Cash-pay psychiatric care is one of the fastest-growing segments of the clinical mental health market. Ketamine therapy, functional psychiatry, integrative approaches, and concierge psychiatric care all operate on a direct-pay model that needs different software than traditional insurance-billed psychiatry. Brooke was built for this workflow.
Patients are increasingly choosing cash-pay psychiatric services over insurance-dependent care. The growth is driven by ketamine therapy for treatment-resistant depression, functional psychiatry that addresses root causes through metabolic and hormonal approaches, and concierge psychiatric care that offers direct access without insurance delays.
IV ketamine has become the most widely adopted cash-pay clinical psychiatric treatment available. Clinics treating depression, PTSD, anxiety disorders, and OCD with ketamine infusions run a six-session protocol model that is fundamentally different from a traditional psychiatric appointment. The EHR must be built around infusion-based care, not a 50-minute talk session.
Functional psychiatrists address mood and cognitive disorders through metabolic assessment, nutritional intervention, hormone optimization, and targeted supplementation. Cash-pay practices in this space operate outside the insurance billing model and need an EHR that handles clinical documentation, treatment records, and direct checkout without an insurance layer.
Cash-pay psychiatric care has a distinct set of documentation and workflow requirements. These are the features Brooke was built to cover for psychiatric practice types operating outside the insurance-billing model.
Psychiatric treatments like ketamine infusions are delivered in protocols, not isolated appointments. A six-session infusion series for a depression patient requires session-by-session documentation that shows protocol progress, patient response, and clinical notes in a format that is auditable from first session to last. Brooke's Treatment Records module tracks each session against the full protocol.
A cash-pay psychiatric procedure requires a documented good faith exam, patient consent, and physician oversight before treatment begins. These elements belong inside the chart, not in an external compliance folder. Brooke builds GFE templates, state-specific compliance workflows, and tamper-proof audit trails into the core workflow.
Ketamine and supporting medications require lot number documentation for liability protection. If a batch recall occurs, the psychiatric clinic needs to trace which patients received medication from that lot without searching through a separate logbook. Brooke captures lot numbers inside every treatment record automatically.
A cash-pay psychiatric patient intake covers mental health history, current medications, prior psychiatric treatment, contraindications, and treatment goals. Brooke's digital intake forms are completed before the first appointment, creating a complete patient profile in the chart before the first clinical encounter.
A ketamine series for a psychiatric condition is typically priced as a package. A patient paying for six sessions may pay in full at intake, split across sessions, or pay session by session on a card on file. Brooke handles all of these at the point of care in the same screen as the chart. The chart closes when the payment runs.
Ketamine therapy is one of eight specialties Brooke was built around. The clinical workflow for a ketamine psychiatric practice maps directly onto the platform's core modules.
Each infusion session is logged against the full psychiatric protocol. Clinical notes, delivery details, dosage, patient response, and session status are recorded per visit. A psychiatrist reviewing a patient before maintenance infusions sees the full series history in one chart view.
GFE templates, physician review workflows, and consent documentation are built into the chart. Every patient entering a ketamine psychiatric protocol has a complete compliance record before the first infusion runs. Audit trails are automatic and tamper-proof.
A full six-session protocol is booked at intake, with automated reminders before each session. Patients who miss a session in a psychiatric protocol may lose treatment momentum. Automated reminders close that gap without manual follow-up from the front desk.
Every treatment record captures the lot number for every medication administered. Ketamine clinic liability documentation depends on this record being accurate and retrievable. Brooke captures it inside the treatment record, not in a side log.
Ketamine, IV supplies, and supporting medications are tracked automatically with lot-level visibility. Low-stock alerts trigger before the clinic runs out. Usage analytics identify waste at the treatment level.
Patient-reported outcomes and progress measures at series intervals belong in the treatment record alongside clinical notes. Brooke attaches documentation fields to every treatment record, creating a longitudinal psychiatric care record for each patient.
Brooke supports the full range of cash-pay psychiatric and psychiatric-adjacent service lines. Each maps onto the same core workflow: intake, documentation, scheduling, inventory, and checkout.
Depression, PTSD, anxiety disorder, and OCD treated with IV ketamine infusion protocols. Series tracking, GFE compliance, lot capture, and package checkout all apply directly to this practice type.
Cash-pay psychiatry addressing metabolic, nutritional, and hormonal contributors to mood disorders. Treatment records, intake history, and direct checkout handle the clinical and billing workflow without an insurance layer.
Integrative psychiatric practices combining medication, lifestyle, nutritional, and procedural approaches. Cash-pay workflows, treatment documentation, and point-of-care checkout apply to any integrative psychiatric service line.
Direct-pay concierge psychiatry with package or membership pricing. Brooke's package billing, card-on-file checkout, and scheduling tools support the concierge model directly at the flat $99 price.
Cash-pay clinics offering ketamine-assisted or other psychedelic-adjacent therapy protocols use series tracking, GFE documentation, medication lot capture, and package billing through the same Brooke workflow.
Cash-pay TMS clinics for depression and mood disorders use Brooke for scheduling, intake, treatment records, and checkout. Series-based scheduling with automated reminders keeps patients returning for every session.
A complete psychiatric treatment record for a cash-pay procedure-based practice covers the full patient care timeline in a single, auditable location.
Cash-pay psychiatric care is priced differently from other clinical services. Ketamine protocols are sold as series packages. Functional psychiatry visits may be sold as retainers or membership models. Concierge psychiatric care often includes a combination of package fees and session-by-session charges. Brooke handles all of these at the point of care without a separate billing system.
A patient purchasing a six-session ketamine psychiatric series checks out once at intake or splits payments across sessions. The full package is applied to the treatment plan. The chart shows payment status alongside session completion status in one view.
A concierge psychiatric patient on a recurring care model stores a card on file and is charged at each appointment or on a billing cycle. No separate billing system. No manual invoicing. The payment and the clinical record stay in the same platform.
Cash-pay psychiatric revenue hits the practice account the same day. No reimbursement delays. No claims processing. The practice knows exactly where revenue stands after every session without waiting for an end-of-month report.
A cash-pay psychiatric practice owner needs to see four numbers to understand how the practice is performing. Brooke reports all four automatically, updated live after every checkout.
What percentage of ketamine or psychiatric treatment series patients complete the full protocol. For a psychiatric practice, completion rate is both a clinical outcome measure and a revenue indicator. Patients who drop out mid-protocol represent incomplete treatment and unrealized revenue.
Which psychiatric service lines generate the most revenue per session. A cash-pay psychiatric practice with limited capacity should concentrate on the highest-returning service offerings. This report surfaces that information automatically.
What percentage of patients schedule maintenance or follow-up appointments after completing their initial protocol. Psychiatric patients who return for maintenance sessions represent both continued clinical outcomes and steady recurring revenue.
How much the average patient spends per appointment. For a cash-pay psychiatric practice looking to grow revenue without adding appointment slots, tracking and moving average spend per visit is the most direct lever available.
Brooke is $99 a month per location with unlimited providers. A solo psychiatrist and a three-clinician psychiatric group pay the same price. The bill does not change when the team grows.
+ integrated payments · No tiers · No per-provider fees · No contracts
From intake and GFE documentation through infusion tracking, inventory, and checkout — all in one platform at one flat price per location.
No setup fee. No credit card required to start.
We switched from Aesthetic Record and never looked back. My injectors actually enjoy using it. Setup took one afternoon.
The GFE documentation alone was worth switching. Everything is compliant, auditable, and takes half the time it used to.
$99 flat. Unlimited providers. Everything works. I don't know why anyone pays $400 a month for the same features wrapped in a terrible UI.
For cash-pay psychiatric practices — ketamine infusion clinics, functional psychiatry, integrative mental health, and concierge psychiatric care — the best EMR is one built for clinical procedure-based care. Brooke provides GFE documentation, treatment series tracking, medication lot capture, medication inventory, and point-of-care checkout at $99 a month flat with no appointment caps and no per-provider fees.
Yes. Ketamine therapy is one of eight specialties Brooke was built around. Session-by-session series tracking, GFE documentation, medication lot capture, supply inventory, series scheduling with automated reminders, and package checkout all apply directly to ketamine psychiatric workflows.
Yes. Functional psychiatric practices addressing mood disorders, cognitive performance, and psychiatric conditions through metabolic, nutritional, and hormonal approaches use the same cash-pay workflow as any other Brooke specialty. Intake, treatment records, inventory, and checkout apply without modification.
Yes. Lot number capture is built into every Brooke Treatment Record. Every medication administered in a psychiatric session is documented with its lot number automatically. This record is retrievable immediately if a batch recall occurs.
Yes. Treatment Records tracks each infusion session against the full protocol. Scheduling sequences all six sessions with automated reminders. Checkout handles package billing for the full series or split payments across sessions. The chart closes when the payment runs.
No. Brooke has no appointment caps at any price level. A psychiatric clinic running multiple infusion sessions daily will not reach a monthly appointment limit that forces an upgrade.
Brooke supports ketamine infusion psychiatric clinics, functional psychiatry practices, integrative mental health and psychiatry, concierge psychiatric practices, psychedelic-assisted therapy clinics, and TMS and neuromodulation clinics operating on a cash-pay direct-payment model.
Yes. Package billing, card on file, and membership-style checkout are all supported at the $99 flat price. A concierge psychiatric practice that charges directly for care can structure payment as a package, a session-by-session fee, or a recurring membership charge handled through Brooke's checkout.
$99 a month per location. Unlimited providers and staff included. No per-provider fees, no appointment caps, no setup fee, and no contracts. A solo psychiatrist and a three-clinician psychiatric group pay the same price.
Yes. Brooke migrates patient records, consent forms, and treatment history from any current system at no cost. A psychiatric practice switching from another platform does not start with an empty patient database.
Yes. A psychiatric practice offering ketamine infusions and functional psychiatry consultations runs both service lines on the same Brooke platform. Scheduling, treatment records, inventory, and checkout handle both service categories through one login without requiring a second system.
The best EMR for a psychiatric practice is the one built for how cash-pay psychiatric care works. Book a 15-minute demo or start your free trial today.
