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Enter for a chance to win $5,000 toward your team's holiday party! Attend a demo by Nov 6 to enter! Terms apply.
If your med spa is adding medical services, providers, or locations, PatientNow is the better fit.
PatientNow is an aesthetic practice software that keeps charting, labs, prescriptions, photos, marketing, and payments in one system. Boulevard is a booking and client-experience software for salons, spas, and med spas.
Boulevard started with salons. PatientNow starts with clinical care, so prescriptions, labs, eRx, weight-loss tracking, data visualizations, and treatment quotes live in the same record as your charts, and your providers work in one system without third-party add-ons.
Most reporting tells you what happened last month. On Catalyst AI, PatientNow predicts what’s coming, and the AI Business Analyst recommends your next move. Recura AI books patients straight onto your calendar, and automatically reaches the right patients with the right message based on data from your EMR. Boulevard’s AI receptionist texts callers a booking link and leaves the rest to them.
Fill your schedule with campaigns, lead nurturing, and social posting. Then answer every call with a built-in phone system, a shared inbox, and the patient’s chart on screen. You get fewer tools to manage. On Boulevard, you would be tracking text volume and a $2 fee on each completed campaign booking.
AI Scribe is included in every plan at no additional cost.
Talk to a real person right away, with no waiting on a callback.
PatientNow vs Boulevard: what each software lets your med spa do
What you want to do
PatientNow
Boulevard
Run the medical side
Fill your calendar
Keep your bill predictable
Run the practice
Boulevard information is based on publicly available sources, including joinblvd.com and support.boulevard.io (Automated Campaigns, Text and Marketing Usage Rates, and AI Receptionist FAQ), as of October 2026. Features and availability may change. Boulevard says their text usage tiers are examples, and actual rates are set in each customer’s agreement. Boulevard is a trademark of its respective owner. PatientNow plan details: Recura AI is priced separately and works with any plan. E-prescribing and lab ordering are on the Catalyst AI plan or can be added to any plan, and lab ordering depends on practice setup. Predictive insights are on the Catalyst AI plan. The phone system and shared inbox are priced separately. The website photo gallery can be added to any plan. Command Center is included for eligible practices on the Standard, Amplify, and Catalyst AI plans. AI Scribe is included in every plan at no additional cost.
AI receptionist
“My AI receptionist: She’s great at handling customer service questions in real time and sounds just like me.”
A patient who calls after hours is ready to book tonight. Recura AI, PatientNow’s AI agent, answers calls, texts, web chats, and form fills 24/7 and books straight onto your PatientNow calendar, so the appointment is waiting when your team comes in. New leads get a call back within 30 seconds, and your team takes over whenever a conversation needs a person.
Boulevard
On Boulevard, the AI receptionist answers, then texts a link so the caller can finish booking on their own. After hours, someone asking for a consultation leaves a message for your team. Boulevard says their receptionist can’t book by voice, make outbound calls, or sell memberships or packages.
Recura AI works with any PatientNow plan.
Patient reactivation
The patients most likely to book again are already in your records: the Botox patient who is overdue, or the filler patient you haven’t seen since spring. Connect takes care of it for you. It finds them in your PatientNow data, reaches out, and keeps the conversation going until they book. Tell the AI copilot who you want to reach, like patients who spent $1,000 or more but haven’t booked in 120 days, and it builds the audience for you.
Boulevard
Boulevard offers 5 pre-built campaigns, including Rescue Lost Clients and Birthday Message, and Boulevard picks who each one reaches. You can’t aim a campaign at one treatment, like Botox patients who are due, so anything that specific becomes a one-time blast your team sends by hand. Client replies come back to your team to answer manually, and each completed appointment booked within 7 days of a campaign costs $2.
How pricing works
Boulevard’s plan price can look lower at first, so compare the whole bill. Look at your last Boulevard invoice: texts are billed by monthly volume, your patients’ replies count, and a text over 160 characters counts as more than one. Boulevard says the tiers they publish are examples, and your real rates are in your agreement.
Boulevard
Boulevard’s forms start at $65 a month per location (included on Prestige).
ePrescribe is $45 per prescriber.
Each completed appointment booked from an automated campaign costs $2.
From December 2026, their AI receptionist is $125 a month per location for 200 minutes.
PatientNow
PatientNow quotes each practice based on their size, locations, plan, and options, and appointment texts and patient replies are part of your plan. The Standard plan covers the EMR, booking, marketing, photos, and payments. Amplify, the most popular plan, adds advanced marketing and automation. Catalyst AI adds e-prescribing, AI-powered insights, and, depending on practice setup, lab ordering. AI Scribe is included in every plan at no additional cost. PatientNow has no hidden fees or surprise costs that accumulate.
Compare quotes for the same locations, providers, and texting volume.
Revenue protection
PatientNow checks each appointment against your policy and collects the fee, so nobody at the front desk has to decide whether to charge a patient they’ll see next month.
Boulevard
Boulevard takes deposits at booking. After that, a client is never charged a cancellation fee unless your team chooses to manually charge them.
Automatic no-show and deposit policies are on the Amplify and Catalyst AI plans.
EMR
“Our medical EMR was a nightmare for charting and tracking aesthetics, but PatientNow made the transition easy.”
Once a med spa adds weight-loss programs or other medical services, the chart has to do more than hold a consent form. PatientNow’s EMR keeps charting, forms, photos, prescriptions, labs, and visit history in one record. Providers send prescriptions and lab orders through 120+ connected vendors, read results in the chart, and track weight, BMI, and body composition over time.
Boulevard
Boulevard covers forms, charting, photos, and ePrescribe. Their pages do not list lab orders or weight-loss tracking.
AI Scribe turns the visit conversation into an editable SOAP note and saves up to 25% of documentation time. The provider signs off before it is final.
AI Scribe is included in every PatientNow plan at no additional cost. E-prescribing and lab ordering are on the Catalyst AI plan or can be added to any plan.
RxPhoto
“Being able to easily show before and after photos has helped me dramatically improve my consultation conversion rate.”
RxPhoto, PatientNow’s clinical photography tool, uses on-screen guides and ghosting overlays so staff match the angle, framing, and distance of the last visit. Approved photos go to your social channels, so your results do the selling. The website gallery can be added to any plan.
Command Center
Command Center rolls out your services, memberships, pricing, and security profiles from your best site to each new one, and the front desk searches availability across your locations.
Boulevard
Boulevard gives you a setup checklist of more than 30 tasks for each new location. It includes going through every product, membership, and package to check pricing and setup, then manually turning each one on at the new location.
Command Center is included at no additional cost for eligible practices on the Standard, Amplify, and Catalyst AI plans.
Switching systems is the part most owners dread. PatientNow’s onboarding team handles data migration, staff training, and setup, and most practices are fully up and running within weeks.
Find your Boulevard renewal and notice dates before you pick a go-live date.
Choose your plan, forms, and staff permissions.
Decide which patient records, photos, memberships, and package balances move over.
PatientNow’s onboarding team sets the training schedule and go-live date with you.
“I’ve been a customer for over 8 years. My practice revenue has more than doubled, with huge gains in efficiency and streamlined operations across the board.”
“Because of PatientNow, my retention rate for injectable patients has climbed from 50% to 70-80%. And I can pack the power of my entire office staff in my hand on an iPad.”
Bring your last Boulevard bill and your questions, and we’ll walk through what would change for your team.
Comparison sources and feature availability
Comparisons are based on publicly available information that we believe to be accurate at the time of publishing. Features and pricing change, so confirm current details with each vendor.
PatientNow
Boulevard
