Canadian data residency. Canadian pricing. Canadian compliance.
SimplePractice is a popular US-based platform. For Canadian mental health practitioners, that means US data hosting, USD pricing, no Canadian insurance eClaims, and no PIPEDA/PHIPA compliance claim. Grace is the purpose-built Canadian alternative.
The quick verdict
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SimplePractice stores all data in the United States. Grace keeps your data in Canada with no foreign jurisdiction exposure.
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Grace is AI-native with agentic intelligence woven through documentation, scheduling, billing, and workflows — all included. SimplePractice added AI as a paid add-on.
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Grace is built exclusively for Canadian mental health professionals with full bilingual EN/FR support. SimplePractice is a US platform with no French and no Canadian insurance eClaims.
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Grace offers Canadian insurance eClaims, CAD billing, and privacy designed to support PHIPA & PIPEDA. SimplePractice offers none of these.
The data residency question
When your clients’ most sensitive mental health records — session notes, diagnoses, treatment plans — are stored in a foreign jurisdiction, they become subject to that country’s laws.
For US-hosted data, this includes the US CLOUD Act, which can compel disclosure of data even when it belongs to non-US citizens. SimplePractice recommends that Canadian practitioners disclose to clients that personal health information is stored in the United States.
SimplePractice
- All data hosted in the United States
- Subject to the US CLOUD Act
- Designed for US HIPAA law, not Canadian privacy laws
- Recommends practitioners disclose US storage to clients
Grace
- All data hosted in Canada
- No foreign jurisdiction exposure
- Designed to support PHIPA & PIPEDA
- Canadian company, Canadian team
Why Canadian therapists choose Grace
SimplePractice is built for the US market. Grace is designed from the ground up for Canadian mental health professionals.
Canadian by Design
Grace is a Canadian company with Canadian data residency, Canadian insurance eClaims, and CAD pricing. SimplePractice is US-based with US data hosting, US insurance billing, and USD pricing. For Canadian practitioners, this means no currency conversion, no foreign data jurisdiction, and tools built for your regulatory landscape.
AI-Native Agentic Intelligence
Grace is AI-native — agentic intelligence prepares you before sessions, drafts clinical notes, transcribes with consent, and stages follow-through tasks. All included. SimplePractice offers an AI add-on focused on transcription, but it’s not woven into the practice — it’s a bolt-on to a legacy platform.
Built for Mental Health
SimplePractice serves therapists, dietitians, speech therapists, and other wellness professionals. Grace is built exclusively for mental health — psychologists, psychotherapists, counsellors, and social workers. Every template, workflow, and design choice reflects the specific needs of therapeutic practice.
Feature-by-Feature Comparison
Feature
Grace
Canadian, Mental Health
SimplePractice
US-Based, General Wellness
Comparison based on publicly available information as of March 2026. SimplePractice is a registered trademark of SimplePractice, LLC. Features and pricing may vary. Confirm specifics in your demo.
AI under clinician control
Grace is built with an agentic AI architecture — an intelligence layer across the entire practice: preparation, documentation, transcription, organization, and follow-through. All under clinician control. SimplePractice’s AI is a single bolt-on feature on a legacy US platform.
All AI outputs are drafts
No autonomous clinical decisions
No billing without clinician approval
No recording without explicit consent
Clinician controls which clients and sessions use AI
Which tool is right for you?
Consider SimplePractice if...
- You are based in the United States
- You need US insurance billing (ERA) and ePrescribe
- You want a native mobile app (iOS/Android)
- US data residency is acceptable for your practice
- You want a large established company (~600+ employees)
Consider Grace if...
- You practice in Canada and need Canadian data residency
- You need Canadian insurance eClaims
- You need PIPEDA/PHIPA-aligned privacy practices
- You want agentic AI woven through your entire practice
- You need bilingual English/French support
Frequently Asked Questions
SimplePractice is HIPAA-compliant, which is a US law. The platform does not claim PIPEDA or PHIPA compliance. With data stored in the United States, Canadian practitioners should evaluate whether this meets their provincial regulatory obligations.
No. All SimplePractice data is stored in the United States. SimplePractice recommends that Canadian practitioners include a disclosure informing clients that their data is stored in the US.
Yes. Grace offers migration support for practices switching from SimplePractice or other practice management systems. Contact our team to discuss your transition plan.
No. SimplePractice’s insurance billing is US-only. Canadian practitioners would need to submit claims through a separate system.
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