Spruce for primary care practices
Access
Provide your patients with concierge access

Clinic Profile
Simplified access and connection through your Clinic Profile.

Messaging
Patients can Secure Message or Text (SMS) your clinic.

Virtual Care
Video Visits and Clinical Questionnaires offer care from anywhere.

After-Hours
After-hours answering service.
Efficiency
Build efficiency into your clinic communication

Automation
Save time by automating your common tasks.

Saved Messages
Increase productivity by saving commonly sent messages.

Workflows
Trigger automated responses based on the time of day.

Bulk Messaging
Expand your reach with bulk messages.
Coordination
Coordinate care between teammates and others

On-Call Coverage
Triage on-call coverage for colleagues.

@Paging
Use @mentions to delegate work.

Referrals
Message other clinics and send referrals.

Assignment
Assign tasks to teammates.

Team Messaging
HIPAA-compliant messaging between teammates.

Notes
Communicate privately with teammates from within patient conversations.
Phone System
Modern system built for healthcare

Professional Phone
Get a new number or port in an existing phone number.

VoIP Phones
In office phone system with modern desk phones.

Phone Trees
Route callers to the right place at the right time.

E-Fax
Send and Receive Unlimited E-faxes.

Voicemail Transcription
HIPAA-compliant storage of all messages.

Urgent Escalation Triage
After-Hours Triage: Get notified of urgent calls only.
Our product is access: access to me, to our staff, and to quality care. We need tools that enable access, which is why we switched to Spruce.
– Dr. Rob Lamberts, Primary Care Physician
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.
– Dr. Robert Boyer, DPC, Trialhead Clincs
We started getting a very large number of phone calls, and since we have such a small staff we weren’t prepared to handle them. Spruce has given us the ability to communicate more efficiently and effectively with patients, even with a small staff and large call volume.
– Kaela Thurman NP, Hometown Health Center
Common Questions
Is Spruce HIPAA-compliant?
Spruce supports HIPAA-compliant communications across 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.
Is Spruce good for small primary care practices?
Yes. Spruce is designed for small and independent practices across all specialties, including primary care. Whatever your patient population, Spruce gives you one professional platform for phone, texting, faxing, secure messaging, and telehealth — plus team tools like shared inboxes, conversation assignments, internal notes, call flows, after-hours triage, and so much more, making it easier to stay organized and responsive to patients.
How do I handle urgent patient messages after hours?
Spruce lets you set up scheduled auto-replies, so patients always hear back, even when you are unavailable. On the Communicator plan, you can set up after-hours call flows to route urgent calls to the right on-call staff, and set up message flows that let patients flag a message as urgent — alerting the right person immediately.
Does Spruce have phone trees?
Yes. Spruce's call flows feature lets you build a fully customizable phone tree for your practice in a self-service way. You can greet callers with a menu of options, route calls to the right team or team member, and even set up automatic follow-up actions when a call ends — like sending a text or assigning the conversation.
Call flows can also be tied to a schedule, so your routing switches automatically between business hours and after hours. You can use AI text-to-speech to create professional greetings in seconds without recording your own audio.