How to choose an EHR for a naturopathic practice

Written by
Practice Better
Practice Better Editorial Team
Published on
October 14, 2026

What should naturopathic doctors look for in an EHR?

Start with what your license lets you prescribe, because prescribing scope for naturopathic doctors varies by state and the board that licenses you is the source for it. If your license includes prescribing, your EHR needs e-prescribing inside the client chart, which Practice Better's e-prescribing guide recommends "to reduce double documentation and data entry errors." If it does not, the choice turns on supplement protocols, lab orders, charting, and billing.

Key takeaways

  • Your state license decides whether e-prescribing belongs on your list. Ask the board that licenses you before you shortlist anything.
  • Prescriptions and supplements travel through two separate channels: an e-prescribing service sends scripts to a pharmacy, and a dispensary integration lets clients order supplements from your protocol.
  • Lab integrations differ by country, plan, and the client's state. Check each one against where you and your clients live.

Do naturopathic doctors need e-prescribing software?

A naturopathic doctor needs e-prescribing software when their state license grants prescriptive authority and they plan to use it. Practice Better's ePrescribe FAQ states that only credentialed prescribing practitioners can send prescriptions.

Prescribing scope for naturopathic doctors varies by state, so confirm yours with the board that licenses you before you pay for an add-on. If you see clients in more than one state, you need a valid license in each state where you practice (source).

Do naturopathic doctors need EPCS?

A naturopathic doctor needs Electronic Prescribing of Controlled Substances (EPCS) only when their state license allows controlled-substance prescribing and they plan to prescribe those drugs. Practice Better's ePrescribe supports controlled-substance workflows "if you have the proper credentials (e.g. EPCS)," per its ePrescribe FAQ.

EPCS pairs with a second add-on. The Prescription Drug Monitoring Program (PDMP) add-on lets you review what controlled substances a client has already been prescribed before you write a new one (DrFirst integration). Check controlled-substance authority with the board that licenses you before you enroll in either.

What features should you look for in e-prescribing software for a naturopathic practice?

Look for e-prescribing that lives inside your chart, matches your state scope, and handles the per-state setup that comes with your license. Practice Better's guide to choosing e-prescribing software covers the general criteria, such as interaction alerts and prescription tracking. The table below covers the questions that follow from state licensing.

Question for the vendorWhy it matters to a naturopathic doctor
Does e-prescribing run inside the client chart?You avoid entering the same prescription twice (source)
Is EPCS available, and do you need it?It only matters if your state license allows controlled-substance prescribing. Confirm with the board that licenses you
Is PDMP access integrated?Practice Better's DrFirst page says some states require a physical practice address to qualify for integrated PDMP access (source). Ask this first if you run a telehealth-only practice
Are onboarding fees charged per state?Practice Better's ePrescribe page lists PDMP's one-time $399 onboarding fee "per practice per state" (source)

For the case for moving off paper scripts, see the benefits of e-prescribing for small private practices.

How do you send prescriptions electronically as a naturopathic doctor?

You send prescriptions electronically through e-prescribing software that creates the prescription and transmits it to your patient's chosen pharmacy (source). In Practice Better, you set up and use e-prescribing through the DrFirst integration, following the DrFirst integration page:

  1. Start ePrescribe from Practice Better's integration settings, and choose ePrescribe alone or with PDMP.
  2. Add each provider's details. Practice Better's support team then reaches out with next steps.
  3. Verify your identity through DrFirst's ID.me process. Providers enrolled in EPCS complete extra verification steps.
  4. Open DrFirst from the client record. Once approved, you open it from a client's Medical History or Client Hub.
  5. Close the DrFirst window when you finish. Prescriptions and updates sync back to Practice Better automatically.

Can Practice Better e-prescribe for naturopathic doctors?

Practice Better e-prescribes for credentialed prescribers based in the U.S. Its ePrescribe feature is powered by DrFirst, is HIPAA-compliant and DEA/EPCS-ready, checks for drug interactions, allergies, and dosage issues, and replaces "handwritten scripts, clunky portals, and pharmacy callbacks," in the page's words.

ePrescribe is a paid add-on available on all paid plans. The DrFirst integration page lists it at $49 per practitioner per month plus a one-time $99 per-practitioner onboarding fee, with PDMP at an extra $5 per practitioner per month plus a one-time $399 per-practice, per-state onboarding fee. Onboarding fees are non-refundable.

Know the limits before you sign up. The DrFirst page states each of these:

  • You need a new DrFirst account. Accounts created directly with DrFirst are not compatible with the integration.
  • PDMP takes time. The page puts PDMP setup at six to eight weeks, depending on your state, and approval is not guaranteed.
  • Integrated PDMP can depend on a physical address. If you are denied, you can still look up a patient's PDMP record on your state's PDMP website.

How should an EHR handle supplement protocols?

An EHR should let you build a supplement protocol in the chart and let your client order from it without a second system. Practice Better's Protocols hold food, supplement, and lifestyle recommendations, save as reusable templates, produce a client-friendly supplement chart, and integrate with online dispensaries so clients can fulfill your recommendations.

The dispensary you connect depends on where you practice:

  • Fullscript: practitioners in the U.S. and Canada, free to connect on any paid Practice Better plan. You build the protocol in Practice Better and your client completes the purchase through Fullscript's checkout.
  • WholeScripts: practitioners in the U.S. on the Starter plan and up.
  • The Natural Dispensary: practitioners and clients in the UK.

If your protocols include botanical products, check that your dispensary's catalog carries the ones you recommend. A dispensary order goes through the dispensary's checkout, while a prescription goes through DrFirst to a pharmacy, so plan for both channels if you use both.

How should an EHR handle lab orders?

An EHR should let you order a lab from the client record and get results back into the same chart. Practice Better connects lab ordering through Fullscript Labs, Rupa Health, and Evexia Diagnostics, and each has its own availability rules:

Lab integrationWhere it is availablePractice Better planResults in the chart
Fullscript LabsU.S. practitioners onlyPaid plansOrder from a client's record; results appear in Practice Better, with private or shared notes
Rupa HealthU.S. practitionersStarter plan and upCompleted results sync automatically; annotations stay private until you share them
Evexia DiagnosticsU.S. and Canada; unavailable for clients in New Jersey, New York, and Rhode IslandStarter plan and upResults sync automatically; choose clinician-pay or patient-pay per order

If you see clients across state lines, check each client's state against these limits.

What else belongs on a naturopathic EHR checklist?

Beyond prescribing, supplements, and labs, check charting and billing against how you run visits.

  • Charting formats. Note templates come in SOAP, ADIME, DAP, and BIRP, or you build a custom format, and you can attach protocols, labs, and tasks to session notes (charting). If your first visits run long, build a template sized for them and test it in the trial.
  • Note drafting. The AI Charting Assistant records, transcribes, and summarizes telehealth, Zoom, and in-person sessions (charting). Practice Better's customer story on one naturopathic practice reports that before AI, building a single patient plan took the practitioner at least 30 minutes (customer story).
  • Billing for cash-pay and insurance. You can collect upfront, take deposits, schedule payment plans, offer sliding-scale pricing, and accept HSA and FSA cards, and you can check eligibility and submit claims through the Claim.MD integration for U.S. customers (billing and insurance).

For the wider argument on fit, read why you shouldn't use a generic EHR for alternative medicine. If your practice leans functional medicine, the sibling guide on how to choose an EMR for a functional medicine practice goes deeper on demos and protocol versioning.

Which naturopathic practices can skip e-prescribing?

A naturopathic practice can skip e-prescribing when its license carries no prescriptive authority, or when it has no plan to prescribe. In both cases, judge the EHR on protocols, dispensary fit, labs, charting, and billing.

Location changes the list too. Practice Better's ePrescribe serves U.S.-based practitioners only, and Fullscript Labs and Rupa Health are U.S.-only. A practice in Canada can still use the Fullscript dispensary and Evexia labs.

Where can you compare Practice Better with Practice Fusion, CharmHealth, and OptiMantra?

Practice Better publishes a side-by-side comparison page for each of the three: Practice Better vs Practice Fusion, Practice Better vs CharmHealth, and Practice Better vs OptiMantra.

Take your licensing board's answer on prescribing scope into the trial, and see Practice Better for naturopathic doctors for the platform overview. Start a free trial and set up only what your license and location call for: ePrescribe if you prescribe, the dispensary for your country, and a lab service that covers your clients' states.

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How to choose an EHR for a naturopathic practice

What should naturopathic doctors look for in an EHR?

Start with what your license lets you prescribe, because prescribing scope for naturopathic doctors varies by state and the board that licenses you is the source for it. If your license includes prescribing, your EHR needs e-prescribing inside the client chart, which Practice Better's e-prescribing guide recommends "to reduce double documentation and data entry errors." If it does not, the choice turns on supplement protocols, lab orders, charting, and billing.

Key takeaways

  • Your state license decides whether e-prescribing belongs on your list. Ask the board that licenses you before you shortlist anything.
  • Prescriptions and supplements travel through two separate channels: an e-prescribing service sends scripts to a pharmacy, and a dispensary integration lets clients order supplements from your protocol.
  • Lab integrations differ by country, plan, and the client's state. Check each one against where you and your clients live.

Do naturopathic doctors need e-prescribing software?

A naturopathic doctor needs e-prescribing software when their state license grants prescriptive authority and they plan to use it. Practice Better's ePrescribe FAQ states that only credentialed prescribing practitioners can send prescriptions.

Prescribing scope for naturopathic doctors varies by state, so confirm yours with the board that licenses you before you pay for an add-on. If you see clients in more than one state, you need a valid license in each state where you practice (source).

Do naturopathic doctors need EPCS?

A naturopathic doctor needs Electronic Prescribing of Controlled Substances (EPCS) only when their state license allows controlled-substance prescribing and they plan to prescribe those drugs. Practice Better's ePrescribe supports controlled-substance workflows "if you have the proper credentials (e.g. EPCS)," per its ePrescribe FAQ.

EPCS pairs with a second add-on. The Prescription Drug Monitoring Program (PDMP) add-on lets you review what controlled substances a client has already been prescribed before you write a new one (DrFirst integration). Check controlled-substance authority with the board that licenses you before you enroll in either.

What features should you look for in e-prescribing software for a naturopathic practice?

Look for e-prescribing that lives inside your chart, matches your state scope, and handles the per-state setup that comes with your license. Practice Better's guide to choosing e-prescribing software covers the general criteria, such as interaction alerts and prescription tracking. The table below covers the questions that follow from state licensing.

Question for the vendorWhy it matters to a naturopathic doctor
Does e-prescribing run inside the client chart?You avoid entering the same prescription twice (source)
Is EPCS available, and do you need it?It only matters if your state license allows controlled-substance prescribing. Confirm with the board that licenses you
Is PDMP access integrated?Practice Better's DrFirst page says some states require a physical practice address to qualify for integrated PDMP access (source). Ask this first if you run a telehealth-only practice
Are onboarding fees charged per state?Practice Better's ePrescribe page lists PDMP's one-time $399 onboarding fee "per practice per state" (source)

For the case for moving off paper scripts, see the benefits of e-prescribing for small private practices.

How do you send prescriptions electronically as a naturopathic doctor?

You send prescriptions electronically through e-prescribing software that creates the prescription and transmits it to your patient's chosen pharmacy (source). In Practice Better, you set up and use e-prescribing through the DrFirst integration, following the DrFirst integration page:

  1. Start ePrescribe from Practice Better's integration settings, and choose ePrescribe alone or with PDMP.
  2. Add each provider's details. Practice Better's support team then reaches out with next steps.
  3. Verify your identity through DrFirst's ID.me process. Providers enrolled in EPCS complete extra verification steps.
  4. Open DrFirst from the client record. Once approved, you open it from a client's Medical History or Client Hub.
  5. Close the DrFirst window when you finish. Prescriptions and updates sync back to Practice Better automatically.

Can Practice Better e-prescribe for naturopathic doctors?

Practice Better e-prescribes for credentialed prescribers based in the U.S. Its ePrescribe feature is powered by DrFirst, is HIPAA-compliant and DEA/EPCS-ready, checks for drug interactions, allergies, and dosage issues, and replaces "handwritten scripts, clunky portals, and pharmacy callbacks," in the page's words.

ePrescribe is a paid add-on available on all paid plans. The DrFirst integration page lists it at $49 per practitioner per month plus a one-time $99 per-practitioner onboarding fee, with PDMP at an extra $5 per practitioner per month plus a one-time $399 per-practice, per-state onboarding fee. Onboarding fees are non-refundable.

Know the limits before you sign up. The DrFirst page states each of these:

  • You need a new DrFirst account. Accounts created directly with DrFirst are not compatible with the integration.
  • PDMP takes time. The page puts PDMP setup at six to eight weeks, depending on your state, and approval is not guaranteed.
  • Integrated PDMP can depend on a physical address. If you are denied, you can still look up a patient's PDMP record on your state's PDMP website.

How should an EHR handle supplement protocols?

An EHR should let you build a supplement protocol in the chart and let your client order from it without a second system. Practice Better's Protocols hold food, supplement, and lifestyle recommendations, save as reusable templates, produce a client-friendly supplement chart, and integrate with online dispensaries so clients can fulfill your recommendations.

The dispensary you connect depends on where you practice:

  • Fullscript: practitioners in the U.S. and Canada, free to connect on any paid Practice Better plan. You build the protocol in Practice Better and your client completes the purchase through Fullscript's checkout.
  • WholeScripts: practitioners in the U.S. on the Starter plan and up.
  • The Natural Dispensary: practitioners and clients in the UK.

If your protocols include botanical products, check that your dispensary's catalog carries the ones you recommend. A dispensary order goes through the dispensary's checkout, while a prescription goes through DrFirst to a pharmacy, so plan for both channels if you use both.

How should an EHR handle lab orders?

An EHR should let you order a lab from the client record and get results back into the same chart. Practice Better connects lab ordering through Fullscript Labs, Rupa Health, and Evexia Diagnostics, and each has its own availability rules:

Lab integrationWhere it is availablePractice Better planResults in the chart
Fullscript LabsU.S. practitioners onlyPaid plansOrder from a client's record; results appear in Practice Better, with private or shared notes
Rupa HealthU.S. practitionersStarter plan and upCompleted results sync automatically; annotations stay private until you share them
Evexia DiagnosticsU.S. and Canada; unavailable for clients in New Jersey, New York, and Rhode IslandStarter plan and upResults sync automatically; choose clinician-pay or patient-pay per order

If you see clients across state lines, check each client's state against these limits.

What else belongs on a naturopathic EHR checklist?

Beyond prescribing, supplements, and labs, check charting and billing against how you run visits.

  • Charting formats. Note templates come in SOAP, ADIME, DAP, and BIRP, or you build a custom format, and you can attach protocols, labs, and tasks to session notes (charting). If your first visits run long, build a template sized for them and test it in the trial.
  • Note drafting. The AI Charting Assistant records, transcribes, and summarizes telehealth, Zoom, and in-person sessions (charting). Practice Better's customer story on one naturopathic practice reports that before AI, building a single patient plan took the practitioner at least 30 minutes (customer story).
  • Billing for cash-pay and insurance. You can collect upfront, take deposits, schedule payment plans, offer sliding-scale pricing, and accept HSA and FSA cards, and you can check eligibility and submit claims through the Claim.MD integration for U.S. customers (billing and insurance).

For the wider argument on fit, read why you shouldn't use a generic EHR for alternative medicine. If your practice leans functional medicine, the sibling guide on how to choose an EMR for a functional medicine practice goes deeper on demos and protocol versioning.

Which naturopathic practices can skip e-prescribing?

A naturopathic practice can skip e-prescribing when its license carries no prescriptive authority, or when it has no plan to prescribe. In both cases, judge the EHR on protocols, dispensary fit, labs, charting, and billing.

Location changes the list too. Practice Better's ePrescribe serves U.S.-based practitioners only, and Fullscript Labs and Rupa Health are U.S.-only. A practice in Canada can still use the Fullscript dispensary and Evexia labs.

Where can you compare Practice Better with Practice Fusion, CharmHealth, and OptiMantra?

Practice Better publishes a side-by-side comparison page for each of the three: Practice Better vs Practice Fusion, Practice Better vs CharmHealth, and Practice Better vs OptiMantra.

Take your licensing board's answer on prescribing scope into the trial, and see Practice Better for naturopathic doctors for the platform overview. Start a free trial and set up only what your license and location call for: ePrescribe if you prescribe, the dispensary for your country, and a lab service that covers your clients' states.

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