---
title: "Spruce: Medical Communication - Reviews, Revenue and Downloads in United States | Apple App Store"
description: "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 i"
---

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

![Spruce App Icon](https://is1-ssl.mzstatic.com/image/thumb/Purple211/v4/f0/47/55/f04755ea-1231-852d-6e8c-da9e47e7a6d1/AppIcon-0-0-1x_U007epad-0-1-0-85-220.png/434x0w.png)

**Developer:** [Spruce Health](https://apptail.io/developer/spruce-health-oIcb)
**Category:** Medical
**Rating:** 4.9/5 (98,596 ratings)
**Price:** Free
**Bundle ID:** com.sprucehealth.messenger-live
**Store:** Apple App Store
**Country:** United States
**Version:** 4.5.10 (released 2026-10-07)
**Original Release:** 2016-02-26
**Languages:** English

**App Store Link:** [Download on Apple App Store](https://apps.apple.com/us/app/app/id1080857171)
**AppTail Page:** [https://apptail.io/app/spruce-medical-communication-Svsb/united-states](https://apptail.io/app/spruce-medical-communication-Svsb/united-states)

## Spruce Description
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&#039;re not on Spruce yet, ask them to sign up today!

## Spruce Screenshots
- [Screenshot 1](https://is1-ssl.mzstatic.com/image/thumb/PurpleSource116/v4/40/0d/6a/400d6ad7-4e00-20ba-59a4-b5b0e7e950bc/b33ff965-3935-4a10-a3fe-e6d1484cebab_Appstore_Image_6-5_02.jpg/1242x2688.png)
- [Screenshot 2](https://is1-ssl.mzstatic.com/image/thumb/PurpleSource116/v4/16/59/a7/1659a746-2c28-ae7a-3628-6f078e17684e/c5208e6c-2d8e-4250-ac6d-fcbbc1f77b5d_Appstore_Image_6-5_03.jpg/1242x2688.png)
- [Screenshot 3](https://is1-ssl.mzstatic.com/image/thumb/PurpleSource126/v4/37/0a/72/370a72cf-50d2-be56-43ce-5d53159a17e4/62b1f0b8-67f9-4ce7-9eea-d539da287f0b_Appstore_Image_6-5_04.jpg/1242x2688.png)
- [Screenshot 4](https://is1-ssl.mzstatic.com/image/thumb/PurpleSource116/v4/33/39/6d/33396d82-b1bc-8f73-f32e-c6b87a2feda1/76b9891d-5716-47b3-b22b-efc4e61c936a_Appstore_Image_6-5_05.jpg/1242x2688.png)
- [Screenshot 5](https://is1-ssl.mzstatic.com/image/thumb/PurpleSource116/v4/52/f8/9c/52f89c4d-b586-8bcb-8e71-9903ef8177e0/d2e81312-2573-433c-ae87-db7f18eaae3c_Appstore_Image_6-5_06.jpg/1242x2688.png)
- [Screenshot 6](https://is1-ssl.mzstatic.com/image/thumb/PurpleSource126/v4/d1/c8/aa/d1c8aae7-43a4-4c26-e32c-6e7efbd9351b/bdb3a855-641e-49fe-9ba0-c8dd6d9ccd1f_Appstore_Image_6-5_07.jpg/1242x2688.png)
- [Screenshot 7](https://is1-ssl.mzstatic.com/image/thumb/PurpleSource126/v4/04/2a/c4/042ac434-cb01-5a7a-2fec-ca9f21ae2244/9e90ba30-0cb9-4701-9f5e-c842ba16043f_Appstore_Image_6-5_08.jpg/1242x2688.png)

## Spruce Rating Breakdown in United States
- 5 stars: 91,423 (93%)
- 4 stars: 4,293 (4%)
- 3 stars: 1,059 (1%)
- 2 stars: 371 (0%)
- 1 stars: 1,450 (1%)

## Spruce Reviews in United States

### ***** "Rescheduled appointment"
Excellent service
-- Ana-wright, 2025-01-03

### **--- "Horrible change in company"
Ever since there was a change in management it has been so much harder to get in contact with people in chat, instead of taking 1-3 business days to respond they now respond within months at a time.
-- Upsetatyouspruce, 2025-01-01

### ***** "Spruce is Awesom"
Great
-- tayyyreacherous, 2024-12-30

### ***** "S EAST"
I have the BEST PNP.  I have found her to be more knowledgeable than any other provider I’ve ever had! 
She is also on point with responding and making sure I have my med refills when they are needed.  If you are looking for a psychiatrist then look no further.  Amen
-- seed of Jacob, 2024-12-28

### ***** "Health"
It’s made my healthcare so much better
-- 0198756&amp;$@&quot;;;)54, 2024-12-27

### ***** "Amazing lady"
Very helpful understanding concerning and just nice in every way
-- Supercharge #1, 2024-12-09

### ***** "Great"
It was so much easier then I thought even with out insurance so much cheaper then my addiction. I love this app
-- Evoutlaw, 2024-12-07

### **--- "Feedback"
Please add a way to test your video before a call, thanks
-- anon90112, 2024-12-06

### ***** "Thankful!"
Today I reached out to big tree because I have a horrible sinus infection. I didn’t expect anyone that could help today, considering the holiday, but sure enough, someone promptly answered me &amp; got my helped &amp; I have an appointment come Monday, thankfully. But honestly, every person I have spoke to through big tree is always helpful &amp; friendly &amp; I&#039;m very grateful for this healthcare option, thank you!
-- 1988Bec, 2024-11-28

### *---- "Terrible experience terrible services"
I was very mislead by the sales team. Spruce  requires every staff member to use their *personal* cell phones and have notifications and calls at all hours on their time off. I went with spruce to have a web based service. spruce does not work through an app only service or a web based or desktop version. Horrible experience and very mislead from sales.
-- Dr.JMND, 2024-11-22

[View all Spruce reviews and detailed analytics on AppTail](https://app.apptail.io/signup?utm_campaign=ai-crawl&amp;utm_content=reviews)


## Spruce Store Rankings
| Chart | Country | Category | Rank |
|-------|---------|----------|------|
| Top Free | United States | Medical | #47 |

## Spruce Discovered Keywords
- hepaa
- secure logon
- security line
- line fitness
- for patients
- voapp
- patients
- patient app
- texting line
- vo app

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- [MYIO](https://apptail.io/app/myio-ALLc/united-states)
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## Spruce Available In
- [United States](https://apptail.io/app/spruce-medical-communication-Svsb/united-states)
- [Canada](https://apptail.io/app/spruce-medical-communication-Svsb/canada)
- [Philippines](https://apptail.io/app/spruce-medical-communication-Svsb/philippines)
- [Mexico](https://apptail.io/app/spruce-medical-communication-Svsb/mexico)
- [United Kingdom](https://apptail.io/app/spruce-medical-communication-Svsb/united-kingdom)
- [Pakistan](https://apptail.io/app/spruce-medical-communication-Svsb/pakistan)
- [India](https://apptail.io/app/spruce-medical-communication-Svsb/india)
- [Colombia](https://apptail.io/app/spruce-medical-communication-Svsb/colombia)
- [Nigeria](https://apptail.io/app/spruce-medical-communication-Svsb/nigeria)
- [Japan](https://apptail.io/app/spruce-medical-communication-Svsb/japan)
- [Israel](https://apptail.io/app/spruce-medical-communication-Svsb/israel)
- [Brazil](https://apptail.io/app/spruce-medical-communication-Svsb/brazil)
- [Türkiye](https://apptail.io/app/spruce-medical-communication-Svsb/turkey)
- [Ecuador](https://apptail.io/app/spruce-medical-communication-Svsb/ecuador)
- [France](https://apptail.io/app/spruce-medical-communication-Svsb/france)
- [Egypt](https://apptail.io/app/spruce-medical-communication-Svsb/egypt)
- [Peru](https://apptail.io/app/spruce-medical-communication-Svsb/peru)
- [Saudi Arabia](https://apptail.io/app/spruce-medical-communication-Svsb/saudi-arabia)
- [Australia](https://apptail.io/app/spruce-medical-communication-Svsb/australia)
- [Indonesia](https://apptail.io/app/spruce-medical-communication-Svsb/indonesia)
- [Ireland](https://apptail.io/app/spruce-medical-communication-Svsb/ireland)
- [Iceland](https://apptail.io/app/spruce-medical-communication-Svsb/iceland)
- [Italy](https://apptail.io/app/spruce-medical-communication-Svsb/italy)
- [South Korea](https://apptail.io/app/spruce-medical-communication-Svsb/south-korea)
- [Kuwait](https://apptail.io/app/spruce-medical-communication-Svsb/kuwait)
- [Kazakhstan](https://apptail.io/app/spruce-medical-communication-Svsb/kazakhstan)
- [Lebanon](https://apptail.io/app/spruce-medical-communication-Svsb/lebanon)
- [Sri Lanka](https://apptail.io/app/spruce-medical-communication-Svsb/sri-lanka)
- [Lithuania](https://apptail.io/app/spruce-medical-communication-Svsb/lithuania)
- [Latvia](https://apptail.io/app/spruce-medical-communication-Svsb/latvia)
- [Madagascar](https://apptail.io/app/spruce-medical-communication-Svsb/madagascar)
- [Malta](https://apptail.io/app/spruce-medical-communication-Svsb/malta)
- [Malaysia](https://apptail.io/app/spruce-medical-communication-Svsb/malaysia)
- [Norway](https://apptail.io/app/spruce-medical-communication-Svsb/norway)
- [Nepal](https://apptail.io/app/spruce-medical-communication-Svsb/nepal)
- [New Zealand](https://apptail.io/app/spruce-medical-communication-Svsb/new-zealand)
- [Panama](https://apptail.io/app/spruce-medical-communication-Svsb/panama)
- [Poland](https://apptail.io/app/spruce-medical-communication-Svsb/poland)
- [Portugal](https://apptail.io/app/spruce-medical-communication-Svsb/portugal)
- [Qatar](https://apptail.io/app/spruce-medical-communication-Svsb/qatar)
- [Romania](https://apptail.io/app/spruce-medical-communication-Svsb/romania)
- [Russia](https://apptail.io/app/spruce-medical-communication-Svsb/russia)
- [Sweden](https://apptail.io/app/spruce-medical-communication-Svsb/sweden)
- [Singapore](https://apptail.io/app/spruce-medical-communication-Svsb/singapore)
- [Thailand](https://apptail.io/app/spruce-medical-communication-Svsb/thailand)
- [Tunisia](https://apptail.io/app/spruce-medical-communication-Svsb/tunisia)
- [Taiwan](https://apptail.io/app/spruce-medical-communication-Svsb/taiwan)
- [Ukraine](https://apptail.io/app/spruce-medical-communication-Svsb/ukraine)
- [Uzbekistan](https://apptail.io/app/spruce-medical-communication-Svsb/uzbekistan)
- [Vietnam](https://apptail.io/app/spruce-medical-communication-Svsb/vietnam)
- [United Arab Emirates](https://apptail.io/app/spruce-medical-communication-Svsb/united-arab-emirates)
- [South Africa](https://apptail.io/app/spruce-medical-communication-Svsb/south-africa)
- [Armenia](https://apptail.io/app/spruce-medical-communication-Svsb/armenia)
- [Argentina](https://apptail.io/app/spruce-medical-communication-Svsb/argentina)
- [Austria](https://apptail.io/app/spruce-medical-communication-Svsb/austria)
- [Belgium](https://apptail.io/app/spruce-medical-communication-Svsb/belgium)
- [Bulgaria](https://apptail.io/app/spruce-medical-communication-Svsb/bulgaria)
- [Brunei](https://apptail.io/app/spruce-medical-communication-Svsb/brunei)
- [Belize](https://apptail.io/app/spruce-medical-communication-Svsb/belize)
- [Switzerland](https://apptail.io/app/spruce-medical-communication-Svsb/switzerland)
- [Chile](https://apptail.io/app/spruce-medical-communication-Svsb/chile)
- [Cyprus](https://apptail.io/app/spruce-medical-communication-Svsb/cyprus)
- [Czechia](https://apptail.io/app/spruce-medical-communication-Svsb/czechia)
- [Germany](https://apptail.io/app/spruce-medical-communication-Svsb/germany)
- [Dominican Republic](https://apptail.io/app/spruce-medical-communication-Svsb/dominican-republic)
- [Algeria](https://apptail.io/app/spruce-medical-communication-Svsb/algeria)
- [Estonia](https://apptail.io/app/spruce-medical-communication-Svsb/estonia)
- [Finland](https://apptail.io/app/spruce-medical-communication-Svsb/finland)
- [Greece](https://apptail.io/app/spruce-medical-communication-Svsb/greece)
- [Croatia](https://apptail.io/app/spruce-medical-communication-Svsb/croatia)

---

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