Where healthcare communication counts
Every patient call, text, voicemail, and fax in one place — with smart automation, AI-powered assistance, and team collaboration to keep your practice responsive as you grow.
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Every conversation. Built for compliant care.
Trusted by 50,000+ Healthcare Professionals
"Spruce checked off all the boxes, and then some. I appreciated its ability to handle all of our needs — giving patients an omnichannel way to communicate with the practice across multiple locations."
Michael Ingui, Owner
One inbox for every patient conversation
Every patient interaction — calls, texts, faxes, video — is centralized into a smart, collaborative inbox that keeps your practice organized and accessible on any device.
Professional Phone System
Business phone lines with new or existing numbers and advanced call routing. Call from any device.
Smart, Filtered Inbox
Instantly route conversations to the right person or team for faster, more accurate responses.
Simplified Texting
Send and receive SMS texts, videos, and pictures — no patient login or mobile app required.
AI Transcripts & Summaries
Catch up quickly with instantly transcribed and summarized voicemails, calls, and audio notes.
Move patient conversations forward, faster
Route conversations to the right people, automate routine communications, and collaborate as one team for faster resolution.
Automatically route calls to the right person or team with an easy-to-use visual builder that adapts as your practice grows.
Save time and set clear expectations with automated replies to missed calls and texts.
Resolve requests faster with paging, task assignment, and customizable tags for clear ownership and easy follow-up.
Manage after-hours care with automated replies and built-in escalation for urgent requests.
Save time with custom, AI-powered workflows that categorize and assign messages to the right team members.
Sync with EHRs like athenahealth, Elation, DrChrono, ModMed, and more for easier documentation, instant patient data, and accurate records.
Move patient conversations forward, faster
Route conversations to the right people, automate routine communications, and collaborate as one team for faster resolution.
Customizable Call Flows
Automatically route calls to the right person or team with an easy-to-use visual builder that adapts as your practice grows.
Missed-Call Text Back
Save time and set clear expectations with automated replies to missed calls and texts.
@ Paging, Assignment, and Custom Tags
Resolve requests faster with paging, task assignment, and customizable tags for clear ownership and easy follow-up.
Automated Schedules
Manage after-hours care with automated replies and built-in escalation for urgent requests.
Intelligent Message Routing
Save time with custom, AI-powered workflows that categorize and assign messages to the right team members.
Integrations
Sync with EHRs like athenahealth, Elation, DrChrono, ModMed, and more for easier documentation, instant patient data, and accurate records.
Stay on top of every patient conversation
See every patient interaction, task, and handoff in one timeline, so you always know what happened, who's responsible, and what needs attention.
Phone & Message History
Get the Complete Picture
See every patient and care team interaction with an easy-to-read timeline, and detailed call history and message-level insights that include timestamps, viewers, and activity.
Analytics Dashboard
Know Where to Take Action
See response times, message volume, and teammate activity at a glance, so you know how your practice is performing and what needs attention.
Team Collaboration & Access
Keep Your Team Connected
Organize employees into teams, collaborate through Team Chat, delegate tasks, and monitor activity across your practice. Set permissions so everyone has access to only what they need.
Stay on top of every patient conversation
See every patient interaction, task, and handoff in one timeline, so you always know what happened, who's responsible, and what needs attention.
Phone & Message History
Get the Complete Picture
See every patient and care team interaction with an easy-to-read timeline, and detailed call history and message-level insights that include timestamps, viewers, and activity.
Security and reliability you can depend on
Spruce is built with HIPAA-level security and industry-best encryption at every layer, keeping patient data protected and accessible only to those who need it. No add-ons. No extra cost.
Built for Healthcare
Designed for healthcare practices of any size, Spruce’s all-in-one platform powers secure, HIPAA-compliant communication.
HIPAA Compliance
Backed by SOC 2 auditing, with a BAA in every plan and support for qualifying 42 CFR Part 2 organizations.
Security
Strong encryption for patient data at rest and in transit, plus advanced and configurable access controls.
Reliability
Industry-leading uptime, supported by redundant cloud infrastructure and an automatic, multitiered backup system.
Spam Prevention
Built-in measures for sender verification and spam control, ensuring your calls and messages get through.
AI That Puts Privacy First
Use AI-powered features with confidence. Your data stays protected and is never used to train third-party models.
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Common Questions
What is Spruce?
Spruce is the all-in-one platform for HIPAA-compliant healthcare communication: phone, text, fax, video, and secure patient and team messaging, with a BAA included in every plan. Built for solo, independent practitioners and large teams alike, with tools to automate workflows, enable better team collaboration, and ensure accountability.
Spruce is trusted by more than 50,000 providers across primary care, mental health, and other healthcare specialties.
Is Spruce HIPAA-compliant?
Spruce supports HIPAA compliance across all aspects of the platform, including phone, texting, faxing, and telehealth. Every eligible Spruce organization automatically receives a HIPAA Business Associate Agreement (BAA) as part of the terms of service — no separate agreement, opt-in, or additional fees required.
You electronically agree to the Spruce BAA when you create an organization on Spruce, and you can review this agreement in our terms of service.
How much does Spruce cost?
Spruce is priced per user, per month. A user is any teammate you have added to your Spruce organization. Generally, this will include all clinicians, staff, and other employees (but not your patients).
Spruce offers two plans — Basic ($24/user/month) and Communicator ($49/user/month).
Can I keep my existing phone and fax numbers?
Yes. You can transfer (port) your existing business phone or fax number to Spruce, and your practice number will remain the same. You can also get a new number instantly during setup. Learn more about porting a phone or fax number.