# Spruce Reviews 2026. Verified Reviews, Pros & Cons | Capterra > Is Spruce the right Patient Engagement solution for you? Explore 34 verified user reviews from people in industries like yours to make a confident choice. Source: https://www.capterra.com/p/198267/Spruce/reviews --- Spruce 4.4 (34) [View alternatives](https://www.capterra.com/p/198267/Spruce/alternatives/) Provider data verified by our Software Research team, and reviews moderated by our Reviews Verification team. [Learn more](https://www.capterra.com/our-story/) * * * Last updated March 13th, 2026 # Reviews of Spruce Ease of use 4.2 Customer Service 4.0 ## Pros and Cons in Reviews TC Tara C Office CoordinatorHospital & Health Care, 2 - 10 employeesUsed the software for: 6-12 months. “We can do everything I need to do and the price is fair as we only need two log ins.“ April 3, 2026 EC Evan C Psychotherapist, SupervisorHealth, Wellness and Fitness, 2 - 10 employeesUsed the software for: More than 2 years. “It was adequate until it became completely inadequate and frankly is just costing us clients, money, and time right now.“ February 28, 2022 KS Katie S OwnerMental Health Care, 2 - 10 employeesUsed the software for: More than 2 years. “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.“ December 20, 2022 CP Caryn P Therapist Mental Health Care, 2 - 10 employeesUsed the software for: Less than 6 months. “I like the texting feature with patients as well as ability to use the app and communicate with all the therapists that work at the practice.“ August 31, 2021 BL Bree L MDMedical Practice, Self-employedUsed the software for: Less than 6 months. “Spruce is easy to use for our office and for patients.“ September 3, 2021 ## Showing most helpful reviews Showing 1-25 of 34 Reviews Sort by: Most Helpful Rating Company Size Reviewer's Role Length of Use Frequency of Use VR Verified Reviewer PMHNP Mental Health Care Used the software for: 6-12 months ### "Great" December 6, 2022 5.0 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. Alternatives considered [Google Voice](https://www.capterra.com/p/210592/Voice/) Reason for choosing Spruce Easy of use. Review Source JT Jessica T. Assistant Property Manager Real Estate Used the software for: 6-12 months ### "10 out of 10" May 31, 2025 5.0 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 LR Laura R. Physician/Owner Health, Wellness and Fitness Used the software for: 1-2 years ### "Terrible Customer Service" August 11, 2022 2.0 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. Reason for choosing Spruce Did not have options. Freedom healthworks recommended them but most of what they recommended was sub par. Review Source AS Alicia S. Admin Mental Health Care Used the software for: 1-2 years ### "Easy to Navigate" March 26, 2025 5.0 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 KC Kari C. Office Manager Real Estate Used the software for: 6-12 months ### "Spruce Review" March 27, 2025 5.0 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 KS Katie S. Owner Mental Health Care Used the software for: 2+ years ### "Great features, terrible customer support" December 20, 2022 4.0 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 VS Valerie S. Licensed psychologist Mental Health Care Used the software for: 6-12 months ### "Easy to use, very reliable, missing a couple of key functions" April 19, 2021 5.0 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. Alternatives considered [SimplePractice](https://www.capterra.com/p/130710/SimplePractice/)[TheraNest](https://www.capterra.com/p/130400/TheraNest-Mental-Health/) Reason for choosing Spruce Better functionality, cost much lower. Switched from [TheraNest](https://www.capterra.com/p/130400/TheraNest-Mental-Health/) Cost and functionality. Review Source SL Sarah L. Clinic Operations Director Medical Practice Used the software for: 2+ years ### "Review" September 7, 2021 4.0 Pros The process can be easy, if it is explained well to you. Once you are able to get ahold of Support, they generally are quite helpful and friendly. Adding alternative phone numbers for call forwarding is very helpful and easy. Cons It is so VERY difficult to get someone on the phone. You have to send a message, then wait and wait and wait, then you have to schedule an appointment, and if the person that sent you a link to their calendar doesn't have anything for 2 weeks, good luck trying to get someone else who can help. I absolutely HATE that it is so difficult. It also seems to take a long time to get issues resolved, most of the time because the support doesn't read the message correctly. Also, it would be awesome if we could know who we were talking to instead of just "Support". Review Source JY Jessica Y. Psychiatric Nurse Practitioner Hospital & Health Care Used the software for: 1-2 years ### "Best messaging system out there" November 9, 2023 5.0 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. Review Source VR Verified Reviewer Doc E-Learning Used the software for: I used a free trial ### "Great service " June 23, 2020 5.0 Great Pros \[SENSITIVE CONTENT HIDDEN\] did wonderful job cleaning. He is very thoughtful and courteous. Also detailed oriented. Cons There is not anything I did not like. And I will use this again. Review Source AS Amber S. Clinician Mental Health Care Used the software for: Less than 6 months ### "Review of telehealth use" June 27, 2022 5.0 8/10 Pros easier than other products but not always easy for clients. Cons I had not issues but sometimes I had clients with technology issues and they did not always understand how to use Spruce. Review Source TC Tara C. Office Coordinator Hospital & Health Care Used the software for: 6-12 months ### "Great for private practice " April 3, 2026 5.0 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 MC Mitchell C. Mechanical Tech Defense & Space Used the software for: 1-2 years ### "Spruce- The all in one online suboxone treatment. " March 3, 2025 5.0 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 Christine B. Pilates transformation expert Health, Wellness and Fitness Used the software for: 6-12 months ### "Simple platform with limited bells and whistles" March 29, 2026 4.0 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 VR Verified Reviewer Owner and Lead Therapist Mental Health Care Used the software for: 1-2 years ### "Helpful for Private Practice Communication" January 30, 2025 5.0 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 ZD Zoe D. Administrative Assistant Health, Wellness and Fitness Used the software for: Less than 6 months ### "Helps out Small Medical Offices!" March 27, 2025 5.0 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 SH Shay H. Owner Mental Health Care Used the software for: I used a free trial ### "Not for small businesses" September 30, 2024 1.0 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/) Reason for choosing Spruce In the end, I did not choose it. I thought I would due to reviews. Review Source EC Evan C. Psychotherapist, Supervisor Health, Wellness and Fitness Used the software for: 2+ years ### "Spruce Update is a Disaster" February 28, 2022 2.0 It was adequate until it became completely inadequate and frankly is just costing us clients, money, and time right now. Pros I used to like Spruce health. It wasn't perfect, but it was intuitive and we could work around issues like being unable to text multiple clients (as in a couple) at the same time or having multiple clinicians who needed to be able to see the same thread. But their recent update has made the app utterly unuseable and their customer support is non-existent. I would recommend that any practice considering Spruce run the other way. Cons Customer support. Recent update makes it un-useable. Review Source JH Josephine H. Administrator Health, Wellness and Fitness Used the software for: Less than 6 months ### "Very Helpful Customer Service and Great App" August 26, 2021 4.0 We are able to receives calls and texts. Pros The app is easy to navigate, the customer service is prompt and friendly, and clients have been able to reach me thus far. Cons I wish porting a number didn't take so long. We have had a lot of interruptions during our wait. Alternatives considered [Phone.com](https://www.capterra.com/p/147610/Phone-com/) Reason for choosing Spruce The customer service, the app is easy to use and the ability to connect with clients. Review Source CP Christi P. Owner Mental Health Care Used the software for: 2+ years ### "User friendly " November 6, 2023 5.0 Pros Patients can easily text or call without having to sign into their client portal, and it’s still HIPAA compliant Cons Can’t block a fax number from sending spam Review Source EO Elizabeth O. Lactation Consultant Hospital & Health Care Used the software for: Less than 6 months ### "Spruce provides everything that I needed." August 26, 2021 5.0 Pros I was looking all over the place for software that was HIPAA compliant. I needed messaging, video calling, email, the works! Spruce is the only k on be that I found that included everything that I needed at a price that was within my budget. Cons At this point in time I really don’t have any cons that I can think of. I’m very pleased with it. Reason for choosing Spruce Everything contained in one platform and the cost. Review Source CL Cub L. Therapist Health, Wellness and Fitness Used the software for: 6-12 months ### "Amazing, Easy to Use, Incredible Customer Support" September 2, 2021 5.0 Exceptional! Very dedicated to their customer base, easy to do business with, and very responsive. Pros Spruce was very easy to convert from Google Voice to help ensure all of my transactions are HIPPA compliant. Their documentation is top notch, their customer support is fantastic, quick, and efficient. Highly recommend them. Cons Some of the features are different between the web portal and the app (namely listing of phone numbers/fax lines). Slightly annoying, but manageable. Switched from [Google Voice](https://www.capterra.com/p/210592/Voice/) To ensure HIPPA compliance. Review Source JB Jairo B. Practice Administrator Hospital & Health Care Used the software for: Less than 6 months ### "No support at all, just a robot." January 8, 2021 2.0 I wanted to keep the service, but not with my main company numbers since we were not able to see caller's ID, so I want to port out the numbers I brought, they are ready to be ported out to a better service, but there is no human that can help with that, so my company numbers are stuck with the robot. Pros It was easy to start using it. It looks nice. The faxes were being sent and had feedback about it. Cons You have to have a cellphone to use the phone feature, there is no softphone for laptop/desktop for direct calls, you have to dial through an intermediary number. It doesn't show the caller's ID, it shows your own spruce number as the caller. The support is horrible, is only a robot that never gives the appropriate support. I think I got to chat with a human when I was inquiring about the service, and it took time, I had to deal with the robot first. Alternatives considered [RingEX](https://www.capterra.com/p/242188/RingCentral-MVP/) Reason for choosing Spruce It seemed to be one of the preferred by Health Services Providers, but, it is a nightmare to find a real human to chat. Review Source JL Jennifer L. Mental health clinician Mental Health Care Used the software for: 1-2 years ### "Great and convenient app" September 3, 2021 5.0 Pros Easy to use and provides a peace of mind for HIPAA compliant measures! Cons There have been no issues with the app. If questions arose, customer support was there to assist! Review Source MM Melech M. owner and provider Health, Wellness and Fitness Used the software for: 1-2 years ### "my experience with spruce after a year " September 25, 2020 4.0 positive with providing hippaa compliant phone line and reliable APPsoftwate. Affordable as well Pros it is affordable, HIPAA compliant, reliable and the customer support is decent, It is easy to navigate through the system well Cons Some functions are not easily implementable such as blocking unwanted phone numbers or rerecording personal messages, though they do explain it quite clearly on their APP customer guide. Review Source Similar Products Featured ## Related categories [Patient Engagement](https://www.capterra.com/patient-engagement-software/)[Unified Communications](https://www.capterra.com/unified-communications-software/)[Telemedicine](https://www.capterra.com/telemedicine-software/) ## Send me user reviews about this product ### Fill out the form and we'll send a list of the top-rated software based on real user reviews directly to your inbox.