By
Adam Simmons
· Last checked
October 2026
The main alternatives to OpenPhone for a therapy practice in Canada are:
A second line from your mobile carrier
Fongo Works, a Canadian virtual number with a free plan
Rivet, a practice phone built for Canadian therapists. Rivet is ours, so read this page with that in mind.
OpenPhone is now called Quo, and it's a good product for many businesses. The reasons Canadian therapists look elsewhere are specific: it prices in US dollars, its texting registration is built around US carriers, and nothing in it is shaped around a clinical practice.
What does Quo cost and require?
Quo's pricing page, which describes itself as "Quo (formerly OpenPhone)", lists Starter at $19 US per user a month billed monthly, or $15 billed annually, and states "All prices in USD" (Quo pricing).
For texting, the same page says that to guarantee delivery to three major US carriers, "you'll need to register your business with The Campaign Registry", with a one-time fee and a monthly fee. If you practise under your own name in Canada, ask Quo how that applies to you before you publish the number.
What are the Canadian options?
A carrier second line. A second rate plan on the phone you already carry. Bell's dual SIM page: "you will need two rate plans and will be billed separately for the two lines" (Bell). Simple and reliable; a missed call goes to voicemail.
Fongo Works. Canadian, with a free plan for a local number and voicemail. Texting is on Pro at $10 CAD a month (Fongo Works).
Rivet. A local Canadian number on the phone you already carry, for calls, texts and voicemail, at $29 CAD a month. When you're with a client, every caller gets a text back you wrote in advance, and the voicemail is transcribed into that client's thread. Records are kept in Canada, and Rivet signs on as your agent under PHIPA in a data processing agreement you accept when you sign up.
Google Voice, the other name that comes up, isn't an option: its single-user plans are "only available in the US" (Google Voice).
Which one should I pick?
A carrier second line if you only need a number that isn't your own and you return calls yourself.
Fongo Works if you want a free Canadian number and don't need to text yet.
Quo if several people share the line, you need its integrations, and US-dollar pricing and US-carrier registration don't bother you.
Rivet if calls arrive while you're with clients and you want each caller answered in your words, with calls, texts and voicemail kept together for each client in Canada.
Prices change, so check each provider's page on the day you decide.
About Rivet
Rivet is a Canadian practice line built for therapists — a separate number for calls, texts and voicemail, with video sessions and clinical tools in the same place. Your data stays in Canada, and transcription runs on Rivet's own hardware rather than a third-party AI service.
$29 CAD a month per practitioner for the practice line, or $65 with video sessions and clinical tools. Fourteen-day trial, no card.