Increase your healthcare practice reach
Modern Care
Increase your reach with modern communication tools that are easy to use

Secure Messaging
HIPAA-compliant Secure Messaging & File Sharing.

SMS Texting
Two-way texting to reach your patient quickly and easily.

Video Calling
Video Visits offer care from anywhere.

Business Phone
Get a new number or move one in to use with app or desk phones.
Efficiency
Spend more time on care and less time on repetitive tasks

Auto-Replies
Automatically respond to incoming messages.

Office Hours
Automate workflows to work around your office hours.

Flag urgent requests
Get notified when a message requires immediate attention.

Workflows
Save time by automating your common workflows.
Coordination
Coordinate care with your teammates and other clinics

Team messaging
HIPAA-compliant messaging between teammates.

Internal Notes
Communicate privately with teammates from within patient conversations.

@Paging and Assignment
Use @mentions to delegate work, or assign a conversation to a teammate.

Clinic Chat and Referrals
Message other clinics and send referrals.
Spruce does exactly what we want, and it just works. Spruce has saved us time and allowed us to deliver a better product and communicate better with our patients.
– Dr. Jonathan Feistmann, NYC Retina
Spruce is truly the hub of my business. It is how my team and I communicate with each other, our clients and other healthcare providers.
– Amey Fields, Az Breastfed Babies
Spruce came up multiple times, especially from people in our field who were using it. It’s affordable, it’s reliable, it’s easy to use, and there’s great customer service, too.
– Robin Kaplan, Lactation Consultant
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.
Does Spruce work for dermatology, pediatrics, and other specialties?
Yes. Spruce is designed for small and independent practices across all specialties. 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.