How we picked
A dermatology practice runs two very different businesses under one roof. The medical side (skin cancer screening, acne, chronic conditions) grows on recall and referrals; the cosmetic and aesthetic side (Botox, fillers, laser, memberships) grows like a retail business, on marketing, consult conversion, and repeat purchase. Neither is what an EHR is built to nurture. We judged these CRMs on three things specific to derm. First, cosmetic consult-to-booking conversion — fast, automated follow-up that turns an aesthetic consultation into a scheduled, often self-pay, procedure. Second, recall and membership nurture — reminders that bring medical patients back for annual checks and keep cosmetic-membership patients active. Third, PHI defensibility — a willingness to sign a BAA and a workflow that keeps clinical data in the EHR, not the CRM. We deliberately keep the growth layer separate from clinical systems, because mixing them adds compliance risk without adding value.
What to consider
- You want all-in-one nurture and recall → Keap. Contact management, automated recall for skin checks, and cosmetic follow-up sequences — ideal for a practice without a dedicated marketer.
- Cosmetic growth comes from marketing → HubSpot. Best-in-class content, email, and landing pages to fill aesthetic consult calendars, with HIPAA-supportive controls on higher tiers.
- You want value and a BAA → Zoho CRM. Affordable, will sign a BAA, and flexible enough to model referral sources, cosmetic packages, and patient segments.
- You're a small practice wanting scheduling too → vcita. Online booking, reminders, and light CRM in one tool built for small service and health businesses.
- You want a simple cosmetic pipeline → Pipedrive. A clean visual pipeline for moving cosmetic consults from inquiry to booked procedure without clutter.
Pricing snapshot
Zoho CRM starts around $14/user/mo and is the value leader, with the BAA available on paid plans. vcita runs from roughly $29/mo for small practices, and Pipedrive from about $24/user/mo. Keap sits higher, from around $249/mo including its automation and email, because it bundles marketing tooling a growing aesthetic practice would otherwise buy separately. HubSpot is cheap to start but the Professional tiers — where HIPAA-supportive features and real automation live — run into the high hundreds per month. For cosmetic-heavy practices, weigh the marketing tooling and consult-conversion lift into the total, not just the seat price; a single recovered Botox membership can cover a month of software.
Keeping PHI out of the growth layer
The single most important setup decision for a derm practice is a hard line between the clinical systems and the CRM. Charting, biopsy results, pathology, and billing belong in the EHR, where access is tightly controlled and HIPAA scope is contained. The CRM should own the relationship and marketing layer: cosmetic consult follow-up, membership and package nurture, annual skin-check recalls, and reactivation of lapsed patients. You still want a BAA from the CRM vendor — names, phone numbers, and appointment notes can brush against protected information — which is why Zoho CRM and HubSpot (on the right tiers) matter here. Used this way, Keap can automatically remind a patient their annual skin check is due, or nudge a cosmetic lead who didn't book, without ever touching a clinical record. The practice sees its aesthetic revenue engine and recall system in one place while the regulated data stays exactly where it belongs — safer and simpler than forcing one system to do everything.