Spruce gives me the ease of unified patient communication and follow-up. It has been a game-changer for my office.
Dr. Kira Stein, MD, APC
Clinical Psychiatrist
HIPAA-compliant | HITRUST Certified | Completed SOC2 Type II Audit
HIPAA-Grade Phone, Text, Fax & Telehealth for Therapists
Provide a high quality experience that will increase patient satisfaction
Business Phone
Modern phone and fax, built around the way you work
Number Porting
Keep your business number or get a new one from Spruce.
Messaging
Send and Receive Secure Messages and SMS (text) messages.
Voicemail Transcription
Automatic voicemail transcription, accessible on mobile and web.
Call Routing
Automate call routing with Phone Trees and Extensions.
Modern Care
Improve patient satisfaction with modern care solutions
Secure Messaging
Securely message your patients, share files and send attachments.
Clinical Questionnaires
Save commonly sent messages for faster responses.
Video Visits
Offer care from anywhere with HIPAA-compliant video calling.
Secure Contacts
Upload patient lists and store contacts in a HIPAA-compliant manner.
Automation
Save time by automating your common tasks
Auto-Replies
Respond quickly any time of day with automated replies.
Bulk Messaging
Broadcast text your clients all in one go.
Saved Messages
Save commonly sent messages to send at any time.
Scheduled Messages
Send messages to be delivered at a later time.
Ready to get started?
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. Giving them options like Spruce allows them to feel safe and secure.
Dr. Abi Weissman, Psy.D.
Waves
We had never done any kind of teletherapy before, but we needed a telehealth platform immediately. Spruce helped make that a really seamless transition.
Landon Dickeson, MS, LPC.
Ranch Hands Rescue
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.
Can solo therapists use Spruce?
Yes. Spruce is built for solo practitioners and group practices alike. As a solo therapist, you get a dedicated business phone number, texting, faxing, and secure messaging — plus several other tools to reduce admin work (auto-replies, saved messages, etc.). Everything you need to communicate professionally with clients — all in one platform.
Can I text my therapy clients through Spruce?
Yes. Spruce offers two ways to message clients: standard SMS texting (delivered like a regular text - no app required) and secure, app-based messaging (patient will need to download the free Spruce app). Many therapists use both SMS for simple scheduling and reminders and secure messaging for anything clinical, including video visits.
Can I send intake forms through Spruce?
Yes. Spruce offers built-in clinical questionnaires called Spruce Visits — covering assessments like the PHQ-9, GAD-7, and other common tools used in therapy. You can send them directly to patients through a secure conversation in the Spruce app, and their responses come back to you in Spruce for review. Note that clients need to download the free Spruce patient app to complete Spruce Visits.
How much does Spruce cost?
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 offers two plans — Basic ($24/user/month) and Communicator ($49/user/month).
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