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?

Get Started

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

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-grade 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, no opt-in, no additional fee.
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 everything you need to communicate professionally with clients - all in one app.

Can I text my therapy clients through Spruce?

Yes. Spruce offers two ways to message clients - SMS texting and secure app-based messaging.
Setup for SMS texting includes A2P 10DLC business registration.

Can I send intake forms through Spruce?

Spruce offers built-in clinical questionnaires called "Spruce Visits" - these include 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 app, and their responses come back to you in Spruce for review.

How much does Spruce cost?

Spruce is priced per user, per month. A user is any teammate you have added to your Spruce organization.
Spruce offers two plan - Basic ($24/user/month) and Communicator ($49/user/month).

Still have questions? Visit our Help Center

Resources

HIPAA & Security

HIPAA Compliance: Can I Text My Patients?

Primary Care

Mental Health

Other Specialties

Plans & Pricing

Patients