Pros 
It's an extremely basic EHR and you end up paying extra for practically every add on, including electronic lab ordering, prescription ordering and texting.
Cons 
Whenever customer service is needed, this has been the worst EHR I've ever dealt with. They took my payment for a migration, let three months go by, ignored my messages and eventually told me it wasn't their problem that the work still hadn't been completed. On top of that, they never provided a status update or any real explanation for why the service I paid for wasn't done. I ended up switching to another EHR and it's been much better. Charm used to be decent but it has really declined and is now the most expensive option for no good reason especially with subpar features and customer service.
Pros
Right from the start, the interface feels very accessible and that makes handling patient charts and scheduling feel smooth. I really appreciate that it's a complete, cloud based solution with everything in one place. The patient portal is also a major benefit since it makes communication and document sharing much simpler and that has noticeably boosted both our practice's efficiency and patient engagement.
Cons
At the beginning, the sheer number of features can feel a little overwhelming. The customization options are definitely valuable but they do take some upfront time to configure the way you want. Once that initial setup is out of the way though, the system works very well.
Pros
Working with this software has been a positive experience for small to mid sized clinics. The interface is easy, with simple layouts that are quick to learn and easy to understand. It also feels dependable when it comes to privacy since patient information is stored securely. As a student nurse, I see patient confidentiality as something extremely important so that part matters a lot. Managing patients is also very convenient because health histories, reports, notes, summaries and prescriptions can all be added or updated without much hassle. The patient portal is clear and uncomplicated as well making it easier for patients to view their own records. On the scheduling side, staff can create, cancel or reschedule appointments in just a few clicks and patients can book online too which saves time and helps with overall organization.
Cons
That said, I have run into slowdown issues a few times. When loading larger files or charts, the system tends to lag and that can be frustrating. I can see this becoming a bigger problem for busy clinics during rush periods. Support could also use some improvement since responses sometimes take longer than expected. On top of that, while CharmHealth starts out affordable, the cost can climb if a clinic needs additional features to expand the platform.
Pros
One thing that worked well was the pricing model since it charges per note instead of requiring a monthly fee. It also let me customize appointment notes and keep documents on file to send to patients which was useful.
Cons
Biggest problem was that the electronic prescribing for controlled substances was not renewed correctly and the support team was completely ineffective. I spent the last three months calling, emailing and even chatting with AI, putting in hours of communication just trying to get this fixed. On top of that, repeated mistakes from Charm's engineers caused more than three months of serious disruption to my practice. Requests were ignored, promised follow up calls and emails never happened and even after all this time there still has not been an appropriate response to the service interruption. There was no accountability or sense of responsibility at any point.
Pros
The built in EHR integrations really help keep workflows organized and efficient. Setup is easy and the system is simple to navigate from the start.
Cons
A limitation is that patients only seem to be able to see part of their full summary instead of the entire record. It would also be better if they could upload documents without having to click "ok" to share each time.
Pros
The platform is simple to use and customize and I really love the FullScript integration. On paper, the Quest labs integration is also something I'm very excited about.
Cons
I've been running into issues with the Quest integration and so far no one has been able to help troubleshoot it. The telemed provider is also pricey and the connection is never reliable or stable.
Pros
There was a time when I liked this product a lot more than I do now. The online scheduling used to be a feature I really appreciated but the captcha problems kept getting in the way for patients trying to book appointments. At this point, they end up calling the office instead which is the exact opposite of what online scheduling is supposed to accomplish.
Cons
Support has been extremely frustrating to deal with. Since the team is based in India, it often takes more than three days to get any help. When someone finally responds, the answers are only somewhat helpful and nothing actually gets resolved. I even spoke with a supervisor recently about my login issues and they showed no real concern for how it was affecting my practice. It honestly felt like they had no interest in keeping me as a client.
Pros
Pricing is much lower than a lot of other EMR systems but it really feels like you get what you pay for.
Cons
Customer support is basically nonexistent. Whenever help is needed and you call, they almost never resolve anything and just tell you to send an email to support which takes 24 to 48 hours to get a reply. I was even locked out of my account and nobody could fix it for several days.
Pros
The evaluation and therapy templates are fully customizable which is definitely useful. It also comes with a lot of analytics and that part was a nice plus.
Cons
Client flow feels very disjointed and the system doesn't seem like it was built with therapists in mind. Some documents included strange subsections that couldn't be edited which made them frustrating to use. A lot of the EMR settings also felt heavily geared toward MD/PCP workflows rather than SLP needs.
Pros
From the start, this software felt very user friendly, with lots of features and clear, transparent pricing. They keep improving the platform by adding more functionality for both providers and patients which has been really valuable. The system integrations work very well too and getting everything set up was easy. There are also plenty of helpful how to videos on YouTube.
Cons
The only downside is that support could be a little more friendly and engaging.
