Spruce Health Reviews & Product Details

We have been using Spruce in our private practice for 2 years now. I cannot emphasize with words alone how great Spruce has been for us. First and foremost, it’s reliable. This is so important & unfortunately that’s not always the case with other phone systems out there. It’s convenient. Texting is the new standard outreach practice. Patients appreciate the ability to text with the office on their own schedules. We appreciate the ability to set auto replies for after hours or schedule follow up touch points for a later date so it doesn’t fall through the cracks. The recent updates to self-serve phone trees has been great too. Finally, the value you get for the price is great! Review collected by and hosted on G2.com.

I don’t care for the lack of a phone number to call for assistance, but that seems to be the standard for a lot of companies anymore. I will say that they are pretty quick in answering any questions through the chat & we haven’t needed to reach out very often. Review collected by and hosted on G2.com.

Spruce helps me keep my faxing, messaging, phone calls and marketing all-in-one. The staff are fantastic and helped me get my fax number from another platform. I love that my clients get to choose what works best for them; integrate the messages in their texts or separate it into the private app. From day one I was up and running with my phone. I use it every day. Review collected by and hosted on G2.com.

I wish that I had different sections for the messages and the faxes. I dont want them to be mixed together. I hope to get to learn more about using the tags to more efficiently send information to my groupings of clientele. Review collected by and hosted on G2.com.

This platform has so many great features at the lowest cost tier, which has been helpful as an individual practice owner. I can track notes, use templates, and tag conversations. I’m likely not using more than half of the features found on Spruce and it is significantly better than the last 2 services I've used for phone services in the last year and a half!! Review collected by and hosted on G2.com.

My biggest dislike would be that some of the features require a higher tiered subscription, like auto replies to missed phone calls, for instance. Review collected by and hosted on G2.com.

I like that Spruce Health offers fax, messaging, client secure messaging, video and phone options. It's fairly easy to use. Most customer support is done via the app or in the website portal. It was easy to set up although I am in private practice by myself. While it's not a "one stop shop," it does the job and it's affordable. To my knowledge it does not have third party API integration with EHR's like Simple Practice. I use it daily. I know you can pay people to set up the phone trees and other items for large organizaitons. Review collected by and hosted on G2.com.

The biggest downside here is that clients MUST make an account for messages to be HIPAA compliant. I get clients who text the number but won't make an account. I then can't respond back because it's not HIPAA compliant. Also, when they do make an account, any messages they sent prior do not show up for easy archiving. I can send an invite but many do not make an account limiting it's functionality. Paubox has introduced a feature where they can text the number w/o making an account. Paubox does automatic end to end encryption in their app. I have not used it frequently as I use chart chat if they won't make an account.

My second wish is that they added e-mail for a "one stop shop." Integrating with an EHR would be great but I know third party API has it's own challenges. Review collected by and hosted on G2.com.

Spruce was a decent unified platform—text, fax, voicemail—all under one roof. That’s where the compliments end. Review collected by and hosted on G2.com.

Their support is non-existent, and their “chat” is a useless AI wall. I tried to send a private support message voicing real frustration—like a normal clinician running a busy practice would—and their platform blasted it to my entire clinical team. My words, intended for Spruce Support, were sent to everyone. It was humiliating, morale-crushing, and completely avoidable. No warning. No safeguard. No sense of what “professional discretion” even means. No one at Spruce has responded in any meaningful way. It feels like a tech company that’s scaled for money, not care.

Spruce Health feels like a cautionary tale of what happens when you mix bad UX design, poor customer support, and zero accountability into something meant to support mental health professionals.

I’m a licensed therapist running a full team. When I reached out for support in frustration—calling out the lack of human contact—I never imagined their system would distribute my private comments to my entire staff. The emotional damage and embarrassment were real.

Spruce Support? There is none. Just a chatbot and silence. It’s 2025—if you’re going to handle HIPAA-sensitive communications, you’d better understand professional boundaries and basic logic. This isn’t just bad software—it’s organizational negligence disguised as a tech solution. Review collected by and hosted on G2.com.

Nice intuitive flow, great customer service, and EMR integration. I currently have the basic, and wish they had a “try it before you buy it” option to see what the higher tier provides. But otherwise, the features of even a basic account are plenty to efficiently and effectively run my medical practice. I’ve had a few telemedicine calls and those went well, good quality video and audio. I just started getting into the saved messages feature, but like it so far. Review collected by and hosted on G2.com.

As above, I do wish they gave basic tier clients a trial of the “Communicator” level to see if the upgrade features are worth doubling the price. Review collected by and hosted on G2.com.

What I like best about Spruce is how incredibly intuitive and user-friendly it is. From day one, our entire team was able to navigate the platform with ease, which made the transition effortless. The seamless integration with Elation has been a game-changer, allowing us to keep our workflows connected without adding extra steps or complexity. Communication with patients and between staff has never been smoother.

Another thing we truly value is the cost efficiency—Spruce offers powerful features without the heavy price tag you often see with other platforms. It has streamlined our processes, improved our team’s productivity, and created a much better experience for our patients. Spruce really stands out as a solution that combines simplicity, functionality, and value all in one. Review collected by and hosted on G2.com.

If there’s one thing I wish Spruce would improve, it would be the ability to customize intake forms more fully. Having them sync with Elation in the same seamless way Elation’s own forms do would make the workflow even smoother. It’s a small area for improvement in an otherwise outstanding platform, but if Spruce added this functionality, it would take the experience to an entirely new level. Review collected by and hosted on G2.com.

The customer service is very helpful. I needed help re-routing my number to a call center and the Spruce team went above and beyond trying to ensure that everything was working. They always answer my questions in a timely manner and the product is always working without issue. Review collected by and hosted on G2.com.

There are not really any disadvantages that I don't like. Review collected by and hosted on G2.com.

The device features a cell phone interface, verbal caller ID, and combines text, fax, and phone functions in one integrated system. Review collected by and hosted on G2.com.

There is no visual caller ID on the cell phone, which I find inconvenient. I would really appreciate a feature that shows when a call is coming in to the business number and displays the caller’s information, instead of having to answer the call first just to find out who is calling. Review collected by and hosted on G2.com.

The ease of use of Spruce, not only for myself and other providers but especially for even my most technically challenged patients is what I love most about Spruce. having all my communications in one place keeps me organized.

I love the tagging feature to assign to other providers. Review collected by and hosted on G2.com.

Some small things such as being able to have the business logo on fax cover sheets and being able to customize the face sheet with page count would be great.

A subnote under patient name that's visible with all interactions (to identify if it's the parent or guardian of a patient, or nickname).

Lastly, it would be nice if there were a way to have a sub account type for a lesser amount of money. Id like to communicate with my billing and accounting staff in Spruce to allow for use of patient names but there's no need for them to have full use of the Spruce services. Review collected by and hosted on G2.com.