HIPAA Texting for TherapyNotes Users

TherapyNotes handles your clinical record. Here is how to add SMS-based client texting with a dedicated work number and after-hours auto-reply.

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The short answer

TherapyNotes is a strong clinical documentation platform, but TherapyPortal messaging requires clients to log in with email, DOB, and a password. BloomText works alongside TherapyNotes to handle the communication that needs to reach clients over SMS. Clients reply from their phone with no login required.

Capability comparison

BloomText vs TherapyNotes

Messaging capability comparison between BloomText and TherapyNotes
CapabilityBloomTextTherapyNotes
Two-way SMSPatients reply by secure chat via SMSIncludedNot included
Group threadsStaff and patients in one conversationIncludedNot included
Broadcast messagingReach many patients at onceIncludedNot included
No app or login requiredWorks from any phone, no download neededIncludedNot included
Portal or app messagingPatients log in to a portal to messageNot includedIncluded
One-way SMS remindersAutomated appointment notificationsNot includedIncluded
Self-serve pricingPublished rates, no sales call neededIncludedIncluded
No long-term contractMonth-to-month, cancel anytimeIncludedIncluded

The gap TherapyNotes users describe

TherapyNotes excels at clinical documentation, scheduling, and billing. TherapyPortal handles intake forms and structured messaging. The gap is the same as with other mental health platforms: quick, time-sensitive messages that clients need to see immediately. The three-step portal login is too much friction for a two-sentence check-in.

What TherapyNotes users need alongside their EHR

SMS-based delivery so clients see messages on their phone. A dedicated work number. After-hours auto-reply. And organizational ownership of conversations. See what makes texting HIPAA compliant for the full compliance requirements.

How BloomText fills the gap

BloomText gives TherapyNotes users a dedicated number for client texting. Clients receive a secure link over SMS, tap it, and reply. After-hours auto-reply handles incoming messages outside business hours. Conversations are retained, searchable, and exportable.

TherapyNotes stays the system of record. BloomText handles the communication layer. There is no integration required.

Every plan includes a signed BAA, including the free plan. See pricing for current plans.

Add client texting to TherapyNotes — start free

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Frequently Asked Questions

Does BloomText replace TherapyNotes?
No. TherapyNotes remains your clinical documentation and billing platform. BloomText adds SMS-based client texting.
Do clients need to download an app?
No. Clients receive secure links over normal SMS and reply from any phone.
Can I export conversations?
Yes. BloomText lets you export any conversation. Staff place the exported file in the client's record according to your organization's workflow.
Does BloomText include a BAA?
Yes. A signed Business Associate Agreement is included on every plan, including the free plan.

Sources

Last verified August 27, 2026.

  1. TherapyPortal messaging — TherapyNotes Help Center