Spruce for patients
Spruce is the #1 app for healthcare communication, and it's 100% free for patients. Join with the link your provider sent you or sign up and we'll help you find a provider.
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Communication
Stay connected to your doctor, wherever you are
Secure Messaging
Secure Message and share files with your doctor or care team.
Video Calling
Meet your provider face to face with secure video calling.
Clinical Questionnaires
Get screened for common concerns with Spruce Visits.

Efficiency
Get the access you need without the wait
Messaging
Message your care team any time on your phone or desktop.
Secure File Sharing
Send and receive important documents in one secure place.
Simplified Communication
Message, call, or video chat with your doctor all from one place.
Spruce is available on iOS, Android and Web
Common Questions
Is the Spruce app free for patients?
Yes. The Spruce patient app is free to download on iOS and Android. There is no subscription or setup fee for patients.
Do I need to create a Spruce account to message my provider?
No, if your provider texts you, you can reply by SMS from your existing phone — no app needed. For secure messaging, video visits, and clinical questionnaires, you'll need the free Spruce patient app, available on IOS, Android, and web.
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 I have a video visit through Spruce?
Yes. Your provider can initiate a video call with you through Spruce, which you can accept on your phone, iPad, or computer. Your provider will typically schedule the visit in advance and send you a message beforehand. Just make sure you're logged in to the Spruce app or website at the time of your appointment. Note that patients cannot initiate video calls.
Why does my doctor use Spruce?
Your provider uses Spruce to keep all communication — phone, text, secure messaging, and video — in one HIPAA-compliant app. That means faster responses, no missed messages, and a more organized experience for you as a patient.