Eleos vs Upheal vs Blueprint: Best AI Notes for Therapists in 2026

Therapy notes are the worst part of the job nobody warns you about in grad school: an hour with a client becomes another 20 minutes of documentation. AI note-takers promise to give you that time back, but the three names every therapist hears — Eleos, Upheal, and Blueprint — are built for different buyers, priced on different planets, and handle your clients’ protected health information very differently.

Eleos is the enterprise answer for behavioral health organizations. Upheal is the value pick for solo therapists and small groups. Blueprint is the flexible one — pay per session, keep your existing EHR. By the end of this comparison you’ll know exactly which one matches your practice size, your caseload, and your comfort with how each handles session data.

Quick verdict

Solo therapist or small group keeping your current EHR: Upheal at $39/month flat for unlimited sessions is the value pick — nothing else touches that price at a full caseload. Part-time therapist or variable caseload: Blueprint at $0.99 per session wins, because you pay nothing in a slow month. Large agency or community behavioral health organization: Eleos is the enterprise answer, quote-only and built for org-level oversight. If data privacy is your deciding factor, read the HIPAA section before choosing — the three handle recordings and training data very differently.

At a glance

Eleos: the enterprise behavioral health platform

Best for: large agencies, community mental health centers, and SUD treatment organizations that need documentation plus oversight.

Eleos isn’t competing for the solo therapist — it’s what large behavioral health organizations buy when documentation is only half the problem. Its Polaris AI drafts progress notes in real time, flags evidence-based techniques, and surfaces themes and follow-ups; the other half of the pitch is organizational: supervision support, quality measurement, and analytics across hundreds of clinicians, with hands-on implementation and deep EHR integration.

The privacy architecture is Eleos’s strongest selling point. Eleos states that it analyzes audio in real time, does not generate a transcript, does not save audio, and stores only the text needed for the note — the cleanest “nothing to breach” story in this comparison. The nuance: Eleos may retain de-identified audio to improve accuracy, handled by its clinical review team, so the privacy story is excellent but not absolute.

Pricing: No public pricing. You request a demo and receive a custom organization-level quote — no self-serve plan, no per-seat list price, no free trial published. Budget for an enterprise sales cycle and an implementation project, not a credit-card signup.

Use cases:

• Community mental health centers documenting across large clinician teams with supervision requirements
• SUD and residential treatment organizations needing compliance-grade documentation and oversight analytics
• Group practices where leadership wants organization-level quality measurement, not just faster notes

Pros:

• Cleanest privacy story: no transcript generated, audio never saved, only note text stored
• Purpose-built for behavioral health — technique detection and clinical themes, not generic transcription
• Organization-level analytics, supervision support, and measurable time savings reported by agency leaders
• Deep EHR integration with hands-on implementation support

Cons:

• Quote-only enterprise pricing with no transparent entry point for small practices
• Heavier rollout — oriented to organizations, more than a small group needs
• May retain de-identified audio to improve accuracy, which privacy-maximalist buyers should know
• Poor fit for solo therapists: the sales motion and contract assume an organization

Try Eleos

Upheal: the solo practitioner’s value pick

Best for: solo therapists and small groups who want unlimited AI notes at a flat price — with or without Upheal as their EHR.

Upheal sells two things. AI Notes ($39/month flat, unlimited sessions) layers onto whatever EHR you use: real-time transcription, draft notes in 30+ templates (SOAP, DAP, GIRP, BIRP, EMDR), plus session analytics — talk-time ratios, emotional tone, topic tracking — that no rival matches at this price. The EHR plans add scheduling, telehealth, client portal, payments, and billing, and a free plan covers unlimited typed/dictated notes with HIPAA-compliant telehealth.

Compliance posture is solid: HIPAA and PHIPA compliant, SOC 2 certified, and Upheal signs BAAs with covered entities. On retention, session recordings are deleted automatically after transcription unless you choose to save them. The honest knocks come from independent testing: reviewers report speaker mix-ups in couples and family sessions, invented details in the “Notable Mentions” panel, and per-member group notes plus minor-client support are still on the roadmap. For standard one-on-one sessions, though, the core progress note rates well. (We covered the broader clinical documentation market separately in our best AI medical scribe software roundup.)

Pricing: AI Notes $39/mo flat (unlimited sessions); free plan ($0 — unlimited typed/dictated notes, telehealth); EHR $1/session; EHR Pro $99/mo (unlimited sessions with Assistant Pro).

Use cases:

• Solo therapists keeping their existing EHR who want the cheapest unlimited notes available
• Small groups that value session analytics (talk-time, sentiment trends) for clinical insight
• Telehealth-heavy practices that can use the built-in HIPAA-compliant video and skip a separate Zoom subscription

Pros:

• $39/month flat for unlimited sessions is the best value at any caseload above ~10 sessions a week
• Real-time transcription plus session analytics nobody else offers at this price
• Free plan covers unlimited notes and telehealth — enough to evaluate seriously
• BAA available; HIPAA, PHIPA, and SOC 2 compliance documented

Cons:

• Speaker attribution struggles in couples and family sessions; “Notable Mentions” can invent details — always review before signing
• No per-member group notes, supervision notes, or minor-client support yet
• Model-training data policy isn’t published on its marketing pages — ask in writing if it matters to your consent process

Try Upheal

Blueprint: the flexible per-session option

Best for: part-time therapists, variable caseloads, and anyone who refuses to switch EHRs.

Blueprint is built for therapists who won’t switch EHRs: a browser extension puts its AI next to whatever system you use — pull client context in, paste the finished note back, migrate nothing. Pricing is the most flexible here: $0.99 per session on credits that never expire (no minimum, no contract), or $69 per seat per month unlimited. Five free sessions, no card; an all-in-one EHR at $1.49 per session is optional.

Clinically, Blueprint’s differentiator is couples work: it produces three separate notes from one session — one per partner plus relational dynamics — a detail nobody else publishes. Thirteen built-in formats cover intake, SOAP, BIRP, DAP, GIRP, EMDR, case management, and psychiatric evaluations, plus PROM-based outcome tracking (PHQ-9, GAD-7). Security holds up: AES-256 encryption, SOC 2 Type 2, HIPAA and PHIPA compliance, a published BAA, permanent audio deletion once transcription finishes, and help collecting client consent.

The flag to know about: Blueprint’s data-use terms permit de-identified data use for model development — broader than the “never trains on your data” impression its marketing gives. Reviewers also report occasional transcription and attribution errors that need editing, and outcome visibility depends on clients actually completing questionnaires.

Pricing: $0.99/session alongside your EHR (credits never expire) or $69/seat/mo unlimited; all-in-one EHR $1.49/session; Enterprise custom.

Use cases:

• Part-time therapists and variable caseloads — pay per session, pay nothing in slow months
• Practices committed to their current EHR that want AI notes without migration
• Couples therapists — the three-note workflow is unique in this comparison

Pros:

• Most flexible pricing: per-session credits never expire, no minimum, no contract
• Couples workflow (three notes per session) nobody else offers
• Published BAA, SOC 2 Type 2, and permanent audio deletion after transcription
• Outcome measures (PHQ-9, GAD-7) built into the clinical workflow

Cons:

• Data-use terms permit de-identified data for model development — read the terms, not just the marketing
• Transcription and speaker-attribution errors reported; notes need review before signing
• Progress insight depends on client-completed questionnaires rather than session content

Try Blueprint

Head-to-head: the four dimensions that actually decide

1. HIPAA posture: BAA, retention, and training data

This is the dimension to weight first, because PHI is non-negotiable and the three vendors genuinely differ:

• BAA availability: Blueprint publishes its BAA; Upheal signs BAAs with covered entities; Eleos handles it in the enterprise contract. All three clear the bar — but only Blueprint and Upheal are buyable by a solo practice without a legal department.
• Recording retention: Eleos never saves audio and generates no transcript (strongest). Blueprint permanently deletes audio once transcription finishes. Upheal deletes recordings automatically after transcription unless you choose to save them. All three are defensible; Eleos’s is the simplest story to explain to a client.
• De-identified data for model training: this is where marketing gets slippery. Eleos may retain de-identified audio to improve accuracy. Blueprint’s terms permit de-identified data use for model development. Upheal’s policy isn’t published on its marketing pages. If the training-data question matters to your informed-consent process, get the answer in writing before you sign — don’t rely on a homepage claim.

Winner on privacy: Eleos for the “nothing stored” architecture — but only if you’re an organization buying at its scale. For solo practices, Blueprint edges Upheal on published terms.

2. Per-session cost math at real caseloads

Monthly sessions ≈ sessions per week × 4.33:

Two takeaways. First, Upheal wins on pure price at every caseload above about 10 sessions a week — $39 flat is simply the cheapest unlimited-notes deal in therapy AI. Second, Blueprint’s per-session pricing beats its own $69 seat below ~70 sessions a month (~16 a week) — the cheapest option of all for part-timers: ~$34/month at 8 sessions a week, and nothing when you take August off. Eleos doesn’t compete on this axis at all — it’s an organizational purchase where per-session math is the wrong frame.

3. Workflow fit: alongside, all-in-one, or enterprise platform

Blueprint is the best “alongside” tool for therapists who won’t leave their EHR. Upheal’s AI Notes plan plays the same role, but Upheal also wants to be your EHR ($1/session or $99/mo Pro) — the better deal if you’re choosing both at once. Eleos is neither: a documentation-and-oversight layer for organizations, bought with an implementation plan. If recording quality is your bottleneck rather than note-writing, our Otter vs Rev vs Descript transcription comparison covers accuracy in detail.

4. Note quality and multi-speaker handling

For standard one-on-one sessions, all three produce solid drafts — independent testing rates Upheal’s core progress note well-written. The differences show up at the edges: Upheal struggles with speaker attribution in couples and family sessions (a real limitation if that’s your practice), Blueprint built its couples workflow specifically for that case, and Eleos sidesteps transcripts entirely by analyzing audio in real time.

Final verdict

• Solo therapist or small group, keeping your EHR → Upheal. $39/month flat for unlimited sessions is the best value in the category, the free plan lets you evaluate properly, and the session analytics are a genuine differentiator.
• Part-time or variable caseload → Blueprint per-session. At $0.99 a session with credits that never expire, it’s the cheapest option under ~16 sessions a week and costs nothing in a slow month.
• Couples-heavy practice → Blueprint. The three-notes-per-session workflow has no equivalent elsewhere.
• Large agency or community behavioral health org → Eleos. Quote-only, implementation-heavy, and the only one built for supervision and organization-level quality measurement — plus the strongest privacy architecture.
• Data-driven clinicians who love session analytics → Upheal. Talk-time ratios and sentiment trends across sessions remain unmatched at this price.

How we compared

We weighted HIPAA posture first — BAA availability, recording retention, and model-training data policy — because a note-taker that mishandles PHI fails regardless of price. Second came real per-session cost at 10, 20, and 30 sessions per week, computed from published pricing rather than headline rates. Third was workflow fit: whether the tool works alongside your EHR, replaces it, or demands an enterprise rollout. Pricing checked against the vendors’ pricing pages and independent reviews in October 2026; confirm before you buy.

Frequently asked questions

Is Upheal HIPAA compliant?

Yes. Upheal states it is HIPAA and PHIPA compliant, holds SOC 2 certification, acts as a Business Associate, and will sign a BAA with covered entities. Session recordings are deleted automatically after transcription unless you choose to save them. As with any tool handling PHI, get the current BAA in place before clinical use.

What is the cheapest AI note-taker for a solo therapist?

At a full caseload, Upheal’s AI Notes plan at $39/month flat for unlimited sessions is the cheapest. For part-time therapists seeing fewer than ~16 sessions a week, Blueprint’s $0.99-per-session pricing is cheaper still (about $34/month at 8 sessions a week), and you pay nothing in months you don’t use it.

Does Eleos record therapy sessions?

Eleos analyzes session audio in real time but states it does not generate a transcript and does not save audio — it stores only the text needed for the draft note. It may retain de-identified audio to improve accuracy, handled by its clinical review team. There is no public self-serve plan; pricing is a custom organization-level quote.

Do these tools train AI models on my session data?

It varies, and the marketing is thinner than it sounds. Eleos may retain de-identified audio to improve accuracy. Blueprint’s data-use terms permit de-identified data use for model development. Upheal’s model-training policy isn’t published on its marketing pages. If this matters to your informed-consent process, get the vendor’s answer in writing rather than relying on homepage claims.

Can I use Blueprint without switching EHRs?

Yes — that’s its main selling point. Blueprint’s browser extension runs alongside your existing EHR at $0.99 per session (credits never expire, no monthly minimum), so you pull client context in and paste the finished note back without migrating anything. Its all-in-one EHR at $1.49 per session is optional.