Spruce Health

by Spruce Health  · Based in United States → — Healthcare communication designed for modern clinics
mental-health Other Specialties primary-care

$24/month per user (basic), $49/month per user (communicator)
Documentation ProvidedRegulatory Status Disclosed

Overview

Spruce Health provides a comprehensive, HIPAA-compliant communication platform designed specifically for healthcare professionals. It consolidates various communication channels into a single, easy-to-use system, aiming to modernize patient experience and streamline clinic operations. The platform is trusted by tens of thousands of healthcare providers and millions of patients for its secure and efficient communication capabilities.

Key functionalities include secure messaging for sending messages, files, and audio notes, a robust phone system with 2-way SMS texting and voicemail transcription, and integrated video conferencing for telemedicine. This allows physicians to conduct virtual visits from anywhere, ensuring continuity of care and accessibility for patients.

Beyond patient-facing communication, Spruce Health also offers internal team messaging with task assignment features, and private notes for coordinating care among teammates. The platform includes e-fax capabilities, allowing clinics to send and receive faxes electronically. Spruce Health emphasizes its commitment to HIPAA compliance and security, providing a safe and protected way for healthcare providers to communicate with patients and colleagues.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • Secure Messaging
  • VoIP Phone System with 2-way SMS
  • Video Telemedicine
  • E-Fax
  • Team Messaging & Task Assignment
  • Voicemail Transcription
  • Patient Notes

Use Cases

  • Modernizing patient communication
  • Conducting virtual patient visits
  • Streamlining internal team coordination
  • Managing high call volumes efficiently
  • Ensuring HIPAA-compliant patient interactions
  • Facilitating after-hours patient communication

What Physicians Need to Know

Key Capabilities
Spruce Health offers an all-in-one HIPAA-compliant communication platform that integrates a business phone system with texting, faxing, and telemedicine. It includes a unified inbox for centralizing all communication channels, AI-powered voicemail transcription, secure messaging (individual and group), e-fax, and HIPAA-compliant video calling. The platform also provides workflow automation features like saved messages, auto-replies, scheduled messages, and auto-paging/assignment. For team collaboration, it offers secure internal chats, shared inboxes, and internal notes.
Clinical Utility
Spruce Health streamlines patient interactions, optimizes care collaboration, and enhances accountability, leading to improved clinical and business outcomes. It supports telehealth, patient engagement, care coordination, and task management. The platform is used for secure patient messaging, video telemedicine visits, prescription coordination, and patient engagement while maintaining HIPAA compliance. It also offers adaptive clinical questionnaires for patient intake and screening, and can manage high call volumes efficiently.
Integration Options
Spruce Health offers integration options with various healthcare systems, including EHRs, practice management, and billing platforms. It has native integrations with partners like athenahealth, Elation, and Hint. Additionally, Spruce provides a Public API for building custom integrations with other platforms, allowing for automatic contact creation and syncing of patient information.
Compliance Status
Spruce Health is designed to be HIPAA-compliant and provides a Business Associate Agreement (BAA) by default for organizations. It employs robust encryption and secure storage methods to protect sensitive patient information, and undergoes SOC 2 Type II auditing and HITRUST certification.
Pricing Model
Spruce Health offers a per-user per-month subscription model with two main plans: Basic and Communicator. The Basic plan starts at $24 per user per month, and the Communicator plan is $49 per user per month. There is a free 14-day trial available. Additional costs may include taxes, surcharges, a one-time SMS registration fee, and separate purchases for VoIP desk phone hardware. Onboarding and implementation fees may also apply for larger practices.
User Experience
Spruce Health is generally praised for its ease of use and intuitive interface for both providers and patients. It offers robust mobile and desktop apps. Users appreciate the unified inbox and the ability to manage all communication from one platform. However, some users have reported issues with push notifications and search features. There have also been concerns raised about customer support responsiveness and the reliance on chatbots.
Support Quality
User reviews indicate varying experiences with Spruce Health's support. Some users praise the quick and helpful customer support, while others express dissatisfaction with non-existent support, reliance on chatbots, and a lack of human contact.
Implementation Complexity
Spruce Health is described as intuitive and easy to adopt. While basic setup can be straightforward, larger clinics with complex workflows may incur implementation and onboarding fees ranging from $5,000 to $20,000. The company has also streamlined its onboarding process for phone number transfers.
Evidence Base
Spruce Health emphasizes that its 'Spruce Visits' feature, which involves asynchronous telemedicine encounters, uses evidence-based, condition-specific algorithms to collect patient history and physical exam data. These algorithms undergo thorough literature review and expert physician review.
Physician Tip

Leverage Spruce Health's unified inbox to centralize all patient communications (calls, texts, faxes, secure messages, video) for improved efficiency and a comprehensive patient record. Utilize workflow automation features like saved messages and auto-replies to manage routine inquiries and after-hours care, freeing up staff time. For HIPAA compliance with standard SMS, ensure you obtain proper patient consent. Explore the Communicator plan for advanced features like VoIP desk phones, API access, and bulk messaging if your practice has complex communication needs or a growing patient base. Be aware of potential additional costs beyond the base subscription for taxes, surcharges, and hardware.

Spruce Health offers native integrations with key EHR and practice management systems like athenahealth, Elation, and Hint, facilitating automatic data syncing. For other systems, consider utilizing their Public API for custom integrations, though this may require development resources. Seamless integration can significantly reduce manual data entry and enhance data accuracy across your healthcare ecosystem.

Details

Category Medical Phone & Communication, Patient Engagement & Education, Telehealth & Virtual Care
Pricing $24/month per user (basic), $49/month per user (communicator)
  • Spruce Health offers two main plans: Basic and Communicator
  • The Basic plan costs $24 per user per month and includes HIPAA BAA, advanced medical phone, text, video, fax, internal team chat, customizable shared inbox, auto-replies, and AI-enabled voicemail transcription
  • The Communicator plan costs $49 per user per month and includes everything in Basic, plus self-service customizable call flows (IVR), urgent escalation and after-hours triage, integrations & API Access, VoIP Phone Service, and AI-enabled transcription & summarization for voicemails, call recordings, and audio messages
  • These prices do not include taxes or fees
  • There may be additional costs for add-ons and usage-based services
  • Activating outbound two-way SMS texting has a one-time $19.50 registration fee per organization
  • VoIP desk phone hardware is not included and must be purchased separately
Free TrialUnknown
DeploymentCloud-based (web, iOS, Android)
Mobile AppYes, available for both healthcare professionals and patients on iOS and Android.
API AvailableUnknown
Data ExportUnknown
Target SizeSolo practitioners to large multi-site, multi-specialty practice groups.
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status Not applicable AI-estimated — unknown
SOC 2Unknown AI-estimated
Integrations
EHR Not specified
Specialties Mental Health, Other Specialties, Primary Care

Social Proof

Customers50,000+ healthcare professionals and 5M+ patient accounts.
Notable
NYC RetinaHometown Health CenterFull Cup WellnessLife InsightDr. Kira Stein MD APCDr. Abi Weissman Psy.D.Ranch Hands Rescue

What the Web Says

Spruce Health is a HIPAA-compliant communication platform designed for healthcare professionals, consolidating patient calls, texts, voicemails, and faxes into one system. It's praised for streamlining patient communication, improving workflow efficiency, and offering secure messaging and telemedicine capabilities. While generally well-received for its ease of use and comprehensive features, some users have raised concerns about pricing and customer support responsiveness.

Overall: Positive

Strengths

  • HIPAA-compliant communication for secure patient interaction.
  • All-in-one platform for calls, texts, voicemails, and faxes.
  • Ease of use and intuitive interface for both providers and patients.
  • Improved efficiency and streamlined workflows for practices.
  • Good customer support, with many users reporting prompt and helpful assistance.
  • Features like automated responses, team messaging, and internal notes enhance collaboration and patient engagement.

Limitations

  • Pricing can be considered steep, especially for advanced features or growing practices.
  • Some users report limited features or that desired functionalities are locked behind higher-tier plans.
  • Occasional issues with messaging, such as clients needing accounts for HIPAA compliance, or problems sending messages to certain phone types.
  • Customer support can be inconsistent, with some users experiencing slow replies or difficulty reaching human support.
  • Lack of robust reporting, customization options, and deeper EHR integrations.
  • Spam voicemail deluge reported by some users, with limited solutions offered.

Based on reviews from: G2, Capterra, Reddit, SelectHub, Elion, Spruce Health Blog, TrueNode, Emitrr

Last updated: 2026-09-19

Ratings & Reviews

No reviews yet. Be the first to review this tool!

Rate Spruce Health

Clinical Value
Ease of Use
Integration
Support & Docs
Value for Money

Press & Coverage

Spruce Health Blog
Spruce Health Named to TIME's Top HealthTech Companies 2026
Spruce Health was recognized by TIME as one of the top HealthTech companies in 2026. This highlights their continued impact in the healthcare technology sector.
2026-09
Spruce Health Blog
Introducing Spruce Dashboards: Practice Reporting, Right Inside Spruce
Spruce Health launched new dashboards to provide practices with reporting capabilities directly within the Spruce platform. This feature aims to offer better insights into practice performance.
2026-08
Spruce Health Blog
DPC Physicians Vote Spruce Health Their Most Essential Tool in 2026
Direct Primary Care (DPC) physicians voted Spruce Health as their most essential tool in My DPC Story's '2026 Battle of the Tools.' Spruce Health won two categories in this recognition.
2026-07
Spruce Health Blog
Spruce Now Supports 42 CFR Part 2 Communications
Spruce Health announced that its platform now supports 42 CFR Part 2 communications, with an updated Business Associate Agreement (BAA) providing formal Qualified Service Organization support.
2026-07
Spruce Health Blog
Spruce Now Connects with athenahealth
Spruce Health announced an integration with athenahealth, allowing for enhanced connectivity and data synchronization for mutual customers.
2026-07
Spruce Health Blog
Your DrChrono Patients, Now in Spruce u2014 Automatically
Spruce Health now integrates with DrChrono, enabling automatic addition of patients from DrChrono to Spruce as contacts.
2026-06
Spruce Health Blog
Spruce Earns Spot on G2's 2025 Best Software Awards for Best Healthcare Software Products
Spruce Health was named to G2's 2025 Best Software Awards, recognized as one of the best healthcare software products.
2025-02
Telemedicine Journal and e-Health (via PMC)
Family Support in Transgender and Gender-Diverse Young Adults Seeking Telehealth for Hormone Therapy
This peer-reviewed article utilized data from patients who completed an intake form via a secure, HIPAA-compliant Spruce Health app for gender-affirming hormone therapy services. The study highlights the role of family support in mitigating mental health disparities in transgender and gender-diverse young adults.
2022-12

Videos

Product demos, reviews, and walkthroughs for Spruce Health.

View all on YouTube

Frequently Asked Questions

Spruce Health is a communication platform designed for healthcare, offering features like secure messaging, telemedicine, and a dedicated phone system. It aims to streamline patient-provider interactions by consolidating various communication channels into a single, HIPAA-compliant platform.
Spruce Health is built with HIPAA compliance in mind, utilizing secure encryption for data transmission and storage. It offers features like secure texting, call logging, and audit trails to help practices maintain compliance with patient privacy regulations.
Alternatives to Spruce Health include other dedicated healthcare communication platforms like Doximity Dialer, TigerConnect, and traditional office phone systems. These alternatives vary in features such as secure messaging, telemedicine capabilities, and integration with EHRs, often differing in their pricing models and scalability.
Spruce Health typically offers tiered pricing plans that cater to different practice sizes and feature requirements. These plans often include variations in the number of users, included communication features (e.g., telemedicine minutes, secure messaging), and access to advanced functionalities. Specific pricing details are usually available upon request or on their website.
While Spruce Health offers integrations, the extent of these with various EHR systems can vary, potentially requiring some manual data entry. For after-hours coverage, while it facilitates communication, practices still need to establish clear protocols for who monitors messages and calls to ensure timely patient care.
Spruce Health can be used for urgent communications, offering features like secure messaging and a dedicated phone line. However, for true medical emergencies, it's crucial for practices to clearly communicate to patients that Spruce Health is not a substitute for emergency services and to direct them to appropriate channels like 911 or an emergency room.
Spruce Health provides features for customizable call routing, allowing practices to direct calls to specific providers or teams based on their availability or patient needs. It also includes voicemail functionalities that can be accessed securely by authorized personnel, ensuring messages are managed efficiently within a multi-provider setting.

Related Tools

TalkToMedi
TalkToMedi
Medical Phone & Communication
TalkToMedi is a Canadian voice AI receptionist for family and specialty clinics. It handles routine patient calls, appointment requests and clinic-approved administrative questions using each practice’s rules. Matters outside scope are routed to staff; clinical decisions remain with the clinic team. Booking workflows depend on each clinic’s systems and configuration. A public sample call is available on the website.
Menaela
Menaela
Documentation & Scribing
Menaela is an AI-first practice management system that combines the functions of an AI secretary with a comprehensive practice management system. It handles patient communications, scheduling, lead follow-up, and prepares draft medical notes, aiming to reduce administrative burden for solo practitioners and small clinics.
Hyro
Hyro
Medical Phone & Communication
Hyro provides AI-powered conversational AI solutions for healthcare systems, automating patient inquiries, scheduling, and communication.
Bland AI
Bland AI
Legal, Compliance & Security
Bland AI is an enterprise voice AI platform for regulated industries like healthcare, insurance, and financial services, built for high-stakes phone calls where security and trust matter. It automates calls using AI agents running on its own infrastructure for maximum security and offers HIPAA compliance and EHR integration.
Quo Sona
Quo Sona
Medical Phone & Communication
Quo Sona is an AI-powered platform that optimizes medical phone and communication for healthcare providers, automating calls, scheduling, and information delivery while ensuring HIPAA compliance.
Central AI
Central AI
Medical Phone & Communication
Central AI provides an AI-powered answering service and omnichannel communication platform for medical practices, handling calls, texts, DMs, emails, and forms to convert leads and manage patient interactions 24/7.

See all Medical Phone & Communication tools →

Suggest an Edit → | Last Verified: 2026-06-19 | First Added: 2026-06-19
AI Tool Finder
AI-powered search. Results may not be comprehensive.