• Running video sessions through a generic conferencing tool with no integration to your EHR -- session notes disconnected from the appointment, payments handled separately, and no way to send homework or assessments between sessions?

  • Therapist matching and intake taking days of manual back-and-forth because there's no structured onboarding flow that captures presenting concerns, insurance, and availability before the first session?

Mental Health Telehealth Platform Development

Most mental health practices running telehealth are stitching together a general-purpose video tool, a separate EHR, a scheduling system, and a payment processor. Session notes are disconnected from the appointment. Payments are handled in a different system. Nothing between sessions -- assessments, homework, secure messages -- has a home.

We build custom telehealth platforms for mental health practices and behavioural health companies. HIPAA-compliant video sessions with built-in clinical tools, therapist matching, structured intake, and between-session engagement -- in one system built for how therapy works.

  • HIPAA-compliant video sessions with built-in clinical tools

  • Therapist matching and client-facing intake workflow

  • Integrated scheduling, reminders, and cancellation management

  • Outcome tracking and between-session tools

A mental health telehealth platform combines HIPAA-compliant video sessions with the clinical tools therapists need -- structured intake, scheduling, between-session tools, outcome tracking, and billing -- in one system. RaftLabs builds custom telehealth platforms for mental health practices and behavioural health companies that need more than a generic video tool bolted onto a separate EHR.

Vodafone
Aldi
Nike
Microsoft
Heineken
Cisco
Calorgas
Energia Rewards
GE
Bank of America
T-Mobile
Valero
Techstars
East Ventures
100+Products shipped
24+Industries served
FixedCost delivery
12-14Week delivery cycles

What a purpose-built mental health telehealth platform looks like

Generic video platforms were built for meetings. A therapy session is not a meeting. The therapist needs to review the client's previous session notes before the call starts. During the session, outcome measure scores from the intake form should be visible. After the session, the note needs to be written and linked to the appointment record for billing. None of that happens in Zoom or Google Meet.

The problem compounds when practices try to connect separate tools. Session notes in one system, payments in another, scheduling in a third, and the video link emailed manually before each appointment. Each handoff between systems creates work for administrative staff and creates gaps where information gets lost.

A purpose-built mental health telehealth platform puts the clinical workflow in one place. The therapist enters the session from their clinical interface, sees the client's history and intake scores, conducts the session, writes the note, and closes the encounter -- all without switching between systems. The client books, attends, pays, and completes between-session tools from one app.

What we build

HIPAA-compliant video sessions

Browser-based video with no app download required for clients. Waiting room with client arrival notification so the therapist controls when the session starts. Session recording with consent management -- clients opt in, recordings are stored in the clinical record with access controls. Bandwidth adaptation reduces quality gracefully when connectivity is poor rather than dropping the session. Video infrastructure is HIPAA-eligible with a BAA in place -- not a general-purpose conferencing tool with a HIPAA marketing claim. Therapist clinical interface shows previous session notes and intake scores alongside the video window.

Therapist matching and profiles

Clinician profiles with specialisms, therapeutic modalities, insurance panels accepted, languages spoken, and real-time availability. Client matching flow based on presenting concern, demographics, insurance, and preferences -- structured so the client is directed to available therapists who fit their needs rather than browsing a directory. Matching logic is configurable by the practice: manual review before confirmation, automated assignment, or client choice from a shortlist. New therapist onboarding captures the same profile fields so matching logic applies consistently across the roster.

Client intake and onboarding

Structured intake questionnaire capturing presenting concerns, mental health history, current medications, risk history, and goals for therapy. Insurance information collection and verification before the first session so coverage status is confirmed before the appointment. Consent form e-signature built into the onboarding flow -- informed consent, telehealth consent, and privacy notice collected digitally with a timestamped record. Safety screening with a defined escalation path for clients who report active risk. All intake data flows into the clinical record so the therapist reviews it before the first session.

Scheduling and reminders

Client self-scheduling within the therapist's defined availability -- session type, duration, and modality rules set by the clinician. Recurring appointment series created at the first booking for ongoing therapy clients. Automated reminder sequence -- email and SMS at 48 hours, 24 hours, and one hour before the session. Cancellation and rebooking workflow with cancellation policy enforcement and late cancellation tracking for billing purposes. Therapist schedule management showing confirmed appointments, cancellations, and available slots without a separate calendar tool.

Between-session tools

Secure messaging between client and therapist outside session hours -- stored in the clinical record, not in email. Homework assignment and completion tracking: the therapist assigns an exercise or worksheet, the client completes it in the app, and completion status is visible before the next session. Mood check-in prompts sent to clients between sessions with responses stored for clinical review. Psychoeducation content library linked to treatment goals so therapists can assign specific materials. Outcome measures -- PHQ-9, GAD-7, PCL-5 -- delivered and scored between sessions with results available in the clinical interface.

Billing integration

Insurance claim generation from the closed session with correct mental health CPT code application, telehealth modifier, and diagnosis code linkage. Self-pay payment collection at or before the session with card-on-file support. Superbill generation for out-of-network clients who self-submit to their insurer. Sliding scale fee management where practices offer income-based pricing -- fee tiers configurable by the billing administrator. Payment status visible in the therapist's appointment view so outstanding balances are flagged before the next session.

Frequently asked questions

A generic video platform handles the call. A mental health telehealth platform handles everything around the call -- structured intake before the first session, clinical note writing linked to the appointment, outcome measure delivery and scoring, between-session messaging and homework tools, and billing claim generation after the session. HIPAA compliance for a therapy platform requires more than a BAA with a video vendor. The session recording, clinical notes, intake data, and messaging are all protected health information with specific storage, access, and disclosure requirements. A purpose-built platform designs those controls into the architecture rather than relying on a generic tool with a compliance disclaimer.

HIPAA compliance for telehealth video requires a Business Associate Agreement with the video infrastructure provider, encryption in transit, no storage of session content on uncontrolled infrastructure, and access controls that restrict who can view recordings. We use HIPAA-eligible video infrastructure with executed BAAs -- not general-purpose conferencing tools repurposed for clinical use. Session recordings are stored in encrypted clinical record storage with access restricted to the treating clinician and authorised supervisors. Clients consent to recording before a session is recorded. We document the architecture for your compliance team. Your policies and training complete the HIPAA programme.

Yes. Individual therapy sessions are one therapist, one client, with a single clinical note. Group therapy sessions are one or two therapists and multiple clients, with a group session record and individual progress notes per member. The video session supports multi-participant calls with waiting room management -- the therapist admits each group member individually. Billing for group sessions uses the correct CPT codes applied per member. Group membership management, waitlist, and attendance tracking are handled at the group level so each member's record shows their participation history.

A focused mental health telehealth platform covering HIPAA-compliant video, scheduling, structured intake, and billing for a single practice or small group typically takes 14 to 18 weeks from requirements sign-off to go-live. Therapist matching functionality and between-session tools add four to six weeks depending on complexity. Consumer-facing platforms with a large therapist directory, multiple modalities, and insurance panel management across many providers are scoped individually. We ship in fixed-price engagements with milestones agreed before development starts.

Related mental health software

Talk to us about your telehealth platform project.

Tell us your clinical workflow, your session types, and the problems your current tools create. We will scope a platform built around how your practice delivers care.