14-day trial. No credit card required. Cancel anytime.
Spruce is built for doctors’ offices. It does exactly what we want, and it just works. It saves us time and allowed us to deliver a better product and communicate better with our patients.
Our staff couldn't support our call volume. Spruce has given us the ability to communicate more efficiently with patients, even with a small staff and large call volume.
My clients' privacy is very important. I want to offer a safe and protected way of communicating with me. Spruce came highly recommended and doesn't disappoint!
Spruce is a great all-in-one solution for your communication. It makes your life easier and improves patient satisfaction. It’s a huge value for what you’re paying.
Spruce gives me the ease of unified patient communication and follow-up. It has been a game-changer for my office.
I want my clients to know that I’m on their side and I will fight for their confidentiality to the best of my ability. Spruce allows them to feel safe and secure.
We had never done any kind of teletherapy before, but we needed a telehealth platform immediately. Spruce helped make that a really seamless transition.
HIPAA-compliant secure messaging and file sharing.
Including SMS texting and voicemail transcription.
Secure video calling allows you to offer virtual visits from anywhere.
Send and receive e-faxes right from your phone.
Individual and group secure team messaging with task assignment.
Coordinate with teammates privately within patient messages.
Offer care from anywhere with secure video visits.
Screen patients in advance with our selection of clinical questionnaires.
Get paid faster with in-app digital payments.
Save time by automating common workflows and responses.
Securely collaborate with teammates via team messaging.
Send, receive and coordinate referrals with professional contact sharing.
Take notes privately without ever leaving the conversation.
Collaborate with teammates through a shared inbox.
Streamline workflows by paging teammates within conversations.
Assign conversations to yourself, a teammate or a group.
Professional phone lines for individuals and teams, with voicemail transcription.
See all of your calls, automatically documented in the app.
Route calls to the appropriate individual or team with phone trees.
Send and receive e-faxes from your phone or the web.
Automate call routing with advanced workflows.
Give each provider or team their own phone line to streamline communication.
Yes. All Spruce trials and paid plans automatically include a BAA, if yours is an organization that requires one. 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.
Once you've created an account, you can sign up for a plan by navigating to Settings > Plan & Billing in the Spruce web app on a desktop computer.
You do not need to sign up for a plan—or enter a credit card—during your free trial period. After your trial ends, you must sign up for a plan to continue using Spruce, and billing will begin when you sign up. If you sign up for a plan before your free trial ends, billing will begin only after your trial expires.
Spruce's free trial provides access to all the functionality of our Basic plan, with the exception of sending SMS text messages, as this feature requires an industry-standard registration process.
If you would like to send SMS texts during your trial, you must sign up for a Spruce plan, pay the industry-imposed SMS registration fee, and complete your business registration.
If you would like to test Communicator-level features while on your free Spruce trial, please reach out to us to discuss your goals with our sales team. We're dedicated to giving you the best look at Spruce that we can!
Spruce uses month-to-month contracts and billing by default, and we don't have contracts longer than this, unless you've specifically planned one with us. We want to win your trust and your business every month by providing a great service, not by locking you into a long-term payment obligation.
We also make it easy to cancel your Spruce subscription at any time, for any reason. You can do this right from within Spruce, but please consider reaching out to us before you do, if there's anything we can do to keep you with us. Our goal is to make Spruce the easiest and most valuable choice every medical practice can make, and we're all ears for ways we can continue to improve. If you do decide to cancel, we'll prorate the bill for your current service period.
A PDF file of your monthly invoice will be sent to your organization's billing email address every month. If you are having trouble finding these invoice records, try searching for “Spruce Health Inc” in your email client, and please make sure that you are searching the email account of your billing contact. If you are unsure of your organization's current billing email address, you can find it in the "Billing Settings" section of the Spruce web application.
There is a one-time $19 fee to enable outbound SMS text messaging for your organization on Spruce. This $19 fee covers the mandatory telecom industry fee for registering business SMS traffic with the major carrier networks. This industry fee is not related to Spruce services and is being passed along without markup. The fee is charged only once per organization on Spruce, regardless of number of business phone lines in use, and the fee will not be charged if your organization opts out of SMS messaging. Learn more about phone registration.
If you choose to use Spruce VoIP desk phones, we will bill the phone hardware that you choose as a one-time charge, separate from your Spruce subscription.
You can change your Spruce plan or update your billing information right from Spruce—just navigate to the Spruce billing settings page in a desktop web browser. For more information, including answers to common billing and plan questions, visit our help center: Plan Changes and Payment Method Updates.
For all other billing and plan questions, you can send our support team a message at any time right through Spruce. We're always happy to help!
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 is not priced by number of phone lines or amount of feature usage.
All users in a single organization must be on the same billing plan.
Example: A clinic with 3 physicians, 2 nurses, 1 front-desk assistant, and 1 virtual assistant will have 7 total users on Spruce, all on the same plan and with the same cost per user.
Whenever you add or remove a teammate on Spruce, your bill will automatically increase or decrease to reflect the change.
We've worked hard to make our monthly per-seat pricing model match the usage needs of all types of medical practices, regardless of organization size. Because of this, the vast majority of practices can (and do!) use all of Spruce's features in an effectively unlimited way, and we do not charge individually for texts, video calls, voice minutes, or other feature use. We also do not have any hard caps or automatic schedules of "overage" charges, and there will never be any surprise upcharges on your bill.
This fixed pricing works best for nearly all Spruce customers, as our goal is for you to be able to use Spruce as much and as often as possible, without having to worry about a bill that might be quietly ballooning in the background.
In the rare case that an organization's heavy use of Spruce is not compatible with the pricing of its chosen plan, we will reach out to the organization to describe the issue and to negotiate a custom price.
If you are concerned that your planned use of Spruce might be unusual, please feel free to ask our sales team ahead of time. As a general guide, extreme per-person usage of voice minutes, video minutes, SMS messages, and fax pages would be most likely to benefit from a custom pricing discussion.
Spruce can support any number of phone and fax lines for your organization, and the system is designed to let users provision and configure new lines in a self-service manner.
By default, your subscription plan will determine the number of phone lines that your organization can provision:
• Basic: One line for each user, plus one additional line
• Communicator: Two lines for each user, plus one additional line
Fax lines work the same way. So a 3-user practice on our Basic plan could set up 4 phone lines and 4 fax lines without needing any help from our support team.
If your situation will require more lines than your subscription plan will allow for, just message our support team in the Spruce app, and we'll help you sort it out.
