--- title: "Spruce Health Software Pricing, Alternatives & More 2026 | Capterra" description: "With the help of Capterra, learn about Spruce Health Software - reviews, pricing plans, popular comparisons to other HIPAA Compliance products and more." source_url: "https://www.capterra.com/p/198267/Spruce/" page_type: "product" language: "en" publication_date: "2026-11-09" --- # Spruce Health Software Review 2026: Features, Integrations, Pros & Cons Last updated on November 9, 2026 Provider data verified by our Software Research team, and reviews moderated by our Reviews Verification team. [Description](#description)[Use cases](#use-cases)[Alternatives](#alternatives)[FAQs](#faqs)[Features](#features)[Pricing](#pricing)[Integrations](#integrations)[Support](#support)[Reviews](#reviews) Spruce Health ## 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. ## What is Spruce Health used for? [Patient Engagement](https://www.capterra.com/patient-engagement-software/)[Telemedicine](https://www.capterra.com/telemedicine-software/)[Business Phone Systems](https://www.capterra.com/business-phone-systems-software/) Top alternative Featured Overall rating Based on 35 user reviews Reviews sentiment Positive 88% Neutral 0% Negative 12% Starting price $24 Per User, Per Month Free trial available Free version not included Capterra Shortlist charts the highest-rated and most popular products... Our "Best of" badge program showcases products with the highest ratings... Our "Best of" badge program showcases products with the highest ratings... Do you work for Spruce Health?[Manage this product listing](https://www.g2.com/products/spruce-health/claim_requests/new?auto=true) ## Compare with a popular alternative Capterra selects software alternatives based on relevant features, verified user reviews and user interactions. Placement may be influenced by client status. ### Spruce Health 4.4 (34) VS. [4.4 (1,056)](https://www.capterra.com/p/130400/TheraNest-Mental-Health/reviews/) Starting Price $24 Per User, Per Month Starting Price $29 Per User, Per Month Free Trial Free Version Pricing Options Free Trial Free Version Ease Of Use 4.2 (34) Ease Of Use 4.3 (860) Value For Money 4.3 (31) Value For Money 4.2 (787) Customer Service 4.0 (31) Customer Service 4.4 (764) ## Spruce Health alternatives [4.6 (2,828)](https://www.capterra.com/p/130710/SimplePractice/reviews/) Starting price $49.00 Per User, Per Month Pricing Options Free Trial Free Version User Rating 94% of reviewers rated it above 4 stars [4.7 (972)](https://www.capterra.com/p/118981/TherapyNotes-com/reviews/) Starting price $69.00 Per User, Per Month Pricing Options Free Trial Free Version User Rating 94% of reviewers rated it above 4 stars [4.7 (830)](https://www.capterra.com/p/124769/CounSol-com/reviews/) Starting price $49.95 Per User, Per Month Pricing Options Free Trial Free Version User Rating 98% of reviewers rated it above 4 stars Highest Rated [4.8 (538)](https://www.capterra.com/p/178984/Jane-App/reviews/) Starting price $59.00 Per User, Per Month Pricing Options Free Trial Free Version User Rating 97% of reviewers rated it above 4 stars [View all alternatives](https://www.capterra.com/p/198267/Spruce/alternatives/) ## FAQs about Spruce Health Overview ### Which roles and teams benefit most from Spruce Health? Spruce Health is most used by practice owners, physicians, therapists, psychologists, and psychiatric nurse practitioners who manage patient communication, scheduling, and care coordination. Practice administrators, office managers, coordinators, and administrative assistants use it to handle intake, messaging, appointment follow-up, and front-office workflows across behavioral health and private practices. Answer based on 34 reviews Overview ### What company size and industries is Spruce Health built for? Spruce Health is built for small healthcare practices, with 97% of reviewers from small businesses and Mental Health Care leading at 41%. Its HIPAA-compliant communication platform also serves Health, Wellness and Fitness organizations (24%) and Hospital & Health Care providers (18%), especially for mental health use cases. Answer based on 34 reviews Features and Usability ### What are the key features of Spruce Health? Spruce Health offers patient communications tools such as secure messaging, SMS messaging, video calls, and telemedicine, along with appointment scheduling and reminders. It also includes call routing, call recording, voicemail transcription, EHR integration, role-based permissions, HIPAA compliance, and reporting and analytics. Integrations ### Which third-party tools and platforms does Spruce Health integrate with? Spruce Health integrates with 10 third-party platforms, including DrChrono, Elation, athenaOne, ModMed, Hint Clinical, ChronicCareIQ, Delphi AI, Dock, Keragon, and Morf Health. These integrations cover clinical operations, patient communication, AI support, and workflow connections across healthcare teams. Answer based on 4 reviews Getting Started and Support ### What training and onboarding options does Spruce Health offer? Spruce Health provides live online sessions, webinars, documentation, and videos to help teams get started. Live online sessions and webinars support guided instruction, while documentation and videos offer self-paced reference materials for learning product features and setup steps. Answer based on 2 reviews Getting Started and Support ### What customer support options does Spruce Health offer? Spruce Health provides email/help desk, FAQ/forum, knowledge base, phone support, and chat. Users describe support as prompt and helpful at times, with quick replies and useful documentation, but others report slow or hard-to-reach assistance and recurring problems getting timely fixes when issues arise. Answer based on 9 reviews ## Features AI summary Based on 1,263 HIPAA Compliance reviews Capterra data shows that buyers of Patient Engagement software rank the following features as their top priorities: - **HIPAA Compliant** (**70%** of reviewers rated this feature as critical) - **Charting** (**69%**) - **Appointment Management** (**52%**) Spruce Health includes **HIPAA Compliant**, but does not include **Charting** or **Appointment Management**. Its support for **HIPAA Compliant** helps healthcare organizations protect patient information, maintain regulatory compliance, and support secure communication workflows, providing teams with a safer way to manage sensitive patient interactions. HIPAA Compliant 5.0 (9) 77.78% of 9 reviewers that rated this feature as important or highly important Compliant with HIPAA, which sets standards for sensitive patient data protection Appointment Scheduling 3.7 (9) 77.78% of 9 reviewers that rated this feature as important or highly important Schedule appointments via a calendar Mobile Access 5.0 (8) 62.50% of 8 reviewers that rated this feature as important or highly important Access software remotely via mobile devices Messaging 4.7 (7) 42.86% of 7 reviewers that rated this feature as important or highly important Communicate using messages within the system Patient Engagement 4.4 (7) 42.86% of 7 reviewers that rated this feature as important or highly important Allows medical providers to engage patients in a variety of ways to ensure their health. Patient Portal 4.3 (4) 75.00% of 4 reviewers that rated this feature as important or highly important Online portal where patients can access information such as health records, treatment plants, etc. Spruce Health 86 features ### All Features - Access Controls/Permissions: Define levels of authorization for access to specific files or systems - Activity Dashboard: Dashboard to view the status of ongoing processes, identify current incidents and track past activities - Activity Tracking: Track and document all activities across devices, networks, and other systems - AI Text Summarization: Condenses long documents or text into a brief summary. - Alerts/Notifications: Alerts or notifications of various types such as pop-up messages, sounds, banners, or badges - API: Application programming interface that allows for integration with other systems/databases - Appointment Scheduling: Schedule appointments via a calendar - Archiving & Retention: Moving and separately storing data that is not actively used or continuous storage of data for compliance purposes - Automated Attendant: A voice menu system or virtual receptionist that transfers callers to an extension without going through a telephone operator. - Call Conferencing: Facilitate virtual conferences that connect multiple people remotely - Call List Management: Manage and track all past and future calls. - Call Logging: Collects essential call data such as call origin, call destination, call length, and other transaction details - Call Monitoring: Listen to live phone conversations for the purpose of training and assessing agent performance - Call Recording: Record the audio of phone conversations for quality assurance purposes - Call Reporting: Track and report on all incoming and outgoing calls - Call Routing: Sends voice calls to a specific queue based on predetermined criteria - Call Tagging: Highlight specific time marks for annotation and review purposes - Call Tracking: Process to identify source of incoming calls, date, time, duration or caller type using a unique phone number - Call Transcription: Voice conversion to text - Call Transfer: Transfers live calls to other agents - Caller ID: Identify the number and contact information of a caller before answering the phone - Caller Profiles: Store caller information within an accessible database - Care Plan Management: Manage the treatment plan and coordination between care providers and patients with special health care needs - Chat/Messaging: Communicate using direct chat or messages within the system - Collaboration Tools: Provides a channel for team members to share AI models, media files, communicate, and work together - Communication Management: Manage and track all internal and external communication conducted via calls, email, text, or chat - Compliance Management: Track and manage adherence to policies for any service, product, process, or supplier - Computer Telephony Integration: Computer-telephony integration is the use of computers to manage telephone calls - Confirmations/Reminders: Automated reminders and confirmations for booked appointments and events via text or email - Contact Database: Centralized database of stakeholders and their contact information such as names, address, phone number etc. - Contact Management: Manage, organize, and store contact information - Customer Database: A collection of customer information such as contact details, demographics, previous interactions, etc. - Customizable Reports: Alter the layout and content of reports - Data Import/Export: Import and export data to and from software applications - EHR Integration: Integrates with electronic health records/electronic medical records to improve patient record management and enable care coordination. - Electronic Faxes: Create, edit, preview, and send faxes electronically - Electronic Payments: Electronically collect payments for goods or services - Email Reminders: Reminders sent via email - Employee Directory: Access names, contact information, and roles of employees in a centralized repository - Event Triggered Actions: Predefined actions automatically performed on the occurance of specific events - File Sharing: Public or private sharing of digital files such as documents, audio/video, images, and more - For Healthcare: Software designed for the healthcare industry - For Medical Purposes: Intended for medical use such as diagnosis, treatment, and consultation - Health Record Access: Gaining access to confidential health documents and information - HIPAA Compliance: Ensures that nutrition/dietician practice operations adhere to and meet HIPAA regulations, to protect, audit, and secure sensitive data - HIPAA Compliant: Compliant with HIPAA, which sets standards for sensitive patient data protection - Interaction Tracking: Track interaction history by documenting conversations for contacts - Interoperability: The ability of two or more systems to exchange information or data. - Live Chat: Ability to chat online in real time - Medical Billing: Manage billing and payments for a healthcare provider - Messaging: Communicate using messages within the system - Mobile Access: Access software remotely via mobile devices - Mobile Alerts: Notifications via mobile devices - Monitoring: Observe and track the demand, usage, progress or quality of a system, product, or user - Multi-Channel Communication: Allows communication with customers or users via multiple channels such as phone, email, live chat, etc. - Multi-Language: Manage and support multiple languages - Multi-Location: Manage and support multiple locations - Multi-Provider Practice: For practices with multiple providers - Multiple User Accounts: Allow multiple users with individual logins and varying permissions to use the same account, software, portal, or service - On-Demand Recording: Record the audio of phone conversations for quality assurance purposes - One-to-One Messaging: Send personal messages to clients or attendees - Patient Communications: Allow communication between the company and patients via messages, SMS, emails, phone, and more - Patient Education: Educational and medical resources that are delivered to patients online - Patient Engagement: Allows medical providers to engage patients in a variety of ways to ensure their health. - Patient Portal: Online portal where patients can access information such as health records, treatment plants, etc. - Performance Metrics: A set of indicators that tracks the performance of networks, applications, systems, teams, etc. - Queue Management: Monitor wait time and abandonment for incoming requests that have not been routed - Recording: Record live video calls to play later - Remote Treatment Planning: Remotely create and access treatment plans tailored to individual patients based on symptoms - Reporting & Statistics: Collection, analysis, and representation of numerical data and generation of reports to understand various patterns - Reporting/Analytics: View and track pertinent metrics to find patterns and gain insights from data - Scheduled Recording: Automatically record calls at predetermined times - Scheduling: Plan availability and assign specific time slots for tasks and resources - Secure Messaging: Exchange messages in a secure and encrypted manner - Self Service Portal: Online portal through which end users can access the system, manage tasks, or obtain information - Single Sign On: Allow users to access multiple services after entering their login credentials once - SMS Messaging: Send messages via SMS - Spam Blocker: Filters used to determine different types of malware threats - Telemedicine: Meet with patients remotely - Text to Speech: Turns text into natural sounding speech - Third-Party Integrations: Set up connections to third-party platforms to improve business processes - Two-Way Audio & Video: Presenter can see and hear participants and vice versa - Video Conferencing: Connect with meeting participants remotely over video - Voice Mail: Computer-based system that allows users to send and receive voice messages - VoIP Connection: Place/receive calls through voice over IP connection - Workflow Management: Create, design and manage workflows for repetitive tasks --- Get Advice We can help you find the software with the features you need. Features 4.3 (34) 4.3 Based on 34 reviews ## Pricing Value for money 4.3 (31) Free Trial Basic $24.00 Per User,Per Month Communicator $49.00 Per User,Per Month Value for money 4.3 (31) 4.3 Based on 31 reviews ## Integrations [ athenaOne](https://www.capterra.com/p/98735/athenaOne/)[ ModMed](https://www.capterra.com/p/124590/EMA/)[ DrChrono](https://www.capterra.com/p/89392/drchrono-Practice-Management/)[ Elation](https://www.capterra.com/p/147889/ElationHealth/)[ Dock](https://www.capterra.com/p/218139/Dock-Health/)[ ChronicCareIQ](https://www.capterra.com/p/9603/ChronicCareIQ/)[ Delphi AI](https://www.capterra.com/p/218667/Delphi-AI/)[ Hint Clinical](https://www.capterra.com/p/238712/Hint/) Connect with a Capterra advisor for a free 15-minute consultation Get a personalized software list aligned to your business needs with guidance from our expert advisors. Our team has helped 1 million+ businesses like yours find options that fit their needs. ## Support, customer service and training options Customer Service 4.0 (31) Support - Email/Help Desk - FAQs/Forum - Knowledge Base - Phone Support - 24/7 (Live rep) - Chat Training - In Person - Live Online - Webinars - Documentation - Videos Deployment - Web - Android - iPhone/iPad Typical users - Freelancers - Small businesses - Mid size businesses - Enterprises Customer Service 4.0 (31) 4.0 Based on 31 reviews ## User reviews Overall rating 4.5 Based on 35 reviews Filter by rating Counts reflect reviews available in this feed. 5(25) 4(6) 3(0) 2(3) 1(1) Mentioned topic Recent reviews first, then most helpful RE Reviewer Office Coordinator Used the software for: Less than 1 year ### "Great for private practice " 5.0 Overall Rating 5.0 5.0 Ease of Use 5.0 5.0 Features 5.0 5.0 Customer Service 5.0 5.0 Likelihood to Recommend 3/10 April 6, 2026 Pros We use spruce for our private practice and love the ease of which I can communicate with clients in multiple ways. Spruce offers calling, text, fax and I like doing it all from the app. It makes working virtually very easy while still remaining in contact with our clients. We can do everything I need to do and the price is fair as we only need two log ins. Cons I archive all of our conversations and wish I could filter through those easier to find past conversations Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. Christine H. Pilates transformation expert Used the software for: Less than 1 year ### "Simple platform with limited bells and whistles" 4.0 Overall Rating 4.0 4.0 Ease of Use 5.0 5.0 Features 3.0 3.0 Customer Service 3.0 3.0 Likelihood to Recommend 6/10 March 31, 2026 Getting online with my practitioner for an appointment was quick and easy; the audio video system worked well. Pros Platform was easy to set up from the client perspective without a lot of extraneous bells and whistles to get confused about. Cons Platform does not make it easy to contact a practitioner outside of a scheduled appointment, so cancellations have to happen outside of the platform. Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. Harmony S. Owner/therapist Used the software for: Less than 1 year 5.0 November 6, 2026 AI summary based on a full review Spruce simplifies HIPAA compliant communication for therapists, allowing clients to use their cell phones without hassle. A limitation is the difficulty in switching between accounts, which could improve user experience. Log in to unlock the full review, detailed ratings, and pros & cons Verified Reviewer PMHNP Used the software for: Less than 1 year ### "Great" 5.0 Overall Rating 5.0 5.0 Ease of Use 5.0 5.0 Features 5.0 5.0 Customer Service 5.0 5.0 Likelihood to Recommend 8/10 December 7, 2022 Highly recommend. Pros HIPAA compliant. Easy to communicate with others. Cons I found the features not available on the lower tier were a bit hidden and to get all the features I wanted added up in cost. Patients CANNOT text you in a HIPAA compliant manner unless they have the app. Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. RE Reviewer Administrative Assistant Used the software for: Less than 1 year ### "Helps out Small Medical Offices!" 5.0 Overall Rating 5.0 5.0 Ease of Use 5.0 5.0 Features 3.0 3.0 Customer Service 4.0 4.0 Likelihood to Recommend 6/10 March 28, 2025 Definitely recommend despite the little integration ability yet, it does help out with patient intakes and communication when offices are staff-limited! Pros With doctor offices growing with number of patients each year, it is important to have a software like this to handle the volume of patients and inquiries when there are limited staff members in the office. Cons It would be a much better software if it wasn’t for the inability to integrate with many other platforms yet. Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. Laura R. Physician/Owner Used the software for: 1-3 years ### "Terrible Customer Service" 2.0 Overall Rating 2.0 2.0 Ease of Use 2.0 2.0 Features 3.0 3.0 Customer Service 1.0 1.0 Likelihood to Recommend 2/10 August 17, 2022 I do not like this program at all but feel stuck with them. Pros Spruce has been a a disappointment. The created an update that was not user friendly. My staff and I have reached out to support many times, We get the wrong info and then when trying to address issues, we are asked the same info over and over or told incorrect information on set. We have requested a person and a conversation and this was denied with repeated silly auto replies stating how much more effective communication is by text. It is truly a nightmare to work with them and been a horrible experience of late. I do not recommend this service unless that can make some major changes. Cons Almost everything but notably the customer support. Lots of glitches, does not transfer to oncall or vacation messages easily. Not user friendly. Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. RE Reviewer Admin Used the software for: 1-3 years ### "Easy to Navigate" 5.0 Overall Rating 5.0 5.0 Ease of Use 5.0 5.0 Features 4.0 4.0 Customer Service 5.0 5.0 Likelihood to Recommend 8/10 March 28, 2025 Pros Ease of communication with clients. Ability to send large documents Cons Fairly basic platform. Which can be nice for simplicity, but mote functionality would be nice. Like Having virtual platform options Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. Kari C. Office Manager Used the software for: Less than 1 year ### "Spruce Review" 5.0 Overall Rating 5.0 5.0 Ease of Use 5.0 5.0 Features 5.0 5.0 Customer Service 5.0 5.0 Likelihood to Recommend 10/10 March 28, 2025 Spruce is effective and easy to use for counseling services. Pros It was easy to navigate and use for counseling. Cons There wasn't really anything I didn't like about it. Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. RE Reviewer Owner Used the software for: 3-5 years ### "Great features, terrible customer support" 4.0 Overall Rating 4.0 4.0 Ease of Use 3.0 3.0 Features 5.0 5.0 Customer Service 2.0 2.0 Likelihood to Recommend 5/10 December 27, 2022 Overall the features and ease of regular use are what has kept me as a customer for as long as we have been, but at this point, I am actively looking for another provider because good customer support is vital. When there's a problem, we need a timely and responsive reply and solution. Pros The HIPAA-compliant messaging and ability to easily transfer messages and voicemails into our EHR charts is fantastic. Cons The customer support is minimal to non-existent if you have a problem. I have asked multiple times for a better phone tree for our team, especially when we need to make changes to outgoing messages when staff are out for vacation, holidays, etc, and we are still having the same issues. Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. RE Reviewer Licensed psychologist Used the software for: Less than 1 year ### "Easy to use, very reliable, missing a couple of key functions" 5.0 Overall Rating 5.0 5.0 Ease of Use 5.0 5.0 Features 4.0 4.0 Customer Service 3.0 3.0 Likelihood to Recommend 10/10 April 22, 2021 Pros 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. Sometimes it freezes but never for more than 3 or 4 seconds, and that's rare. Sometimes the client's image gets pixelated and looks weird, but that's usually only for a second or so. The image is generally clearer and less grainy than on other video platforms I've used. Faxing works great. Cons \-I would like to be able to share files with a client during an appointment. It's frustrating not to be able to. -The phone feature is too confusing for me to figure out, so I don't use it. - I cannot send audio files to clients. - It is not well set up for writing clinical notes about patients. Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. [View all Reviews](https://www.capterra.com/p/198267/Spruce/reviews/) ## Top-rated software of 2026 ### Fill out the form and we'll send a list of the top-rated software based on real user reviews directly to your inbox. Popular comparisons [Carepatron vs Spruce Health](https://www.capterra.com/compare/195467-198267/Care-Patron-vs-Spruce) [SimplePractice vs Spruce Health](https://www.capterra.com/compare/130710-198267/SimplePractice-vs-Spruce)