By DK, Riverd Founder. Last updated: 2026-10-20.
If you are shopping for massage therapy software with SOAP notes, the question is rarely "does it have notes?" Almost everything does. The questions that decide it are what the notes cost, whether you can write them on your phone between clients, whether there is a body map, and, now that AI note tools are everywhere, whether the software records your session to write the note.
This post compares four options a solo Licensed Massage Therapist (LMT) is likely to shortlist, with prices taken from each vendor's own pricing page on 2026-09-22. It covers what each plan includes for notes, where AI fits, and where each tool, including Riverd, falls short.
Which massage software has SOAP notes built in?
Massage software with SOAP notes built in includes MassageBook, ClinicSense, Noterro, and Riverd. MassageBook puts basic SOAP notes on its $20 Transition plan and premium notes on Practice. ClinicSense and Noterro include clinical notes on their entry plans. Riverd lets you write session notes on every plan, including the free Brook plan, and every plan can format them into SOAP with Reed · AI, using the plan's monthly AI credits.
Here is how the entry points compare. Prices are as of September 2026, monthly unless noted, and link to the vendor's page so you can check them yourself.
| Tool | Cheapest plan with notes, and its price |
|---|---|
| Riverd | Brook, free up to 20 appointments/mo, session notes and AI SOAP formatting with monthly AI credits. River adds more credits and 50 appointments/mo: $39/mo billed annually, or $59 monthly |
| MassageBook | Transition, basic SOAP notes: $20/mo ($15 for AMTA members). Premium SOAP notes on Practice, $59/mo. 30-day trial |
| ClinicSense | Lite, SOAP notes and intake forms, up to 20 appointments/mo: $39/mo, or $35.75/mo billed annually. 14-day trial |
| Noterro | Core, charting and clinical notes: $33/mo, or $28.05/mo billed annually. 14-day trial |
On AI help: Riverd's Reed · AI formats the summary you type (every plan, using AI credits), Noterro sells Noterro Scribe as voice-to-chart notetaking billed in credits, and neither MassageBook nor ClinicSense lists AI note help on its pricing page. Of the four, only Riverd lists a free plan; the others offer trials.
Two honest notes on the table. ClinicSense and Noterro are charting-first tools with structured clinical note templates, and that is a real strength if you document for insurance or work with referring physicians. Riverd's session notes are a single notes box on each session that Reed can format into Subjective, Objective, Assessment, and Plan; there are no separate template fields to fill. MassageBook, meanwhile, bundles a mobile app and a pre-built website into Transition. For the full cost picture, including card processing and text reminders, see how much massage therapy software costs in 2026.
What should SOAP note software do for a solo massage therapist?
For a solo practice, SOAP note software should do five things well. Everything else is extra.
- Attach the note to the session. You should never have to search for which visit a note belongs to.
- Show the history on the client's record. Before a returning client arrives, the last Plan line should be one tap away.
- Keep notes private from the client. Your clients may have a login to book or check appointments, and it should never show them your notes.
- Work on the device you actually use between sessions. For most LMTs that is a phone.
- Let you mark the body. Circling a trigger point is faster than describing it.
In Riverd, notes live on the session screen, and every session's notes show on that client's Sessions tab. Session notes are private to you and are never shown to the client. What a good note should contain is covered in our SOAP notes template for returning clients, and if speed is the problem, how to write SOAP notes faster has a five-minute routine.
Can I write SOAP notes on my phone between sessions?
Yes, in most massage software you can write SOAP notes on your phone between sessions. MassageBook includes a mobile app on every plan. Riverd works in your phone's browser with no app to download, and the session notes box works the same on a phone as on a computer. The one exception in Riverd is the Patient Book drawing canvas, which needs a tablet or computer.
The practical test is the ten minutes between clients. Open the session you just finished, type three or four lines while the details are fresh, and move on. If your software makes you find the client, then the date, then a separate charting screen, you will put the note off until 9pm, and the 9pm note is the one with the missing details. Riverd's mobile layout keeps the notes on the session itself for that reason.
Do AI SOAP notes record the session?
Some AI SOAP note tools record the session and some do not. Jane's AI Scribe add-on can "record sessions live or dictate notes after sessions," and Noterro Scribe is sold as voice-to-chart notetaking. Riverd's AI works only from the summary you type after the session. There is no microphone, no recording, and no transcription.
This matters more in massage than in most clinical settings. A treatment room is quiet on purpose, clients talk about their bodies and sometimes their lives, and many would not expect a device to be listening. A recording also raises consent questions you would need to settle with each client and under your state's rules before the first session.
Recording has a real upside too: it can capture detail you would otherwise forget. If you value that, Jane and Noterro offer it. If you would rather keep the room quiet, typing a two-sentence summary and letting the AI structure it gets you most of the time savings. On any Riverd plan, you type something like "Neck tight on the left, worked upper traps and levator 20 min, rotation better at end, stretch at home, back in 2 weeks," and Reed formats it into a SOAP note for you to review and edit. You are the author of every note; the AI only arranges your words. Want to see the output first? Try the free SOAP note generator, which needs no account.
Can I draw on a body map in massage software?
Yes. In Riverd, the Patient Book gives you ten anatomical pages (male and female bodies from the front, back, left, and right, plus close-ups of the hands and feet) with a pen, arrows, shapes, and text labels. Brook includes up to 3 saved books across all your clients; River and Fjord include unlimited books.
Each book can be linked to a session and stays private to you. Two limits to know before you rely on it: the drawing tools need a tablet or a computer, and books do not export to PDF yet. If your insurer or a referring physician needs a printable chart, check that before you commit to any tool, Riverd included.
How to choose, by the way you practice
- Mostly cash-pay relaxation and maintenance work, under 20 sessions a month. Riverd Brook covers notes, booking, body maps, and AI SOAP formatting for $0. You would pay when you want more than 20 sessions a month, text reminders to US and Canadian mobile numbers, or more AI credits.
- You already rely on the MassageBook directory for new clients. Staying may make sense, since the directory is part of what you pay for. Budget for Practice ($59/mo) if you want premium SOAP notes and intake forms.
- You document for insurance or work with physicians. A charting-first tool like ClinicSense or Noterro, with structured templates, is worth the extra cost.
- You want AI help but no recording. Riverd, on any plan. Brook is free, and River, at $39/mo billed annually, adds more AI credits and text reminders to US and Canadian mobile numbers.
Whichever you pick, the NCBTMB Standards of Practice ask certificants to "maintain adequate progress notes for each client session," and your state board may ask for more. Software makes the note easier to write. It does not decide what goes in it.
If you already have a listing in the Riverd directory, you can find your massage therapist listing and claim it, so the page links to your own booking page. You can see everything else Riverd does on the massage therapy software page, or browse more in the practice growth hub.
Key Takeaways
- MassageBook, ClinicSense, Noterro, and Riverd all include SOAP or clinical notes; the differences are price, templates, and AI.
- Of the four, only Riverd lists a free plan on its pricing page: up to 20 appointments a month, with session notes and body maps included.
- Some AI note tools record the session; Riverd works only from what you type, with no microphone, recording, or transcription.
- Check export options before you commit: Riverd's Patient Book does not export to PDF yet.
This is for informational purposes only and does not constitute medical or legal advice. Documentation and record-keeping requirements vary by state, so check with your licensing board.
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