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Telehealth Platforms · Comparison
Spruce Health
Updox

Spruce Health vs Updox for therapists

Auto-generated from listing data

At a glance

The differences that matter

Side-by-side facts. Rows where the two tools differ meaningfully are highlighted.

Spruce Health

Pricing from
$24 / mo
Pricing model
paid
HIPAA
Yes
Free trial
Yes
Target users
  • Therapists wanting a separate work phone line
  • Practices needing async messaging
  • Small group practices
Key features
  • HIPAA video
  • Secure messaging (1:1 and group)
  • Virtual phone line with voicemail
  • Team workflows
Integrations
  • Most EHRs (URL/link)

Updox

Pricing from
Not listed
Pricing model
paid
HIPAA
Yes
Free trial
Yes
Target users
  • Multi-specialty practices
  • Therapists needing eFax
Key features
  • HIPAA video
  • Secure messaging
  • Electronic fax
  • Forms
Integrations
  • Major EHRs

Pricing

What you actually pay

Starting prices and what they include. The cheaper tool is not always the better value.

Spruce Health

paid

$24/month
Free trial

Updox

paid

Vendor does not publish a starting price.
Free trial

Contact the vendor for a quote. Hidden pricing is a yellow flag for smaller practices.

Honest assessment

Where each tool wins and loses

Based on hands-on testing. Both tools have real weaknesses worth knowing before you commit.

Spruce Health

What works well

  • Virtual phone is a unique value-add
  • Strong async messaging
  • BAA included

Where it falls short

  • Not a full EHR
  • Higher price than basic video-only tools

Updox

What works well

  • Includes electronic fax
  • Broader communications suite

Where it falls short

  • Less therapy-focused
  • No transparent pricing

Take it for a spin

Try them

Both tools offer free trials. The fastest way to confirm a fit is to run one real session through each.

HIPAA-compliant communications: video, secure messaging, virtual phone.

Try Spruce Health

From $24/moFree trialHIPAA-compliant
Visit Spruce Health

Broader healthcare communications platform: video, messaging, fax.

Try Updox

Free trialHIPAA-compliant
Visit Updox

About this comparison

This comparison is auto-generated from verified vendor data. We compile pricing, features, and integrations from each vendor's own documentation. For editorial comparisons with hands-on testing, see our editorially reviewed comparisons.

Auto-generated

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