Spruce 2026: Benefits, Features & Pricing

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Overview
Pricing and Plans
Features
Integrations
User Reviews

Overview

Spruce

4.4

(32)

Pricing

Starting at $24.00 per month

About Spruce

Spruce is a HIPAA-compliant telemedicine platform that enables healthcare providers to facilitate communications with care partners and patients. It comes with a unified team inbox, which lets professionals receive patient requests, listen to voicemails and initiate responses from within a centralized interface.

Key features of Spruce include file sharing, patient engagement, rotation scheduling, video calling and mobile payments. Businesses can utilize the workflow automation module to revert on patient calls or text messages, set up custom rules to automatically alert staff and provide virtual care assistance as per requirements. Additionally, care teams can quickly collaborate with healthcare providers through shared internal notes, team chats and paging, among other communication tools.

Spruce provides health care teams with business phone lines and an automated telephone information system to communicate with patients through recorded greetings. It integrates with EMR and billing platforms including Elation and Hint. Pricing is available on monthly subscriptions.

Spruce Screenshots

Spruce Pricing and Plans

Starting price: $24.00 per month

Free Trial

Free Version

Basic

$24.00

per feature, per month

No plan information available

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Spruce Features

Popular features found in Patient Engagement
Appointment Scheduling
Care Plan Management
Confirmations/Reminders
Electronic Payments
HIPAA Compliant
Mobile Access
Patient Education
Patient Portal
Patient Questionnaires
Patient Records Management
Reporting & Statistics
Surveys & Feedback
More features of Spruce
Activity Tracking
Alerts/Notifications
Call Recording
Call Routing
Call Transfer
Chat/Messaging
Communication Management
Electronic Faxes
Email Reminders
File Sharing
For Medical Purposes
Initial Assessments
Live Chat
Medical Billing
Messaging
Mobile Alerts
Multi-Provider Practice
Multi-User Collaboration
One-to-One Messaging
Patient Engagement
Remote Treatment Planning
Scheduling
Self Service Portal
Third-Party Integrations
Treatment Planning
Video Conferencing
Voice Mail
Workflow Management

Spruce Integrations

Elation

Spruce User Reviews

Overall Rating

4.4

Ratings Breakdown

72%

16%

Secondary Ratings

Ease of Use

4.2

Value for money

4.3

Customer support

4.0

Functionality

4.3

Julie L.

Verified reviewer

Health, Wellness and Fitness

11-50 employees

Used weekly for less than 12 months

Review source

Reviewed December 2019

Overall Satisfied With Program

Overall, it has completed its intended tasks. I did come to Spruce from different software that had better search features integrated.

Ratings Breakdown

Ease of use

Functionality

Pros:

This is a great software for communicating with patients/doctors. I am a user (patient) who uses Spruce to reach out my Primary Health Care practice. It works as intended.

Cons:

Sometimes, the notifications do not come through as a push notification on my device. I have had a couple instances where I had new messages and I had to open the app to find out. I wish there was an easy way to search the messages and files received.

Verified

Reviewer

Mental Health Care

Self-Employed

Used daily for less than 2 years

Review source

Reviewed January 2025

Helpful for Private Practice Communication

Using Spruce has made it easier to manage messaging with my clients and communicate when I am not able to respond.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

I can send automated message replies such as out of office responses.

Cons:

I cannot identify any cons at this time.

Reasons for switching to Spruce

I needed the ability to send automated replies.

Shay H.

Verified reviewer

Mental Health Care

2-10 employees

Used daily for free trial

Review source

Reviewed September 2024

Not for small businesses

The company only communicates through email and each time you reply, you may be emailing with someone different. When I asked for specific training as a new customer, they told me they did not have specific training videos, nor did they have the time to work individually with small companies. The free trial was a waste of time because you could not use features without being signed up.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

I like that they were Healthcare focused.

Cons:

Very confusing to start - no personal connection or onboarding that is not in a group setting. They say they do not have the manpower to work with small businesses. They do not offer 24-hour help.

Reasons for choosing Spruce

In the end, I did not choose it. I thought I would due to reviews.

Josephine H.

Verified reviewer

Health, Wellness and Fitness

2-10 employees

Used daily for less than 6 months

Review source

Reviewed August 2021

Very Helpful Customer Service and Great App

We are able to receives calls and texts.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

The app is easy to navigate, the customer service is prompt and friendly, and clients have been able to reach me thus far.

Cons:

I wish porting a number didn't take so long. We have had a lot of interruptions during our wait.

Reasons for choosing Spruce

The customer service, the app is easy to use and the ability to connect with clients.

Reasons for switching to Spruce

We were using Google Voice and they don't offer customer service. My phone stopped receiving messages for some reason, and after months of trying to figure it out we could not.

Mitchell C.

Verified reviewer

Defense & Space

5001-10000 employees

Used monthly for less than 2 years

Review source

Reviewed March 2025

Spruce- The all in one online suboxone treatment.

Spruce made it very easy for me to sign up, schedule, and follow through with my health plan. It was extremely convenient to download and get started within minutes. I recall being able to schedule an appointment for the same day that I signed up and downloaded the app. I believe I had my medicine within 5 or 6 hours or initially trying to schedule an appointment, which to me was just incredible and extremely convenient. This app was very impressive.

Ratings Breakdown

Ease of use

Customer support

Functionality

Pros:

The ease of access to all the information I needed. How easy it was to direct message with my doctor and get any support that I needed. I also remember it being extremely quick. I was able to get same day medicine. It's also very nice because you can message your doctor at any given time, even outside of your scheduled appointment times. If you can't get in touch with them, there is a support team who will message you back and help all they can. I was very impressed with this app.

Cons:

There is nothing I found that I did not like about the app.

Jairo B.

Verified reviewer

Hospital & Health Care

2-10 employees

Used daily for less than 6 months

Review source

Reviewed January 2021

No support at all, just a robot.

I wanted to keep the service, but not with my main company numbers since we were not able to see caller's ID, so I want to port out the numbers I brought, they are ready to be ported out to a better service, but there is no human that can help with that, so my company numbers are stuck with the robot.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

It was easy to start using it. It looks nice. The faxes were being sent and had feedback about it.

Cons:

You have to have a cellphone to use the phone feature, there is no softphone for laptop/desktop for direct calls, you have to dial through an intermediary number. It doesn't show the caller's ID, it shows your own spruce number as the caller. The support is horrible, is only a robot that never gives the appropriate support. I think I got to chat with a human when I was inquiring about the service, and it took time, I had to deal with the robot first.

Reasons for choosing Spruce

It seemed to be one of the preferred by Health Services Providers, but, it is a nightmare to find a real human to chat.

Reasons for switching to Spruce

Faxing at RingRX was not working properly, the calls got dropped after a few minutes.

Zoe D.

Verified reviewer

Health, Wellness and Fitness

2-10 employees

Used weekly for less than 6 months

Review source

Reviewed March 2025

Helps out Small Medical Offices!

Definitely recommend despite the little integration ability yet, it does help out with patient intakes and communication when offices are staff-limited!

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

With doctor offices growing with number of patients each year, it is important to have a software like this to handle the volume of patients and inquiries when there are limited staff members in the office.

Cons:

It would be a much better software if it wasn’t for the inability to integrate with many other platforms yet.

Jessica T.

Verified reviewer

Real Estate

2-10 employees

Used weekly for less than 12 months

Review source

Reviewed May 2025

10 out of 10

From the system to the services provided to our tenants, it's all been fantastic! We have no complaints from our office or residents who schedule services.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

The service is exceptional. We are able to view anything that's been scheduled and we also get notifications.

Cons:

There is nothing I have come across as of yet. The process is seamless and easy to use and understand.

Evan C.

Verified reviewer

Health, Wellness and Fitness

2-10 employees

Used daily for more than 2 years

Review source

Reviewed February 2022

Spruce Update is a Disaster

It was adequate until it became completely inadequate and frankly is just costing us clients, money, and time right now.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

I used to like Spruce health. It wasn't perfect, but it was intuitive and we could work around issues like being unable to text multiple clients (as in a couple) at the same time or having multiple clinicians who needed to be able to see the same thread. But their recent update has made the app utterly unuseable and their customer support is non-existent. I would recommend that any practice considering Spruce run the other way.

Cons:

Customer support. Recent update makes it un-useable.

Verified

Reviewer

Mental Health Care

2-10 employees

Used daily for less than 12 months

Review source

Reviewed December 2022

Great

Highly recommend.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

HIPAA compliant. Easy to communicate with others.

Cons:

I found the features not available on the lower tier were a bit hidden and to get all the features I wanted added up in cost. Patients CANNOT text you in a HIPAA compliant manner unless they have the app.

Reasons for choosing Spruce

Easy of use.

Showing 1 - 10 of 32 Reviews

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