Spruce Health is a HIPAA-compliant communications platform combining video, secure messaging, and a virtual phone line (with voicemail-to-text). Used by therapists who want a separate professional phone number and asynchronous client messaging.
Telehealth PlatformsVerified May 2026
Spruce Health
HIPAA-compliant communications: video, secure messaging, virtual phone.
About Spruce Health
What Spruce Health does
The features that actually matter for therapy practice.
HIPAA video
Secure messaging (1:1 and group)
Virtual phone line with voicemail
Team workflows
Mobile apps
Honest assessment
What works and what does not, based on hands-on testing.
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
Alternatives
Other tools in Telehealth Platforms
Side-by-side