Every session tells you whether it's working.
Presence+ is complete practice management — scheduling, documentation, telehealth, claims. Underneath all of it, an outcome score and an alliance score from every single session. In a feature-to-feature comparison it matches TherapyNotes, Blueprint and SimplePractice. The measurement is the part they don't have.
Twenty-six screens. One login. Scoped to your role.
A coach sees the ORS/SRS pair and goals. A psychologist adds clinical instruments and insurance billing. The software enforces scope of practice; nobody relies on the honor system.
The measure is the spine of the record
The ORS goes out before the session and the SRS after it. Both land on the roster, the client detail, and the same row as the invoice — so a declining score is impossible to miss and impossible to leave uncosted.
Calendar & Scheduler
Sessions, personal appointments, and booking forms that arrive with consent and a first ORS attached.
Calendar · Planner · SchedulerDocumentation
SOAP, DAP, or a mentoring format — signed and locked. Intake, consent, and release of information included.
Notes · Ministry FormsSessions & telehealth
Video and in-person on one scheduler, with recording, transcription, and the chart open beside the call.
Sessions · Groups · ConversationBilling & insurance
Claims through to paid, Stripe Connect payouts at rates you set, packages, 1099-NEC export.
Billing · Claims · PaymentsSchola, Courses, and the things you build
A retrieval corpus of 163 curated voices sits beside the session. Thirty-four CCMMP courses from Divine Mercy University sit in the same window — and a course builder, a scale builder, and a marketplace let you publish your own and be paid for it.
Schola · Courses · Library · Scale Builder · Cross ConnectMy Clients
The roster sorts by who needs you. Trend, last score, alliance, and status on every row.
Roster · Client detail · RequestsRoles & audit
Role-scoped access, PHI access logging, and an audit row for every permission change.
Roles · Compliance · Data PortingA therapist who learns on Tuesday that a client is getting worse shouldn't wait for the quarterly review.
Give a client a four-item outcome measure at each session, watch the trajectory, and dropout falls while outcomes improve. Thousands of clinicians already do this on paper. Presence+ puts it in the record, plots it against the clinical cutoff, and tells you when someone drifts off track.
- Ninety seconds, twice a session.The ORS asks how life is going; the SRS asks how the session went. Both are measurable before the client leaves the room.
- Alliance is the other half.The strongest predictor of dropout is a falling outcome score alongside a damaged alliance — so the SRS sits next to the ORS, not in a drawer.
- Paper still works.Print the age-appropriate form, scan the batch back in, and the reader takes the four marks and matches the client. Anything it isn't sure of goes to a review queue.
Psychologists hold a license to give a diagnosis. Eighty percent of clients aren't looking for one.
Coaches, spiritual directors, active listeners, and ministers fill that gap every day. They work on the same platform, in the same interface — with the instruments and the language their role actually permits. Referral moves a person up or down the spectrum without losing the record.
Active listening
Peer accompaniment. Sessions, goals, and a shared journal.
ORS · SRSCoaching
Wins / Working on / Next step notes. No intake evaluation, by design.
ORS · SRSSpiritual direction
Direction, not treatment. A video meeting here is not telehealth.
ORS · SRSCounseling
DAP notes, treatment plans, claims, clinical instruments.
+ PHQ-9 · GAD-7Clinical psychology
Full licensed scope: diagnosis, planning, documentation, risk.
+ PHQ-9 · GAD-7Clinical instruments unlock only for verified clinicians. On an unverified account the columns are absent — not empty, not greyed. Gated, not hidden data.
A coach whose client returns six consecutive scores below the cutoff gets a referral prompt, not a warning they can dismiss — with the clinicians in their network who are accepting clients, and a warm-handoff draft ready to send. When the referral completes, the new clinician inherits the measurement history. Nothing is retold from scratch.
How that compares to the alternativesTwo thousand years of the Church on the human person — now a third chair in the room.
Sacred figures, the Magisterium, the cited authors of the philosophical tradition, and ninety-two Divine Mercy University contributors, indexed passage by passage. Ask it in the pause between one sentence and the next, and it returns what a voice actually brings to this hour, an intervention to consider, and a way to rehearse it.
- Retrieved and cited, not invented.Every answer carries its source. The corpus is the point; the model is the index.
- Scoped to the chair you sit in.A licensed clinician gets clinical input. A coach gets a reflective prompt and psychoeducation, never treatment.
- Convene a council.One voice from each source type, consulted at once — the whole memory of the corpus in a single pause.
Responsibility for any clinical decision stays with the licensed clinician.
What's included, and what's metered.
Session notes are table stakes, so we include them. The things nobody else in the category sells are where we charge. Nothing in this list is a surprise on an invoice.
- ✓Guide — AI help using the platform. Free on every plan, always. It never bills.
- ✓AI Session Notes — recording, transcription, and the drafted note, plus treatment plans and summaries. Included with every billing seat, up to 100 sessions per practitioner per month.
- ✓AI Executive Assistant — 20 tasks a month on Solo, 60 on Pro, 150 on Plus.
- ✓Schola retrieval — the corpus, scoped to your role, with citations.
- $Extra Assistant tasks — $1.00 each beyond the allowance. One task is one approved plan, however many records it touches. Abandoned or failed tasks are never charged.
- $Insurance claims — passed through at our clearinghouse cost, currently $0.25 per claim, itemized on every invoice. No markup. The rate falls as our volume grows and you get the reduction automatically. Resubmitting a denied claim is never charged.
- $Insight Engine — $79/month. Ask your numbers anything: profitability drivers, retention, utilization, no-show patterns, and benchmarking against comparable practices. Unlimited questions, no per-analysis charge.
The meter starts at plan approval, never at intent. "Could you reschedule this afternoon?" is Guide until a plan is accepted. AI drafts are never auto-signed.
Feature parity was the entry fee, not the argument.
We studied the tools and features of every major practice management product and built one that matches them. Then we added the four things that only exist because of the university behind us.
| Typical practice management | AI documentation tools | Presence+ | |
|---|---|---|---|
| Scheduling, notes, telehealth, claims | Yes — the category standard | Notes only | Yes, at parity |
| Outcome measure every session | Available as an add-on, rarely used | No | ORS and SRS in the workflow, on the roster, next to the fee |
| Alliance measure | No | No | SRS beside the ORS, with a healthy-alliance threshold |
| Response to a stalling client | None automated | None — the plan is a static file | An alert on the morning panel, and a referral prompt once the pattern holds |
| Courses that move between helper and client | No | No | 34 CCMMP courses, assignable, plus a builder and a marketplace |
| Insurance claims | Bundled into the subscription price | Not offered | Passed through at our cost, itemized, no markup |
| A model of the human person | None | None | The CCMMP — and it decides what counts as improvement in the first place |
Comparison reflects our own product review of the category as of August 2026. Verify anything that matters to your decision — we would rather you check.
Courses that move between the helper and the person served.
Take a CCMMP formation course in your practice interface. Build a six-lesson course of your own in the builder. Assign it to a client, or publish it to the marketplace and let a parish license it — and be paid for the work. One course library sits behind every door on the platform.
- From Divine Mercy University.Twenty-five years of training Catholic clinicians in the integration of Catholic anthropology, taught by the faculty who wrote it.
- Badges that mean something.PCOMS certification, session milestones, and feedback-informed practice levels — earned, not self-reported.
- Or none of it.The formation library is there when you want it. The practice management works exactly the same if you never open it.
Per practice. Telehealth is not an add-on.
No setup fee, no per-claim markup, no paid upgrade for video. Every plan includes one billing seat; extra seats are $45 a month each.
Solo Practitioner
For an independent clinician running their own caseload.
- Practice management, notes, and telehealth
- ORS, SRS, and the outcome dashboard
- AI Session Notes on every seat
- 20 Executive Assistant tasks a month
- Insurance claims at our clearinghouse cost
- DMU course access for admins
- 5 admin accounts
Team Pro
For a group practice with shared scheduling and supervision.
- Everything in Solo Practitioner
- DMU courses for admins and practitioners
- 60 Executive Assistant tasks a month
- Administrative oversight & supervision tools
- Admin financial oversight and reporting
- Private-label dashboard · bulk seat purchasing
- Communication audit logs · 10 admin accounts
Team Plus
For practices that want the platform under their own brand.
- Everything in Team Pro
- 150 Executive Assistant tasks a month
- White-label website with custom branding
- Private-label mobile app, iOS and Android
- Your own branded CCMMP portal
- Sell your courses to other practices
- Unlimited admin accounts
Ask your numbers anything. Profitability drivers, retention and repeat-visit rates, utilization, no-show patterns — and benchmarking against comparable practices. Unlimited questions.
Practice simulation. Rehearse clinical conversations in a safe environment before you are in the room with a real client. Same price on every plan.
Plans include courses for admins on Solo, and for admins and practitioners on Pro and Plus. Add this to extend course access to every member of the organization, at any tier.
Annual billing is ten months for twelve on every recurring line — seats and add-ons included. Practices start with a 30-day trial; billing details are collected at checkout, not signup. SAVE2027 adds a free month on top of the trial and applies to the plan line only — seats and add-ons bill normally.
Records belong to the people they describe.
Every role created, edited, assigned, or overridden writes a row to the audit log, and reading that log is itself a gated permission. Clinical instruments unlock only when a licence is verified. AI drafts a note; a human signs it.
- Portable by consent.When a client moves on, they can take their measures and intake forms with them — and you decide, per transfer, whether your session notes go too.
- Organizations see aggregates, never content.A practice or a parish that covers a clinician's seat sees that care is offered and used. It never sees what happened inside a session.
- Nothing fails open.Enabling payments or clinical capability without an available seat fails closed, by design.
Bring your practice over this month.
Thirty days free, no card at signup, and a real person on the setup call. If the measurement doesn't change how you work, nothing else here matters — so start with that.