Acuity Scheduling vs Nexa The Real Comparison for Animal Chiropractors
Acuity Scheduling
$34/mo ($408/yr)
VS
Nexa
$279 once — own forever
or 3 payments of $99
Break even: 8.2 months at Acuity Scheduling's current price.
Does Acuity Scheduling Fit Animal Chiropractors? Our Read
What animal chiropractors need from their software, from sources outside Acuity Scheduling and outside Nexa:
Minnesota requires animal chiropractors to keep the referring veterinarian's referral in each animal's record. The practitioner needs a record system that stores a referral document for every animal patient. (mn.gov)
Minnesota animal chiropractic registration is a separate, annual cycle with its own fees and training hours. The fees are $200 to register, $100 for active renewal and $75 for inactive renewal. Renewal also requires 6 hours of approved animal chiropractic continuing education each year. Tracking these dates, fees and hours is part of the trade's admin work. (mn.gov)
Oklahoma requires chiropractors practicing on animals to keep complete and accurate patient records for at least three years. Certified practitioners must carry a certification card and complete 20 hours of AVCA-certified continuing education every three years. This is in addition to the 16 annual hours required for the chiropractic license. Records retention and credential tracking therefore have to cover the animal work separately. (oklahoma.gov)
In Oklahoma, a licensed chiropractor without animal certification may treat an animal only if a licensed veterinarian referred it. Certified chiropractors may practice without a referral. Each animal patient's record therefore needs to show whether the work is under a referral or under certification. (oklahoma.gov)
In Kansas, animal chiropractic counts as the practice of veterinary medicine. A chiropractor may treat animals only when a licensed veterinarian delegates the work. The delegation must be under direct or indirect supervision, with the veterinarian's written or documented oral instructions or protocol for indirect supervision. Diagnosis cannot be delegated. Practitioners there need to record the delegating veterinarian and the instructions behind each treatment. (kbve.kansas.gov)
Acuity Scheduling covers the booking side of this trade well. It has online booking, custom intake forms, packages, deposits, cancelation policies, text reminders from the Standard plan up, and Google Calendar sync. The plan that does the core job is $34 a month ($408 a year), and the feature list includes HIPAA compliance. What it does not describe is a per-animal record. The trade's rules depend on one: Minnesota wants the referring veterinarian's referral kept in each animal's record. Oklahoma wants records kept at least three years, and each record must show whether the work is under a referral or under certification. Kansas wants the delegating veterinarian and the instructions behind each treatment recorded. Nothing in Acuity's list covers tracking annual registration fees and continuing-education hours, or certification cards, either.
Nexa covers more of the surrounding admin. It has a CRM with notes and tags, intake forms on a public booking page, group-class capacity, reschedule and cancel links, invoices, a client pay portal through your own Stripe account, and job photos kept with the job record. It also has bookkeeping and works offline. It does not have Google Calendar sync (calendar export is an .ics file), text messages, or a waitlist. Its automated emails send only while Nexa is open on one of your devices. It is software you own and run yourself, with no hosted support desk or vendor-run onboarding. Nothing in Nexa's feature list describes a referral-document store or a credential and continuing-education tracker either, so it does not clearly meet the records need.
Over three years Acuity at $34 a month comes to $1,224. Nexa is $279 once, or $458.64 with the optional $4.99 monthly Cloud Sync. If you already book through Acuity and rely on its text reminders or calendar sync, keep it for scheduling. Do not expect it to hold your referral, delegation or certification records. If you are choosing fresh, Nexa is the cheaper tool for invoicing and bookkeeping. Either way, keep the legally required records in a dedicated patient-records system.
Our read for animal chiropractors: Neither tool is described as holding per-animal referral, delegation and credential records, so this trade needs a patient-records (practice management) system, and Acuity can stay for booking if you already use it.
Read on each linked page in October 2026. Check them again before you decide; vendors change plans often.
Bottom Line
Acuity Scheduling costs animal chiropractors $408/year at today's list price. Nexa is $279 once for invoicing, scheduling, CRM, time tracking and accounting in one suite — so after 8.2 months it has cost less than Acuity Scheduling, and you own it after that. What it is not: hosted-for-you software with a support desk and a roadmap you can lobby. That is the trade, and the rest of this page is the detail behind it.
Can it pay for itself?
Nexa is $279 once, about $23 a month over its first year. Its Drain Guard reads your expenses (from a linked bank, an imported statement, or ones you type in), finds the charges that repeat, and adds them up by the month. Keep or Cut then walks you through them one at a time. Cancel $23 a month of charges you'd forgotten about and Nexa has paid for itself inside the first year, before you count the Acuity Scheduling bill you'd stop paying.
It depends on what you find and what you cancel, so we don't promise a number. In our demo data, Drain Guard finds 5 subscriptions adding up to $110.13 a month. That is sample data, not a customer's.
The verdict for animal chiropractors: Neither Acuity Scheduling nor Nexa is the main system for this work; start with software built for it. Nexa only makes sense beside it, at $279 once against $1,224 for Acuity Scheduling over three years.
Choose Nexa if:
You're done paying monthly forever
You're a solo operator or small team (1-5)
You need scheduler, connect crm and invoicing in one tool
You're tired of price increases
You want to own your tools like you own your equipment
Choose Acuity Scheduling if:
You have a large team (10+) needing enterprise features
You're deeply invested in Acuity Scheduling's specific workflow
You need a feature Nexa doesn't have yet
Sound Familiar?
Mornings usually mean horses, because barns want the chiropractor before the day's riding. The first horse is a reining gelding whose owner reports he is resisting one lead; watching him move on the lunge line first tells more than any single palpation. The adjustment itself is quiet and specific, a fully awake animal who will brace if rushed, so patience is the whole job. From there it is on to a barn with three horses on a maintenance schedule, each needing its own gait check and its own note about what was found at the poll, the withers, the sacrum. Afternoons shift to the clinic or to homes for dogs: an aging shepherd with hind-end weakness, a dachshund the referring vet wants seen weekly for a month, a canine athlete in for a tune-up. Every case lives inside a veterinary referral, so part of the day is confirming that paperwork is in order and that the work stays within scope. The recurring tension is the calendar itself, because every animal sits somewhere on a taper from weekly to monthly, and missing the right re-check window means a slower recovery and a frustrated owner. The day ends with notes that have to be precise enough to send back to the referring vet.
The animal stays fully awake and unsedated, so a single fidgety horse or a flinchy dog can stretch a careful adjustment into a long wrestling match that wrecks the schedule
New cases usually need to be seen once a week for two to four weeks then taper, and tracking each animal's adjustment interval across a full caseload is a juggling act
State rules require working under or alongside veterinary referral, and keeping the referral paperwork and jurisprudence requirements straight per animal is a constant compliance worry
Owners conflate chiropractic with massage and expect a cure in one visit, so explaining the multi-session response curve at every booking burns goodwill and time
Scheduling, client records and invoicing are the pieces of that day. Some tools rent you each piece separately. A few — Nexa among them — bundle the lot and carry their own booking link, with no per-appointment cut. The sections below price both routes honestly.
None of that is a software problem you can buy your way out of in one click — it is why the tool you pick matters more than what it costs. Acuity Scheduling solves some of it. So does Nexa. The difference is what you are left holding in three years.
What Acuity Scheduling Actually Costs Animal Chiropractors
Today's list price is $34/month — $408 a year, from Acuity Scheduling's own pricing page. Every figure below is that price, multiplied. Nothing is projected.
Three years at today's price
Year 1$408
Year 2$408
Year 3$408
Three years of Acuity Scheduling$1,224
Nexa: $279 once (or 3 × $99). Over the same three years, that is $945 less.
If Acuity Scheduling raises its price, the three-year cost goes up; if it cuts it, the cost comes down. We don't guess which. Add-ons, extra seats and card-processing fees are not included, on either side.
Feature-by-Feature
Feature
Acuity Scheduling
Nexa
Invoicing
✗
✓
Scheduling
✓
✓
CRM
✗
✓
Time Tracking
✗
✓
Full Accounting
✗
✓ (SIMPL)
Task Management
✗
✓
Works offline
—
✓
Price
$34/mo
$279 once or 3 × $99
3-Year Total
$1,224
$279
You own it?
No — stop paying, lose access
Yes — forever
✓ and ✗ for Acuity Scheduling come from its own published feature list. — means the feature isn't in that list, which is not the same as Acuity Scheduling lacking it: check with them. Three years is at today's price.
What "$279 Once" Does And Doesn't Buy
It buys the software, not a service contract. You install Nexa and it runs on your machine. There is no seat count, and nothing stops working if you stop paying, because there is nothing to stop paying.
Acuity Scheduling's monthly fee is not only rent. It pays for their hosting, their support desk, and their engineers shipping changes every week. If those matter to how you work, that is a real thing you would be giving up.
Cross-device sync is the one optional extra — $4.99/month if you want your data mirrored between machines. Skip it and Nexa still works; you just sync manually.
The honest risk of buying once: you are betting on us still being here to improve it. The honest risk of renting: the price is theirs to raise, and the graveyard section below is a record of tools that did exactly that.
What Acuity Scheduling Does Better
Straight from Acuity Scheduling's own feature set. If one of these is the reason you pay them, that reason does not disappear because Nexa is cheaper.
Intake forms
Package and subscription billing
Gift certificates
HIPAA compliance (Powerhouse)
Squarespace integration
A smaller bill up front: plans start at $20/month, against $279 paid once for Nexa.
Acuity Scheduling is the better call if you need intake forms specifically, or if your team is large enough that per-seat pricing still beats buying software outright.
What Acuity Scheduling Is Built For
Acuity says it is for "anyone in the business of time," from solo practitioners to multi-location teams. It lists beauty, business services (consulting, coaching), wellness, fitness, visual and performing arts, and education. (acuityscheduling.com)
The Starter plan costs $16/month billed annually ($20 monthly) and includes 1 calendar, client self-scheduling, email reminders, custom client forms and automatic time zone conversion. (acuityscheduling.com)
Payments run through Stripe, Square, PayPal or Venmo on all plans. The Standard plan ($27/month annual, up to 6 calendars) adds text reminders, an appointment waitlist, memberships and packages, and gift certificates. (acuityscheduling.com)
The Premium plan ($49/month annual, up to 36 calendars) adds an AI Booking Assistant, a Business Associate Agreement for HIPAA compliance, removal of the Acuity logo, multiple time zones for staff or locations, and custom API and CSS access. Unlimited calendars require the Enterprise team. (acuityscheduling.com)
All plans have a 7-day free trial with no credit card required. There is no free plan beyond the trial. (acuityscheduling.com)
The site lists 15 integrations, including Google Calendar, Apple Calendar, Stripe, Square, PayPal, QuickBooks, Zoom, Google Meet, Zapier, Mailchimp and Squarespace. (acuityscheduling.com)
Named features include online booking, class scheduling, packages, subscriptions, gift certificates, coupons, deposits, custom intake forms, cancelation policies, a mobile app and a website builder. The site is offered in 6 languages. (acuityscheduling.com)
What people outside Acuity Scheduling and outside Nexa say:
Software Finder shows a 4.5 rating from 25 reviews, with category scores of 9/10 for ease of use, value for money, customer support and functionality. The most-cited strengths are ease of use, integrations, automated email and text reminders that reviewers credit with reducing no-shows, and customizable emails and calendar views. (softwarefinder.com)
Software Finder reviewers also raise drawbacks. Some small businesses find it expensive, and one reported unresolved booking issues and slow support replies. Booking form appearance is limited, and add-ons are checkboxes only, so customers can't choose quantities. Stripe refunds need a separate login to Stripe. One business said it lacked features as its staff and resources grew, and a healthcare reviewer said it isn't suited to HIPAA-regulated practices. (softwarefinder.com)
Secret's page has no user reviews. Its editorial text calls the product user-friendly, customizable and affordable. It also lists as cons that pricing may be expensive for tight budgets, advanced features are limited, and some third-party integrations may be lacking. (joinsecret.com)
Read on each linked page in October 2026. Check them again before you decide; vendors change plans often.
Where business tools fit — for an animal chiropractor
Software doesn't do your clients — it automates the business around it. And that part is the same for every animal chiropractor: find the work, manage it, bill for it, get paid. Each step has a tool — and the right single tool runs the whole loop, so the handoffs are automatic and you get back to your clients. Tap a step to see what gets automated.
1
Find the work
Get booked
↓
A new client finds you and books a time — no phone tag, no double-booking.
CRM / contacts
Estimates & proposals
Booking / scheduling
then ↓
2
Manage the work
Deliver the service
↓
The session itself — with the client history, notes, packages, and add-ons right there instead of in three different places.
Job / project tracking
Time tracking
Expenses, materials & add-ons
then ↓
3
Bill for it
Send the bill
↓
The work becomes the invoice — the hours, the add-ons, the materials, the deposit credited — totaled and sent, instead of re-typed at 9pm.
Invoicing
Deposits & credits
then ↓
4
Get paid
Collect payment
↓
Paid by card or link, the deposit credited, and what's overdue chased — without you doing it by hand.
Card / online payments
Automatic reminders
You can stitch four separate subscriptions across these four steps, or run one tool that does the whole flow so a booking becomes a job becomes an invoice becomes a payment without re-typing. Either way the goal is the same: less time on the business of the business, more on your clients. (Nexa is built to be the one — but the honest options for each step are above and below.)
Calculate Your Full Stack
Acuity Scheduling plus whatever else you're paying for:
Email yourself this comparison?
Switching from Acuity Scheduling
1
Export your data — Go to Settings → Export. Download your client list and appointment history.
2
Set up Nexa Scheduler — 15-minute setup. Import clients and recreate your appointment types.
3
Update your links — Replace your Acuity booking link everywhere — website, email, social.
4
Cancel Acuity — Cancel Squarespace subscription. Download a final backup of your data.
✓ 30-day money-back guarantee. Zero risk.
What This Means for Animal Chiropractors
The median Animal Chiropractor earns $32,000/year. At $408/year, Acuity Scheduling is a recurring slice of that — paid again every year, whether the year was good or not. Owning the same jobs outright is $279 once, and the slice stops.
Nexa is $279 once. Invoicing, scheduling, CRM, time tracking, accounting — all connected, built for animal chiropractors. You own it like you own your Hands and an activator instrument for low-force adjustments.
Is Nexa actually right for an animal chiropractor?
An honest fit check — because the wrong tool is worse than no tool.
Right for you if
You run solo or a small team — like the 15,000 animal chiropractors in the US who do, and you wear every hat.
You're tired of paying every month for a monthly subscription stack and a pile of apps that don't talk to each other.
You want invoicing, scheduling, and client tracking in one place — not scattered across five apps.
You'd rather own your software once, the way you own your Hands and an activator instrument for low-force adjustments.
Look elsewhere if
You have a large team that needs enterprise seats, granular roles, and dedicated admin staff — Nexa is built for solo and small operators (1–5), and a bigger platform will serve you better.
You need full payroll for a large team or deep, SKU-level inventory — that's not what Nexa is for.
You're genuinely happy paying monthly and don't mind stitching tools together. No tool fixes a workflow you already like.
The honest fit: if you're a solo or small animal chiropractors business that owns its tools and is sick of renting software, Nexa replaces your whole stack for $279 once. If you're scaling into a large team with dedicated admin staff, a bigger platform may fit better — and we'd rather tell you that now than sell you the wrong thing.
Scheduling, client records and invoicing are the pieces of that day. Some tools rent you each piece separately. A few — Nexa among them — bundle the lot and carry their own booking link, with no per-appointment cut. The sections below price both routes honestly.
What animal chiropractors actually deal with
The animal stays fully awake and unsedated, so a single fidgety horse or a flinchy dog can stretch a careful adjustment into a long wrestling match that wrecks the schedule
New cases usually need to be seen once a week for two to four weeks then taper, and tracking each animal's adjustment interval across a full caseload is a juggling act
State rules require working under or alongside veterinary referral, and keeping the referral paperwork and jurisprudence requirements straight per animal is a constant compliance worry
Owners conflate chiropractic with massage and expect a cure in one visit, so explaining the multi-session response curve at every booking burns goodwill and time
A day in the life of a animal chiropractor
Mornings usually mean horses, because barns want the chiropractor before the day's riding. The first horse is a reining gelding whose owner reports he is resisting one lead; watching him move on the lunge line first tells more than any single palpation. The adjustment itself is quiet and specific, a fully awake animal who will brace if rushed, so patience is the whole job. From there it is on to a barn with three horses on a maintenance schedule, each needing its own gait check and its own note about what was found at the poll, the withers, the sacrum. Afternoons shift to the clinic or to homes for dogs: an aging shepherd with hind-end weakness, a dachshund the referring vet wants seen weekly for a month, a canine athlete in for a tune-up. Every case lives inside a veterinary referral, so part of the day is confirming that paperwork is in order and that the work stays within scope. The recurring tension is the calendar itself, because every animal sits somewhere on a taper from weekly to monthly, and missing the right re-check window means a slower recovery and a frustrated owner. The day ends with notes that have to be precise enough to send back to the referring vet.
The tools a working animal chiropractor actually owns
Hands and an activator instrument for low-force adjustments
Mounting block and step stool for reaching equine spines
Gait-assessment space and lunge line for watching movement
AVCA continuing-education and certification credentials on file
Palpation gloves and stall-safe coveralls for barn work
Local animal chiropractors on Nexa
Real animal chiropractors near you who run their business on Nexa — book directly, no platform fee.
Are you an animal chiropractor? Post your business and get found in your area — $2.99 one-time.
Or browse every animal chiropractor on Nexa →
The kit a working animal chiropractor owns
The tools of the trade — each a one-time buy that earns its keep for years.
Core kitEssential
Activator instrument
$150–$700
Core kitEssential
Mounting block and step stool
$50–$200
Core kitEssential
Lunge line and whip for gait work
$40–$150
Core kitEssential
Palpation gloves and stall coveralls
$80–$300
Core kitEssential
Adjustable treatment table for small animals
$300–$1,500
Upgrade
Video gait analysis setup
$80–$350
The core kit, bought once$620–$2,850
Here's the bar that matters: you spent $620–$2,850 on tools that last for years, and never thought twice. So why should the software cost more than your whole kit — every single year? Hold it to the same standard as a good tool: $279, once.
How To Read This Page
We make Nexa. It is one of the two options compared here, so read this with that in mind. We have tried to make Acuity Scheduling's case the way we would want ours made — their strengths above are their own published feature list, not our summary of it.
The prices are Acuity Scheduling's published list prices, checked on the date shown in the sources below. Plans change; check theirs before you decide.
No customer quotes appear on this page because we do not have any from animal chiropractors we can verify. For user testimony, read the independent reviews — Acuity Scheduling on G2 and on Capterra — where the reviewers are not selling you anything.
Check the price yourself:Acuity Scheduling's own pricing page is the source for every figure above, read on the date shown in the sources section below.
We are not neutral about subscriptions, and that is the argument, not a hidden assumption: software you pay for once is cheaper over three years than software you rent, unless you need something only the rented one does.
How we put this guide together
We build an animal chiropractor's guide the same way every time, and we'd rather you trust it than take it on faith. Nexa is our product, so the test we hold ourselves to is simple: a tool only "wins" a job here when it genuinely does that job better for an animal chiropractor — and where something free, open-source, or buy-once does it better, we say so and link you to it. Where Nexa falls short (payroll is the honest example), we name the alternative outright.
Where the numbers come from
Vendor pricingAcuity Scheduling $408/yr, Square, Vagaro $600/yr, Wave $228/yr — taken from each company's published plans, last verified September 2026. Pricing moves; each name above links straight to that vendor’s own pricing page so you can confirm it before you decide.
Income contextThe $32,000 median we cite for the typical animal chiropractor is occupational median annual pay from the U.S. Bureau of Labor Statistics (Occupational Employment & Wage Statistics), compiled April 2026. We use it only to show software spend as a share of real income — your own numbers will differ.
Three-year mathMulti-year totals are today's list price multiplied by the number of years. No price rise is projected, so the figure can be checked against the vendor's own pricing page; if they raise it, the real cost is higher.
Found something out of date? Prices change and we don't catch every move the day it happens. This guide is published and maintained by the Nexa team; if a figure here is wrong, tell us and we'll fix it — getting it right matters more to us than the sale.
FAQ
Is Nexa really a Acuity Scheduling replacement?
For solo animal chiropractors and small teams, yes. invoicing, scheduling, CRM, time tracking, task management, and full accounting — all for $279 once. Acuity Scheduling may be better if you have a large team (10+) or need enterprise-specific features.
What does Acuity Scheduling do that Nexa doesn't?
Acuity Scheduling has features like Intake forms and Package and subscription billing that some businesses rely on. For most solo animal chiropractors, these aren't dealbreakers.
How fast does Nexa pay for itself?
At $34/month, Nexa pays for itself in 8.2 months. After that: $408 saved every year.
Can I pay in installments?
Yes. Nexa is $279 as a one-time payment, or 3 payments of $99 ($297 total). Either way it's a one-time purchase — no subscription, no recurring fees ever.