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Spruce Health

One inbox for every patient conversation.

Table of Contents

Is this product right for your business?

Find out with a

Spruce Health - 2026 Pricing, Features, Reviews & Alternatives

All user reviews are verified by in-house moderators and provider data by our software research team. Learn more

Last updated: August 2026

Spruce Health overview

What is Spruce Health?

Spruce Health is the leading platform for HIPAA-compliant healthcare communication. With Spruce, every patient call, text, voicemail, and fax lives in one place, and with powerful AI tools, intelligent automation and team collaboration, your practice stays responsive and communicates seamlessly as you grow. Spruce is trusted by more than 50,000 healthcare professionals who deserve a phone system designed just for them. One place. Every patient conversation. Built for compliant care. Learn more at sprucehealth.com.

Starting price

24per user /
per month

Alternatives

with better value for money

Pros & Cons

Integrations

Security and Access Control

Pricing

Training and Learning Curve

Spruce Health’s user interface

Ease of use rating:

4.4

(34)

Spruce Health reviews

Overall rating

4.4

Positive reviews

Rating breakdown

Value for money
Ease of use
Features
Customer support
Likelihood to recommend0.65/10

Rating distribution

Pros

“Definitely recommend despite the little integration ability yet, it does help out with patient intakes and communication when offices are staff-limited!”

Zoe D.

Administrative Assistant

“Video calling is so simple to set up, and secure messaging is super-easy and helps keep client messages secure. Since last June, Spruce has dropped a call only once. ”

Valerie S.

Licensed psychologist

“Spruce is the only k on be that I found that included everything that I needed at a price that was within my budget.”

Elizabeth O.

Lactation Consultant

Cons

“The company only communicates through email and each time you reply, you may be emailing with someone different. When I asked for specific training as a new customer, they told me they did not have specific training videos, nor did they have the time to work individually with small companies.”

Shay H.

Owner

“Almost everything but notably the customer support.”

Laura R.

Physician/Owner

Who uses Spruce Health?

Based on 34 verified user reviews.

Company size

Small Businesses

Enterprises

Midsize Businesses

Top industries

Mental Health Care

Hospital & Health Care

Health, Wellness and Fitness

Real Estate

Others

Use cases

Mental Health

Patient Engagement

Unified Communications

Telemedicine

Spruce Health's key features

Most critical features, based on insights from Spruce Health users:

HIPAA compliant

5.0

(9)

Mobile access

5.0

(8)

Reporting & statistics

4.0

(1)

Appointment scheduling

3.7

(9)

Patient portal

4.3

(4)

Confirmations/Reminders

5.0

(1)

Care plan management

5.0

(2)

Patient education

3.7

(3)

Electronic payments

2.0

(1)

All Spruce Health features

Features rating:

4.3

(34)

Access controls/permissions

(0)

Activity dashboard

(0)

Activity tracking

(0)

AI text summarization

(0)

Alerts/Notifications

(0)

API

(0)

Appointment scheduling

3.7

(9)

Archiving & retention

(0)

Automated attendant

(0)

Automated attendants

(0)

Autonomous task execution

(0)

Autoresponders

(0)

Batch communications

(0)

Call conferencing

(0)

Caller id

(0)

Caller profiles

(0)

Call list management

(0)

Call logging

(0)

Call monitoring

(0)

Call recording

(0)

Call reporting

(0)

Call routing

(0)

Call screening

(0)

Call tagging

(0)

Call tracking

(0)

Call transcription

(0)

Call transfer

(0)

Campaign analytics

(0)

Care plan management

5.0

(2)

Chat/Messaging

(0)

Collaboration tools

(0)

Communication management

(0)

Compliance

(0)

Compliance management

(0)

Computer telephony integration

(0)

Conference calls

(0)

Conference transcripts

(0)

Conferencing

(0)

Confirmations/Reminders

5.0

(1)

Contact database

(0)

Contact management

(0)

Conversation intelligence

(0)

Cross-system integration

(0)

Customer database

(0)

Customer history

(0)

Customizable Caller ID

(0)

Customizable reports

(0)

Data import/export

(0)

Documentation

(0)

EHR integration

(0)

Electronic faxes

(0)

Electronic payments

2.0

(1)

Email reminders

(0)

Employee directory

(0)

Event triggered actions

(0)

Fax Management

(0)

File sharing

4.0

(3)

For group therapy

(0)

For healthcare

(0)

For medical purposes

5.0

(1)

Group messaging

(0)

Health record access

(0)

HIPAA compliance

(0)

HIPAA compliant

5.0

(9)

Hold music

(0)

Inbound identification

(0)

Inbox management

(0)

Initial assessments

4.3

(4)

Instant messaging

(0)

Interaction tracking

(0)

Interoperability

(0)

Lead capture

(0)

Live chat

(0)

Local phone numbers

(0)

Medical billing

4.0

(1)

Messaging

4.7

(7)

Mobile access

5.0

(8)

Mobile alerts

(0)

Monitoring

(0)

Multi-Campaign

(0)

Multi-Channel call attribution

(0)

Multi-Channel communication

(0)

Multi-Channel coverage

(0)

Multi-Language

(0)

Multi-Location

(0)

Multiple user accounts

(0)

Multi-Provider practice

5.0

(1)

Multi-User collaboration

5.0

(2)

Native voip

(0)

On-Demand communications

(0)

On-Demand recording

(0)

One-to-One messaging

5.0

(1)

Online voice transmission

(0)

Patient communications

(0)

Patient education

3.7

(3)

Patient engagement

4.4

(7)

Patient portal

4.3

(4)

PBX systems, voip softphone

(0)

Performance and reliability

(0)

Performance metrics

(0)

Personalization

(0)

Phone calls

(0)

Port existing numbers

(0)

Privacy, security, and compliance

(0)

Queue management

(0)

Recording

(0)

Regulatory Compliance

(0)

Remote treatment planning

5.0

(1)

Reporting/Analytics

(0)

Reporting & statistics

4.0

(1)

Role-Based permissions

(0)

Scheduled recording

(0)

Scheduling

2.0

(1)

Secure messaging

2.0

(1)

Security and authorization

(0)

Self service portal

5.0

(3)

Single sign on

(0)

SMS messaging

(0)

Software pairing

(0)

Spam blocker

(0)

Telemedicine

(0)

Teletherapy

(0)

Template management

3.0

(1)

Text to speech

(0)

Therapy notes

(0)

Third-Party integrations

3.3

(3)

Treatment planning

3.7

(6)

Trend analysis

(0)

Two-Way audio & video

(0)

Unified communications

(0)

Video calls

(0)

Video conferencing

4.5

(2)

Video support

(0)

Virtual voicemail

(0)

Voice mail

(0)

Voicemail to sms

(0)

Voicemail transcription

(0)

VoIP

(0)

VoIP connection

(0)

VOiP number

(0)

Workflow management

4.5

(2)

Spruce Health alternatives

Spruce Health

4.4

(34)

Starting from

/user

Per month

Free trial

Free version

Ease of Use

4.2

Features

4.3

Value for Money

4.3

Customer Support

4.0

CounSol.com

4.7

(830)

visit website

Starting from

49.95

Per month

Free trial

Free version

Ease of Use

4.6

Features

4.5

Value for Money

4.7

Customer Support

4.9

Jane

4.8

(534)

visit website

Starting from

Per month

Free trial

Free version

Ease of Use

4.6

Features

4.6

Value for Money

4.7

Customer Support

4.8

TherapyNotes, LLC

4.7

(969)

visit website

Starting from

/user

Per month

Free trial

Free version

Ease of Use

4.7

Features

4.5

Value for Money

4.6

Customer Support

4.7

Spruce Health pricing

Value for money rating:

4.3

Pricing plans

Pricing details:

Free plan

Free trial

Subscription

Basic

/user

Per month

Communicator

/user

Per month

User opinions about Spruce Health price and value

Value for money rating:

4.3

(34)

To see what individual users think of Spruce Health's price and value, check out the review snippets below.

“Definitely recommend despite the little integration ability yet, it does help out with patient intakes and communication when offices are staff-limited!”

Zoe D.

Administrative Assistant

“Video calling is so simple to set up, and secure messaging is super-easy and helps keep client messages secure. Since last June, Spruce has dropped a call only once. ”

Valerie S.

Licensed psychologist