Spruce is very convenient and very easy to use. It provides what I need to communicate with clients and it is HIPPA compliant. It is easy to use, I can store my clients contacts with pertinent information, and it allows for sending of documents. This is a great service for a very reasonable price. Review collected by and hosted on G2.com.

It took a long time to get permission to send text messages even after paying for that add on service. Review collected by and hosted on G2.com.

It is user friendly and straight forward Review collected by and hosted on G2.com.

It was a little difficult to figure out how to create my email, but Spruce was quick with a response to find it and wasn't a problem 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.

I really love the secure line, especially the internal notes and texting features. Review collected by and hosted on G2.com.

The only thing I don’t like is that Psychology Today notifies me in Spruce every time I get a call which is redundant and adds extra logs to the thread and makes it confusing for me. Review collected by and hosted on G2.com.

As a solo practitioner, it has been exactly the phone service I was looking for regarding HIPAA compliance, keeping costs at a minimum, and auto responses. It is very easy to use. Review collected by and hosted on G2.com.

When a patient is calling me, I can only see my number, and not the number that is actually calling. Review collected by and hosted on G2.com.

Spruce is AMAZING!!!! I can reach clients immediatetly Review collected by and hosted on G2.com.

nothing its great , I like it great thing to use. Review collected by and hosted on G2.com.

The functionality is there, you can probably do whatever you need to do while being compliant Review collected by and hosted on G2.com.

There's no support phone line so you can't just call a human with questions. They really want you to sift through their online documentation 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.