Included

    Review medication records and prescribed treatments.

  • Procedures, devices, and supplies

    Included

    Record clinical procedures and equipment used or requested.

  • Documents and attachments

    Included

    Keep files connected to the patient and relevant care.

  • Record history

    Included

    See earlier versions, who changed what, and the record as it was at any time.

  • Standardized health information

    Included

    Use and share structured clinical data through HL7 FHIR standards.

Messages & AI assistance

  • Patient-practice messaging

    Included

    Keep patient questions and replies in a secure conversation.

  • Staff messaging

    Included

    Find colleagues and message them from your workspace.

  • Shared inbox handling

    Included

    See unread messages and which conversations a colleague is handling.

  • Patient AI assistant

    Included

    Give patients help finding appointments and information in their accounts.

  • Practitioner AI assistant

    Included

    Ask about patient information you have permission to see.

  • Help using Akashic

    Included

    Ask the assistant how to find or use a feature.

  • Answers linked to records

    Included

    Open the information behind an assistant’s answer.

  • Access-aware assistance

    Included

    The assistant can only use information available to your account.

Collaboration across practices

  • Family and caregiver access

    Included

    Work with the family members and caregivers your patient has authorized.

  • Cross-practice collaboration teams

    Included

    Coordinate with your patient, outside clinicians, and invited caregivers in one team.

  • Team invitations and membership

    Included

    Manage invitations and membership for the collaboration teams you participate in.

  • Shared care plans

    Included

    Discuss a patient’s shared care plans with their collaboration team.

  • Independent practitioner accounts

    Included

    Invite outside practitioners without requiring their employer to subscribe.

  • Team video conferences

    Included

    Host or join a team conference; hosting uses your practice’s video allowance.

Care plans, goals & patient tasks

  • Care plans

    Included

    Create plans, name the clinicians responsible, and track each activity, including recurring work.

  • Patient goals

    Included

    Set goals and review progress, reached goals, and retired goals.

  • Assigned tasks

    Included

    Send instructions or requests to a patient.

  • Task lists, priorities and due dates

    Included

    Show what is urgent, when it’s due, and what’s already done.

  • Checklists and packets

    Included

    Group related preparation into a checklist or questionnaire packet.

  • Document requests

    Included

    Ask patients to provide a file with their task.

  • Saving and editing answers

    Included

    Patients can finish a questionnaire later and correct answers before the visit.

Forms & automation

  • Clinical questionnaire builder

    Included

    Create patient questionnaires without writing code.

  • Question types and logic

    Included

    Use text, numbers, dates and choices, and show questions based on earlier answers.

  • Clinical field matching

    Included

    Choose standard clinical meanings for the information you collect.

  • Panel imports

    Included

    Start from a standard clinical panel and review its questions.

  • Preview, draft and publish

    Included

    Try a form, edit a draft without touching the live one, and choose when it’s available.

  • Public website forms

    Included

    Collect enquiries from people without an Akashic account.

  • Public-form inbox

    Included

    Review enquiries, match patients, and follow up.

  • Submission notifications

    Included

    Choose who is notified about new public-form replies.

  • Automated assignments

    Included

    Assign questionnaires and tasks using timing and assignment rules.

  • Recurring tasks

    Included

    Set up repeated preparation and follow-up.

Video visits

  • Video appointments

    Included

    Host 20 video appointments per practice each month.

  • Unlimited video hosting

    Add unlimited hosting for your practice.

  • Join from the appointment

    Included

    Open the call from the visit rather than a separate meeting app.

  • Pre-call device checks

    Included

    Choose and check your camera and microphone.

  • Call controls

    Included

    Manage audio, video, and the call window during a visit.

  • Host ends the conference

    Included

    Give the host control to end the call for everyone.

Referrals

  • Incoming and outgoing queues

    Included

    Track each referral by patient, practice, and status.

  • Within your practice

    Included

    Refer to a service or practitioner in your organization.

  • To another Akashic practice

    Included

    Send and follow a referral between participating organizations.

  • To a practice outside Akashic

    Included

    Prepare and send a referral through your external delivery setup.

  • Manual inbound referrals

    Included

    Add referrals received from practices outside Akashic.

  • Patient and destination matching

    Included

    Resolve who the referral is for and where it should go.

  • Contact and follow-up history

    Included

    Record attempts to reach the patient or receiving practice.

  • Acceptance, refusal, and closure

    Included

    Track the outcome and why a referral could not proceed.

  • Fax provider setup

    External service

    Send through your own supported fax provider account.

  • Documents and delivery history

    Included

    Keep the referral’s files and delivery attempts together.

Laboratory work

  • Lab orders, in and out

    Included

    Order tests in-house or from another lab, take orders from any practice, and record refusals or changes.

  • Bench worklist

    Included

    See what needs collecting, processing, review, or release.

  • Specimen collection

    Included

    Record collection, reject a bad specimen, and request a new one.

  • Result entry

    Included

    Record results and units, including each test in a panel.

  • Review, release and delivery

    Included

    Check results, release the report, add corrections later, and keep the delivery history.

  • Outside lab results

    Included

    Enter or attach results from an outside laboratory.

  • Quality controls

    Included

    Log control runs and corrective actions.

  • Lab catalogues and codes

    Included

    Set up your tests, outside laboratories, and matching codes.

Imaging

  • Imaging orders, in and out

    Included

    Order studies in-house, send and receive them between practices, and handle practices outside Akashic.

  • Department worklist

    Included

    Follow requested studies, scheduling, images, and reports.

  • Rooms and study scheduling

    Included

    Choose when and where a study will take place.

  • Image upload and viewing

    Included

    Bring images into the study and open them for review.

  • Device connections

    Setup required

    Connect your imaging equipment so images go straight into the patient’s record.

  • Reading and reports

    Included

    Review studies, write the report, and keep its full history.

  • Outside reading

    Included

    Send studies to an outside reader and track their return.

Billing & patient payments

  • Billing overview

    Included

    See outstanding balances, payments, and work needing follow-up.

  • Invoices and line items

    Included

    Review each bill’s charges and payment status.

  • Service pricing

    Included

    Set the services and rates your practice uses.

  • Online patient payments

    Accept payments through your own Stripe account.

  • Partial payments

    Let patients pay part of a bill and track the balance.

  • Payment setup and status

    Connect Stripe and see whether payments are ready.

  • Overdue invoices

    Included

    Find unpaid bills and follow up.

  • Sensitive-care billing privacy

    Included

    Restrict clinical details shown to parents and others paying a bill.

  • Insurance billing exports

    Included

    Download CSV or JSON for manual import into your billing system.

  • Patient bills and receipts

    Included

    Give patients a place to review their bills, payments, and receipts.

Staff & HR

  • Staff directory

    Included

    Find staff and open their profiles.

  • Staff onboarding

    Included

    Invite people and connect existing accounts to your practice.

  • Roles and responsibilities

    Included

    Give each staff member the workspaces they need.

  • Location and service assignments

    Included

    Choose where each person works and which services they support.

  • Staff schedules

    Included

    Plan availability for staff, locations, and services.

  • Staff profile management

    Included

    Review and update work-related staff details.

  • Multiple roles per person

    Included

    Use one account for different responsibilities.

  • Access management

    Included

    Change or end staff access when responsibilities change.

Reports

  • Appointments and attendance

    Included

    Review bookings, attendance, cancellations, and no-shows.

  • Billing and payments

    Included

    Review charges, balances, and collections.

  • Staff time

    Included

    Review recorded staff time for your selected period.

  • Referral follow-up

    Included

    Find referrals waiting for their next step.

  • Orders and results

    Included

    Review outstanding diagnostic work.

  • Tasks and forms

    Included

    See incomplete preparation and follow-up.

  • Communication and phone activity

    Included

    Review messages, emails, texts, and the phone calls your staff record.

  • Compliance and access

    Included

    Review available access and compliance activity.

  • Filter, compare, chart and export

    Included

    Narrow any report by date and location, compare with earlier periods, see trends, and export or print to PDF.

Marketing & notifications

  • Email notifications

    Included

    Receive practice and patient notices by email.

  • Communication preferences

    Included

    Respect how patients choose to hear from you.

  • SMS notifications

    Enable texts with monthly and usage-based charges.

  • Email campaigns

    Create and send promotional email campaigns.

  • Campaign audiences

    Choose eligible recipients for your message.

  • Scheduled campaigns

    Prepare a campaign and choose when it sends.

  • SMS campaigns

    Send text campaigns with both Campaigns and SMS enabled.

  • Opt-in and unsubscribe handling

    Keep promotional choices separate from routine care notices.

  • Campaign reporting

    Review sending, delivery, and failures.

Your website & portals

  • Hosted patient and staff portals

    Included

    Use your practice’s included Akashic web address.

  • Optional WordPress plugin

    Optional

    Embed full patient and staff portals on your own website.

  • Portal page management

    Optional

    Choose and manage your WordPress portal pages.

  • Public forms on your website

    Included

    Embed forms for enquiries and other requests.

  • Shared accounts across portal addresses

    Included

    Use your website or Akashic-hosted portal for the same practice.

  • Practice web address

    Included

    Choose your practice’s Akashic subdomain.

Privacy, access & accountability

  • Patient-controlled sharing

    Included

    Manage who can access the patient’s information.

  • Sensitive-record restrictions

    Included

    Limit access to protected information, including sensitive care for minors.

  • Family and proxy permissions

    Included

    Give help without automatically granting access to everything.

  • Staff access by role

    Included

    Separate viewing, editing, and administrative permissions.

  • Record authors and change history

    Included

    Preserve who made an entry and how it changed.

  • Access history

    Included

    Make record access visible to the patient.

  • Privacy agreements

    Included

    Complete required agreements before taking on access responsibilities.

  • Account identity checks

    Included

    Verify account access and review possible duplicate identities.

  • Support without unrestricted chart access

    Included

    Keep technical support permissions separate from clinical access.

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Set up your practice

Get your practice and first administrator ready in one signup.

Bring appointments, patient records, messages, and payments together.

Add staff, locations, and services as your practice grows. Choose the tools and access each team needs.

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Your health

Your record stays with you.

Keep appointments, messages, and records from participating practices in one account.

Sign up even if you do not have a practice on Akashic yet. Choose who can help with your care and what you share.

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Independent practitioners

Join your patient’s care without a practice subscription.

Accept an invitation to a collaboration team and view the records shared with you. Your employer does not need to use Akashic.

Create your free account and profile before you receive an invitation. Complete the required privacy agreement before accessing patient information.

Open the practitioner workspace

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Support your healthcare clients in one place.

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Help practices get started, choose which staff support each client, and manage subscriptions you pay for.

Create your contractor account without setting up a healthcare practice.

Open the contractor workspace