Spruce Health
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
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)
|
| Free Trial | Unknown |
| Deployment | Cloud-based (web, iOS, Android) |
| Mobile App | Yes, available for both healthcare professionals and patients on iOS and Android. |
| API Available | Unknown |
| Data Export | Unknown |
| Target Size | Solo practitioners to large multi-site, multi-specialty practice groups. |
| Compliance | |
| BAA Available | Unknown AI-estimated |
| HIPAA Compliant | Unknown AI-estimated |
| FDA Status | Not applicable AI-estimated — unknown |
| SOC 2 | Unknown AI-estimated |
| Integrations | |
| EHR | Not specified |
| Specialties | Mental Health, Other Specialties, Primary Care |
Social Proof
| Customers | 50,000+ 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: PositiveStrengths
- 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
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Product demos, reviews, and walkthroughs for Spruce Health.
Spruce for Practices (All Specialty Demo)
Spruce Health

