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Spruce is the leading platform for HIPAA-compliant telemedicine and care outside of the exam room. A unified team inbox powers all of your practice's communication needs -- from phone, text, secure messaging, video calling, secure team chat, and more -- all from one app.

For Patients: Download to connect with your doctor for secure messaging and telemedicine.⁣⁣⁣

(Patients, see below)

Spruce is the leading platform for HIPAA-compliant communication and care outside of the exam room. A unified team inbox powers all of your practice’s communication needs -- from secure texting, practice phone system, voicemail, secure file sharing, and telemedicine -- all from one app.

Spruce provides:

• Business phone line
• Business associate agreement (BAA)
• Secure video calling
• Secure messaging
• Asynchronous telemedicine questionnaires
• Fax
• SMS texting
• Bulk messaging
• Scheduled and template messages
• Free patient app
• Available on mobile and desktop

Customer support is available in-app or by email at support@sprucehealth.com⁣


Download Spruce to connect with your provider for secure messaging and digital care.

If you have landed on this app store listing via a link that your provider has shared, simply proceed to download. If not, please ask your provider for their Spruce invitation link.

Customer support is available at support@sprucehealth.com

What’s New

Version 3.7.15

Recent updates:
- NEW: Support for landscape video calls
- FIXED: The prompt for an incoming video call sometimes wasn't showing up
- FIXED: Camera freezing in video calls if you background the app then come back

Providers: thanks for sharing feedback, feature requests, and ideas in the Spruce Support channel.

If you love Spruce, please take a moment to leave us a review or rating in the App Store - it helps others discover Spruce!

Ratings and Reviews

4.8 out of 5
21.5K Ratings

21.5K Ratings

Lotus Counseling of Montana ,

Get Spruce NOW!

Are you on the fence about switching your practice over to Spruce? If so, I have only one piece of advice: get Spruce NOW!

Are you worried about the headache of getting your phone and fax lines ported over to Spruce?
Again, I have only one piece of advice: get Spruce NOW!

Are you unsure of how much your practice will grow in the upcoming months/years and wondering whether or not Spruce will be able to accommodate the changing needs of your growing practice? Again, I have only one piece of advice: get Spruce NOW!

As a private practice psychologist who is currently growing his practice at a rapid rate, I too had all of these concerns/questions… But with in the first half hour of my initial consultation with the amazing members of the Spruce team, my concerns vanished! And now, less than one week in, all of my phone/fax numbers have been successfully ported, my questions promptly answered, and my Spruce system in perfect working order! I could not be happier, my clients could not be happier, and I simply could not give Spruce a higher endorsement!

Get a Spruce NOW!

Trust me, you will thank yourself almost immediately!!!

Pipsquacky777 ,

I Highly Recommend Spruce

I recently switched my private counseling practice over to Spruce and my only regret is n not having done it sooner. I love being able to send and receive faxes in my phone. Having a secure phone “line” that uses my existing phone is wonderful. I can tag clients so I can do searches for people with similar issues and email them information that might be relevant to them. I can “page“ myself to remind me to do a client related task or follow up with them. (It’s kind of like the marking.) I can get off of the phone with a client and immediately write a note to document the call. I can do video sessions. I’m looking forward to improvements such as clients being able to access from their PC (right now they have to use a smart phone) and better reporting so that I can more easily send out the client records when requested. But they’re a great service for a great price. My anxiety level has literally gone down because of the seamlessness of this service. Thank you Spruce!

Developer Response ,

Thank you for taking the time to share your experience on Spruce — we appreciate it and are glad to hear that you are using many of Spruce’s features to their full potential in your practice. We wanted to let you know that we recently made it possible for patients to use Spruce on their PC (in addition to their smartphone). Please get in touch so we can help set this up for your practice. Our team is available via the support chat in-app or by email at support@sprucehealth.com.

NYC HeadacheNeuropsych ,

Nice Features with Some Room for Improvement

I started out using both Spruce and Doxy, and now use almost exclusively Spruce. Doxy just wasn’t clear enough. This is highly functional, and has many nice communications features such as messaging between appointments and the ability to send documents.
I would like to see additional features added.
One limitation is the lack of the ability to add a third party to your call, which limits ability to utilize translation services. Maybe there is a way to use it that I cannot think of but...well I haven’t figured it out. Also, I wish I could figure out how to integrate some forms into the communications. I am sure that I could, but the Spruce education is not as user friendly as I’d like. Also, I wish that I could line up my appointments, as I do on my colander. Again, maybe there is a way to do that, but I haven’t figured it out.

Developer Response ,

Hi there, thank you very much for your review and for your detailed feedback. We are happy that most of Spruce's features are working well for you, and we appreciate your improvement requests, which we will be sure to pass along to our product team for consideration. Adding multiple-user-videos and calendars are great areas for improvement. As for your intake form questions, many Spruce users choose to send their intake forms via a PDF attachment in a secure conversation, or to use some of the pre-made forms available as part of your Spruce Visit library. To learn more about Spruce Visits, check this link out: https://help.sprucehealth.com/article/141-spruce-visits. And please don't hesitate to reach out to our in-app support if you have any other questions. Take care!

App Privacy

The developer, Spruce Health, indicated that the app’s privacy practices may include handling of data as described below. For more information, see the developer’s privacy policy.

Data Linked to You

The following data may be collected and linked to your identity:

  • Contact Info
  • Identifiers
  • Usage Data
  • Diagnostics

Privacy practices may vary, for example, based on the features you use or your age. Learn More


  • Family Sharing

    With Family Sharing set up, up to six family members can use this app.

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