# Spruce: Medical Communication — HIPAA phone, text, video, fax

> HIPAA-compliant communication and care platform for healthcare professionals and patients. (iPhone/iPad app by Spruce Health.)

- Source: https://appshunter.io/ios/app/spruce-medical-communication/id1080857171 (this page in markdown: same URL + `.md`)
- Developer: [Spruce Health](https://appshunter.io/developer/908860332)
- Category: Medical, Health & Fitness
- Price: Free
- Rating: 4.90/5 from 94,426 App Store ratings · 253 written reviews indexed
- Age rating: 12+
- Requires: iOS 15.0 · 126 MB
- Languages: American English
- Released: 2016-02-26
- Data updated: 2026-08-29
- Monetization: freemium
- User reviews in markdown: https://appshunter.io/ios/app/spruce-medical-communication/id1080857171/reviews.md

## What is Spruce?

Spruce is the leading platform for HIPAA-compliant communication and care outside of the exam room. Call, text, fax, secure message, video chat, and more—all from one secure app, with a unified team inbox. Designed for healthcare professionals and their patients, Spruce takes your clinical operations to the next level, with powerful, easy-to-use tools for team collaboration, panel management, telehealth, business phone functionality, and automated custom communications.

Healthcare Professionals: Start your free 14-day trial today—no credit card required.

Patients: Spruce is always free. Download to connect with your care team for secure messaging and telehealth.⁣⁣⁣

— SPRUCE FOR HEALTHCARE PROFESSIONALS —
• Get new phone and fax numbers, or transfer in your existing lines
• Robust mobile and desktop apps
• Built-in compliance: Automatic HIPAA BAA, two-factor login security, SOC 2 auditing, HITRUST certification, and automatic audit logging for communication read, write, and view
• Advanced phone system: Phone trees, multiple lines, secure voicemail, automated transcription, VoIP, number sharing
• Messaging and fax: Secure individual and group messaging, two-way SMS texting, secure two-way eFax
• Telehealth: Secure video calling, as well as adaptive clinical questionnaires for patient intake and screening
• After-hours: Automated schedules adjust your phone system and messaging to match your business hours
• Automation: Save messages for reuse, schedule messages for future delivery, implement automatic message responses for common needs
• Panel management: Contact and conversation tagging, patient list upload, advanced search, bulk messaging, and custom inbox configuration and communication routing for each team member
• Team collaboration: Secure team chats, shared inboxes, internal notes, and @-paging bring the features of modern team software to the healthcare space
• And more…!

— SPRUCE FOR PATIENTS —
• Sign in to a free and secure patient app, on mobile or desktop
• Receive video calls from your care team
• Send and receive secure messages, including photos
• Receive alerts for new activity

Ask your healthcare team for an invitation to connect on Spruce. If they're not on Spruce yet, ask them to sign up today!

## Key features

- HIPAA-compliant communication
- Secure phone, text, fax, video
- Unified team inbox
- Telehealth capabilities
- Automated custom communications
- Panel management tools
- Team collaboration features

## Chart rankings

- #45 in Top Free · Medical (US App Store)

## What do users think of Spruce?

Overall sentiment: positive

**Pros**

- 🚀 Efficient communication
- 👍 Convenient and user-friendly
- 🔒 Secure messaging
- 🚑 Excellent medical care and support
- 💡 Innovative features
- ⚡ Prompt responses from providers

**Cons**

- 🐛 Technical issues and glitches
- 🔍 Difficulty navigating the app
- 💰 Concerns about pricing changes
- 🕰️ Long wait times for responses
- 🔒 Privacy and security concerns

**Commonly reported bugs**

- Inability to delete or deactivate accounts
- Inconsistent performance across devices
- Delayed or missing message deliveries

**Most requested features**

- Improved organization of message threads
- Ability to include multiple users in conversations
- Enhanced accessibility features for visually impaired users
- Seamless integration with other medical platforms

## Recent user reviews (10 of 253)

All indexed reviews: https://appshunter.io/ios/app/spruce-medical-communication/id1080857171/reviews.md

### 5/5 — Great communication

*2026-08-24, version 4.5.8*

I’ve always wanted an app that allowed me to reach out to my dr immediately instead of always having to login to a portal.  Great for texting and video chatting.

### 1/5 — Not helpful

*2026-08-21, version 4.5.8*

Will not load…shows up as downloaded but then tries to reload. No success.

### 5/5 — Therapist

*2026-08-18, version 4.5.8*

Kendra is amazing

### 5/5 — Me

*2026-08-18, version 4.5.8*

It’s easy to use and type in what you want to say.

### 5/5 — Works great

*2026-08-14, version 4.5.8*

As a patient as well as a psychologist I find this to be the most stable and usable apps in this category

### 5/5 — Mental Health and anxiety

*2026-08-13, version 4.5.8*

Thank you all so much for helping me . I need guidance and mental health and my anxiety is so bad that most days I just shut down where I can’t eat, sleep , speak so fast that I don’t even know what I said . I need this guidance in my journey through life . Thank you for 2nd chances . So grateful .

### 1/5 — No search function

*2026-08-07, version 4.5.8*

Would be much better if it has a search function. So difficult to look back at convos and all you can do is scroll.

### 5/5 — What a Group!

*2026-07-26, version 4.5.7*

Everyone I’ve been guided to seems like the perfect fit. Psychology has come a long way in the past few years with new techniques and approaches. Spruce and Associates are tops in their field and I feel fully supported by all these fine professionals.

### 3/5 — Glitchy

*2026-07-24, version 4.5.7*

Just glitchy

### 5/5 — Communication

*2026-07-21, version 4.5.7*

So far so good.

## Frequently asked questions about Spruce

### What does Spruce do?

Spruce is a HIPAA-compliant platform designed for healthcare communication. It allows professionals to make calls, send texts, faxes, secure messages, and conduct video chats all from a single, secure application. It aims to streamline clinical operations and enhance team collaboration.

### What are the key features for healthcare professionals?

Healthcare professionals can get new or transfer existing phone and fax numbers, utilize robust mobile and desktop apps, and benefit from built-in HIPAA compliance. Features include an advanced phone system with transcription, secure messaging and eFax, telehealth video calling, after-hours automation, panel management, and team collaboration tools.

### Is Spruce free for patients?

Yes, Spruce is always free for patients. Patients can download the app to connect with their care team for secure messaging and telehealth. They can receive video calls, send and receive secure messages including photos, and get alerts for new activity.

### How does Spruce ensure HIPAA compliance?

Spruce is built with compliance in mind, offering automatic HIPAA Business Associate Agreements (BAA), two-factor login security, SOC 2 auditing, and HITRUST certification. It also provides automatic audit logging for all communication activities, ensuring a secure environment for sensitive patient data.

### What are the common use cases for Spruce?

Common use cases include facilitating secure patient intake and screening via adaptive clinical questionnaires, managing patient panels with advanced search and bulk messaging, and enabling seamless team collaboration through shared inboxes and internal notes. It also supports business phone functionality and automated custom communications for various needs.

## Version history (last 5 releases)

### 4.5.8 — 2026-08-06

This release includes the following lovingly crafted features:
• UI and stability improvements

––
Providers: thanks for sharing feedback, feature requests, and ideas in the Spruce Support channel.

If you love Spruce, please take a moment to leave us a review or rating in the App Store — it helps others discover Spruce!

### 4.5.7 — 2026-07-16

This release includes the following lovingly crafted features:
• UI and stability improvements

––
Providers: thanks for sharing feedback, feature requests, and ideas in the Spruce Support channel.

If you love Spruce, please take a moment to leave us a review or rating in the App Store — it helps others discover Spruce!

### 4.5.6 — 2026-06-24

This release includes the following lovingly crafted features:
• UI and stability improvements

––
Providers: thanks for sharing feedback, feature requests, and ideas in the Spruce Support channel.

If you love Spruce, please take a moment to leave us a review or rating in the App Store — it helps others discover Spruce!

### 4.5.5 — 2026-05-07

This release includes the following lovingly crafted features:
• UI and stability improvements

––
Providers: thanks for sharing feedback, feature requests, and ideas in the Spruce Support channel.

If you love Spruce, please take a moment to leave us a review or rating in the App Store — it helps others discover Spruce!

### 4.5.4 — 2026-04-08

This release includes the following lovingly crafted features:
• UI and stability improvements

––
Providers: thanks for sharing feedback, feature requests, and ideas in the Spruce Support channel.

If you love Spruce, please take a moment to leave us a review or rating in the App Store — it helps others discover Spruce!

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| --- | --- | --- | --- |
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| [symplr Clinical Communications](https://appshunter.io/ios/app/symplr-clinical-communications/id473260569) | 2.4 (8) | Free | Medical |
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*Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-08-29.*
