# Spruce Software Pricing, Alternatives & More 2026 | Capterra > With the help of Capterra, learn about Spruce Software - reviews, pricing plans, popular comparisons to other Patient Engagement products and more. Source: https://www.capterra.com/p/198267/Spruce --- # Spruce Software Review 2026: Features, Integrations, Pros & Cons Last updated on March 13, 2026 Provider data verified by our Software Research team, and reviews moderated by our Reviews Verification team. Independent research methodology Capterra’s researchers use a mix of verified reviews, independent research and objective methodologies to bring you selection and ranking information you can trust. While we may earn a referral fee when you visit a provider through our links or speak to an advisor, this has no influence on our research or methodology. [Learn more](https://www.capterra.com/resources/proprietary-data-research/) How Capterra verifies reviews Capterra carefully verified over 2.5 million+ reviews to bring you authentic software experiences from real users. Our human moderators verify that reviewers are real people and that reviews are authentic. They use leading tech to analyze text quality and to detect plagiarism and generative AI. [Learn more](https://www.capterra.com/resources/how-we-verify-reviews/) How Capterra ensures transparency Capterra lists all providers across its website—not just those that pay us—so that users can make informed purchase decisions. Capterra is free for users. Software providers pay us for sponsored profiles to receive web traffic and sales opportunities. Sponsored profiles include a link-out icon that takes users to the provider’s website. [Learn more](https://www.capterra.com/resources/how-we-ensure-transparency/) [Description](#description)[Use cases](#use-cases)[Alternatives](#alternatives)[Features](#features)[Pricing](#pricing)[Integrations](#integrations)[Support](#support)[Reviews](#reviews) Spruce ## What is Spruce? Spruce is an all-in-one platform built for healthcare that puts calls, voicemails, texts, secure messages, fax, video, and telemedicine in one place. Spruce can power your entire practice's phone system, complete with VoIP phones. For advanced practices, Spruce provides an after-hours phone solution, bulk messaging, workflow automation, billing, membership based auto-tagging, and EHR integrations. ## What is Spruce used for? [Mental Health](https://www.capterra.com/mental-health-software/)[Patient Engagement](https://www.capterra.com/patient-engagement-software/)[Unified Communications](https://www.capterra.com/unified-communications-software/) Top alternative Featured Overall rating Based on 34 user reviews Reviews sentiment Positive 88% Neutral 0% Negative 12% Starting price $24 Per Feature, Per Month Free trial available 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?[Manage this product listing](https://digitalmarkets.gartner.com/get-listed/claim-bx?url=https://www.sprucehealth.com&name=Spruce) ## 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 4.4 (34) VS. [4.4 (1,033)](https://www.capterra.com/p/130400/TheraNest-Mental-Health/reviews/) Starting Price $24 Per Feature, 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 (858) Value For Money 4.3 (31) Value For Money 4.3 (785) Customer Service 4.0 (31) Customer Service 4.4 (762) ## Spruce alternatives [4.6 (2,827)](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 (961)](https://www.capterra.com/p/118981/TherapyNotes-com/reviews/) Starting price $59.00 Per User, Per Month Pricing Options Free Trial Free Version User Rating 94% of reviewers rated it above 4 stars Highest Rated [4.8 (505)](https://www.capterra.com/p/178984/Jane-App/reviews/) Starting price $54.00 Per User, Per Month Pricing Options Free Trial Free Version User Rating 96% of reviewers rated it above 4 stars [4.7 (829)](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 [View all alternatives](https://www.capterra.com/p/198267/Spruce/alternatives/) ## Features Features with the highest number of reviews are displayed first. Those that have no reviews appear next, sorted alphabetically. Appointment Scheduling 3.7 (9) 77.78% of 9 reviewers that rated this feature as important or highly important Schedule appointments via a calendar 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 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. Treatment Planning 3.7 (6) 83.33% of 6 reviewers that rated this feature as important or highly important Create treatment plans that document interventions and outcomes to track patient progress Spruce 36 features Track and document all activities across devices, networks, and other systems Alerts or notifications of various types such as pop-up messages, sounds, banners, or badges Schedule appointments via a calendar Record the audio of phone conversations for quality assurance purposes Sends voice calls to a specific queue based on predetermined criteria Transfers live calls to other agents Manage the treatment plan and coordination between care providers and patients with special health care needs Communicate using direct chat or messages within the system Manage and track all internal and external communication conducted via calls, email, text, or chat Create, edit, preview, and send faxes electronically Electronically collect payments for goods or services Reminders sent via email Public or private sharing of digital files such as documents, audio/video, images, and more Intended for medical use such as diagnosis, treatment, and consultation Compliant with HIPAA, which sets standards for sensitive patient data protection Conduct intake assessments to determine patient health status, medical history, conditions, etc. Ability to chat online in real time Manage billing and payments for a healthcare provider Communicate using messages within the system Access software remotely via mobile devices Notifications via mobile devices For practices with multiple providers Two-way actions and communication between multiple users in real time Send personal messages to clients or attendees Educational and medical resources that are delivered to patients online Allows medical providers to engage patients in a variety of ways to ensure their health. Online portal where patients can access information such as health records, treatment plants, etc. Remotely create and access treatment plans tailored to individual patients based on symptoms Collection, analysis, and representation of numerical data and generation of reports to understand various patterns Plan availability and assign specific time slots for tasks and resources Online portal through which end users can access the system, manage tasks, or obtain information Set up connections to third-party platforms to improve business processes Create treatment plans that document interventions and outcomes to track patient progress Connect with meeting participants remotely over video Computer-based system that allows users to send and receive voice messages 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 Feature,Per Month Value for money 4.3 (31) 4.3 Based on 31 reviews ## Integrations [ Elation](https://www.capterra.com/p/147889/ElationHealth/)[ 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 4.4 Based on 34 reviews Filter by rating 5(24) 4(6) 3(0) 2(3) 1(1) Mentioned topic Sorted by most recent TC Tara C. Office Coordinator Hospital & Health Care ### "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 3, 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 Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication. Christine B. Pilates transformation expert Health, Wellness and Fitness ### "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 29, 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 Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication. JT Jessica T. Assistant Property Manager Real Estate ### "10 out of 10" 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 May 31, 2025 From the system to the services provided to our tenants, it's all been fantastic! We have no complaints from our office or residents who schedule services. Pros The service is exceptional. We are able to view anything that's been scheduled and we also get notifications. Cons There is nothing I have come across as of yet. The process is seamless and easy to use and understand. 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. KC Kari C. Office Manager Real Estate ### "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 27, 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 Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication. ZD Zoe D. Administrative Assistant Health, Wellness and Fitness ### "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 27, 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. AS Alicia S. Admin Mental Health Care ### "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 26, 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 Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication. MC Mitchell C. Mechanical Tech Defense & Space ### "Spruce- The all in one online suboxone treatment. " 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 3, 2025 Spruce made it very easy for me to sign up, schedule, and follow through with my health plan. It was extremely convenient to download and get started within minutes. I recall being able to schedule an appointment for the same day that I signed up and downloaded the app. I believe I had my medicine within 5 or 6 hours or initially trying to schedule an appointment, which to me was just incredible and extremely convenient. This app was very impressive. Pros The ease of access to all the information I needed. How easy it was to direct message with my doctor and get any support that I needed. I also remember it being extremely quick. I was able to get same day medicine. It's also very nice because you can message your doctor at any given time, even outside of your scheduled appointment times. If you can't get in touch with them, there is a support team who will message you back and help all they can. I was very impressed with this app. Cons There is nothing I found that I did not like about the app. Review source Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication. AU Anonymous User Owner and Lead Therapist Mental Health Care ### "Helpful for Private Practice Communication" 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 9/10 January 30, 2025 Using Spruce has made it easier to manage messaging with my clients and communicate when I am not able to respond. Pros I can send automated message replies such as out of office responses. Cons I cannot identify any cons at this time. Switched from [Google Voice](https://www.capterra.com/p/210592/Voice/) I needed the ability to send automated replies. 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. SH Shay H. Owner Mental Health Care ### "Not for small businesses" 1.0 Overall Rating 1.0 1.0 Ease of Use 1.0 1.0 Features 1.0 1.0 Customer Service 1.0 1.0 Likelihood to Recommend 0/10 September 30, 2024 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. The free trial was a waste of time because you could not use features without being signed up. Pros I like that they were Healthcare focused. Cons Very confusing to start - no personal connection or onboarding that is not in a group setting. They say they do not have the manpower to work with small businesses. They do not offer 24-hour help. Alternatives considered [RingEX](https://www.capterra.com/p/242188/RingCentral-MVP/) Reasons for choosing Spruce In the end, I did not choose it. I thought I would due to reviews. 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. JY Jessica Y. Psychiatric Nurse Practitioner Hospital & Health Care ### "Best messaging system out there" 5.0 Overall Rating 5.0 5.0 Ease of Use 5.0 5.0 Features 5.0 5.0 Customer Service 4.0 4.0 Likelihood to Recommend 10/10 November 9, 2023 Pros I love how easy it is to communicate with clients and team members. It is easy to see when a new call/text has come through and assign it to a specific team member. I can also keep track of what tasks have been completed and what needs to be followed up on. Cons The only compliant I have is not having a hard copy of the faxes sent to upload to a client's chart as proof of receipt. Switched from [net2phone](https://www.capterra.com/p/170370/Hosted-PBX/) Review source Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized 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](https://www.capterra.com/compare/195467-198267/Care-Patron-vs-Spruce) [SimplePractice vs Spruce](https://www.capterra.com/compare/130710-198267/SimplePractice-vs-Spruce)  Independent research methodology Capterra's researchers use a mix of verified reviews, independent research and objective methodologies to bring you selection and ranking information you can trust. While we may earn a referral fee when you visit a provider through our links or speak to an advisor, this has no influence on our research or methodology. [Learn more](https://www.capterra.com/resources/proprietary-data-research/) How Capterra verifies reviews Capterra carefully verified over 2.5 million+ reviews to bring you authentic software experiences from real users. Our human moderators verify that reviewers are real people and that reviews are authentic. They use leading tech to analyze text quality and to detect plagiarism and generative AI. [Learn more](https://www.capterra.com/resources/how-we-verify-reviews/) How Capterra ensures transparency Capterra lists all providers across its website—not just those that pay us—so that users can make informed purchase decisions. Capterra is free for users. Software providers pay us for sponsored profiles to receive web traffic and sales opportunities. Sponsored profiles include a link-out icon that takes users to the provider's website. [Learn more](https://www.capterra.com/resources/how-we-ensure-transparency/)