NorthCore Labs

Vagaro is a booking platform and Aesthetic Record is an EMR. Whether you chart decides it.

Vagaro and Aesthetic Record are different kinds of software. Vagaro describes itself as salon software for beauty, spa and hair businesses, medical spas included, and it holds the calendar, the client list, forms, memberships and the point of sale. Aesthetic Record describes itself as EMR and practice management for med spas, and it holds the charts, the consents, the before-and-after photos, the calendar and the patient record. The question that decides it is whether your practice charts. A practice that injects keeps a legal record of care somewhere, and some practices run both, the EMR for the chart and Vagaro for the desk. The growth jobs live around either.

Updated 2026-10-26

One is the front desk and the other is the chart

Vagaro is salon software for beauty, spa and hair businesses, and its own site names medical spas among them. In a med spa it is the desk: the appointment, the client, the form, the membership and the card. Aesthetic Record is EMR and practice management built for med spas. It is where Dana charts, where the consent is signed, where the photo is taken and where the patient record lives. Both hold a calendar, which is the one place the two overlap and the reason owners type this comparison.

That overlap hides the difference. The chart in Aesthetic Record is the legal record of care. Vagaro is built as a booking and point-of-sale platform, and the question of where your treatment notes and consents live is yours to answer before any comparison matters. NorthCore runs on Aesthetic Record today in a working practice and builds on Vagaro the same way; this page recommends neither. Pricing for either is on the vendor's pricing page.

What each holds, who it is for, and what gets built around it

RowVagaroAesthetic Record
What it holdsCalendar, client list, forms, memberships and the point of saleThe charts, the consents, the before-and-after photos, the calendar and the patient record
Who it is built forSalon, spa, medical spa and barber businesses, in the vendor's wordsMed spas, in the vendor's words
Where the calendar livesIn VagaroIn Aesthetic Record
Where the checkout livesThe Vagaro point of saleInside Aesthetic Record, with the record
What the growth system adds around itThe phone answered and booked into Vagaro; the comeback from the client list; the numbers on one pageThe same jobs, reading visit dates from the record and writing nothing into a chart

What your practice has to answer before the software does

  • Does anyone in the building inject, prescribe or perform a treatment that needs a consent and a treatment note? If yes, where is that record today?
  • Who is the medical director, and what does their agreement say about where the chart lives and who can read it? Confirm with counsel.
  • Will the desk and the chart be one system or two, and who at the front desk would keep them in step?
  • Which memberships and packages do you sell, and which system should the balance live in?
  • Who signs the Business Associate Agreement and where does protected health information sit? Ask both vendors and confirm with counsel.
  • How will the growth system read who is due: from a client list with last-visit dates, or from a record with last-treatment dates?

What a switch in either direction involves

Moving from Vagaro to Aesthetic Record adds a record system to a practice that ran the desk alone. The client list and the future appointments move, the memberships are rebuilt with each card re-authorized, and the chart starts fresh or is loaded from wherever the notes lived before. Moving the other way puts the chart question first, because the chart is the legal record of care and it has to go somewhere that counts as a record. Moving a chart is a project with its own rules on export, retention and who verifies the copy; confirm them with counsel and your medical director. Either way, the links on your site and profile change, and the front desk works two systems for an overlap period you set with the vendor.

Before any of that, look at what sent you to this page. Most of what an owner wants from a switch is the growth system around whichever platform they keep. The phone answered during a treatment, the comeback timed to the visit, the numbers in one place. NorthCore builds that on Vagaro or on Aesthetic Record without moving anything.

Two weeks to settle it without moving a record

  1. Day one: write down where every consent and treatment note from last month lives. If that place is a drawer or a paper form, the record question is open.
  2. Days two to four: in each vendor's demo, book a patient and check them out; in the Aesthetic Record demo, have Dana chart one visit.
  3. Days five to seven: ask both vendors for their export format, what the agreement says about protected health information, and who signs it; give it to counsel.
  4. Week two: pull the client export from whatever you run now and count how many patients have a last-visit date. That is the comeback list.
  5. Last day: decide desk and chart as one question, write the migration steps if there are any, and scope the growth system separately.

What to do next

NorthCore's Run the whole practice solution builds the growth system around Vagaro, around Aesthetic Record, or around both side by side: the answering, the comeback and the dashboard, chart untouched. Everything is scoped in writing first and held to the promise on this site: results in 90 days, or we keep working until you have them.

Have this built for your practice.

The comparison is the software. The numbers, the strategy and the system around it are what we build and run, scoped in writing. Results in 90 days, or we keep working until you have them.

Questions people ask.

Can a med spa use Vagaro and Aesthetic Record together?

Some practices do: the EMR for the chart, the consents and the photos, and Vagaro for the desk. The cost is keeping two calendars in step, which the front desk feels every day. Decide which one is the calendar of record before you add the second.

Is Vagaro an EMR?

Vagaro's own site describes it as salon software for beauty, spa and hair businesses, with booking, point of sale and forms. An EMR is where the legal record of care lives. Where your chart lives is a question for your medical director and counsel.

Does the growth system write into the Aesthetic Record chart?

No. It reads the visit dates it needs for timing and writes nothing into a chart. The booking lands on the calendar with the call note, and anything clinical is handed to a provider.

How much do Vagaro and Aesthetic Record cost?

Each vendor publishes its own pricing page, and that is the only place to read it. This site quotes no platform's price. Read both the same week, with the contract terms beside them.

Bring the system into your practice.

Walk us through how the practice runs today. We show you what we would build first and how fast. If nothing here fits, we say so on the call.

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A calendar invite and a Zoom link the moment you book.
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