Aesthetic Record vs. PatientNow: Picking the Right Med Spa EMR
Both chart injectables and laser treatments. The real question is whether you want charting bundled with marketing tools you might already own, or charting bundled with your existing e-signature workflow.
Aesthetic Record $300/mo vs. PatientNow $350/mo — the real question is what's already bundled elsewhere in your stack
Pricing and integration data for medical spa EMR and charting platforms.
Aesthetic Record and PatientNow both serve the same 2-50 employee range, which is unusual for a head-to-head comparison — team size doesn't do the deciding work here the way it does for booking platforms. The real fork is what each one bundles alongside charting, and whether that bundle duplicates something you already pay for elsewhere in the stack.
Aesthetic Record: $300/mo — charting and consent, built to stand alone
Aesthetic Record's charting covers injectable and laser treatment notes with before/after photo tracking and digital consent forms, and it's the only one of the two that connects natively to DocuSign — meaning consent signatures land in the same e-signature system the practice already uses for vendor contracts and HR paperwork, instead of a separate, EMR-only signing flow. The tradeoff: it doesn't bundle marketing tools, so RepeatMD and Mailchimp stay separate line items.
PatientNow: $350/mo — charting bundled with marketing
PatientNow charts the same treatments but bundles its own photo and marketing tools on top, positioning itself as fewer vendors to manage. The failure mode is straightforward: a practice that's already running RepeatMD ($400/mo) for membership marketing and Mailchimp ($65/mo) for email ends up paying for a third, overlapping marketing layer inside PatientNow's $350/mo — worth checking exactly what PatientNow's bundle replaces before assuming you need both.
Feature comparison
| Feature | Aesthetic Record | PatientNow |
|---|---|---|
| Monthly cost | $300 | $350 |
| Team size range | 2-50 employees | 2-50 employees |
| Injectable/laser charting | ||
| Before/after photo tracking | ||
| Native DocuSign integration | ||
| Bundled marketing tools |
Consent and photo documentation are the liability core of a med spa EMR decision.
If consent-form audit trails matter to your liability strategy, check whether they need to live in the same e-signature system as the rest of the practice's documents — that's the one integration difference between these two that a features list won't show you.
The actual decision rule
Checking what a 'bundled' feature actually replaces is worth doing before you assume it's free.
- Consent-form documentation and photo audit trails are central to your liability strategy: Aesthetic Record's DocuSign integration is worth the lower price and the dedicated tool.
- Already running RepeatMD and Mailchimp for retention marketing: PatientNow's bundle is likely redundant — verify before paying for it twice.
- Not yet running any retention marketing platform: PatientNow's bundled tools can substitute for a standalone RepeatMD subscription, at least initially.
- Running Boulevard or Mangomint for booking: both EMRs integrate natively with either platform, so this decision doesn't move that choice either way.
Running RepeatMD and Mailchimp already: Aesthetic Record at $300/mo avoids paying for PatientNow's overlapping marketing bundle. Not running any retention marketing yet: PatientNow's $350/mo can substitute for a standalone tool, at least for now.
Questions to ask before choosing a med spa EMR
- Do we already pay for a retention-marketing platform that PatientNow's bundle would duplicate?
- Does our consent-form workflow need to share an e-signature system with the rest of the practice's paperwork?
- Who audits before/after photo storage and consent records today, and does that change under either platform?
- What does migrating chart history cost if we switch platforms after this decision?
Our engine ranks these purely on your marketing stack and consent-workflow needs against the vertical data above — it has no visibility into which vendor pays the biggest affiliate bounty. Run the free audit to see which EMR path fits your med spa.