Using the Spruce App as a Patient


We're here to help! 

If you are having trouble creating your Patient Spruce account to connect with your doctor, please select this link to connect with our Patient Support Team. We will help you get connected! 

You can also read the article below, which covers all the basic steps to get started on Spruce.

Introduction to Spruce for patients

Welcome to Spruce! The Spruce Care Messenger app is an all-in-one communication platform for doctors and patients. If you're here, you've probably been invited to use Spruce by your doctor or other healthcare provider. When you create your Spruce account, you can conveniently exchange messages with your provider and have the comfort of knowing your communication is secure, encrypted, and HIPAA-compliant. Spruce is available for your to use through Apple or Android phone app or you can use your computer's internet browser (like Chrome, Safari etc!) 

Spruce gives you more than just messaging. You can send and receive photos, videos, and PDF attachments as well. And if your provider uses telemedicine, you may do video calls or health questionnaires on Spruce. Everything you receive from your provider is stored inside the Spruce app, and when you receive a new message, you'll get a notification on your phone from Spruce. 

(If you're already on Spruce and you need help troubleshooting access to your account, please see our account troubleshooting article.)

Accepting your doctor's invitation

To start using Spruce, you must have an invitation link from your doctor. This special link or as we call it Spruce Link tells Spruce which practice you'll communicate with once you create your account. Typically your doctor will send the invitation link via a text message or by email. Here are the steps to accept your doctor's invitation and set up your Spruce account.

Accepting the invitation from a text or email:

You must accept the invitation from your mobile smart phone or desktop computer. Go ahead and find your invitation link on your mobile phone or computer now.
Open the email or text message that contains the invitation link. The link usually looks like   https:// (usually a number or the practice name). Click the link. You may have to click the link twice. 
You should see a webpage of the clinic you are trying to join's  Spruce webpage. Click the button in blue that says, "Join [PRACTICE NAME]" If you are on your computer please skip to step 5. If on your cell phone clicking that button will take you to the iOS App Store or Google Play, depending on your phone type.
It should open you up to the  Spruce – Care Messenger app and click download. Once the download is complete, open the Spruce app on your phone and select  Continue when prompted.
Select  Create a new account, and enter your personal mobile phone number. You will receive a verification code via text message. (If you do not receive a verification code within five minutes, delete the app and start again from step one.)
On the next screen, enter the verification code, select  Next, and enter your profile information to complete your setup. You can begin messaging with your provider once you have completed these steps!

Accepting an invitation without an email or text

Doctors can also invite patients to Spruce by sharing their invitation link on a flier or postcard. If you receive the invitation link in written format, enter the link in the web browser on your mobile phone or computer, then follow the instructions above, starting with Step 3.

Accessing Spruce from the web browser

Once you have created your Spruce account, you can navigate to, on any internet browsand select "Sign In." Then, you can login with your existing account credentials (username/password) and access Spruce from the web. 

If you haven't created your account yet, please get in touch with your provider and ask that they invite you to join Spruce. 

Messaging your doctor

Any time you log in to Spruce, you will see the conversation thread between you and your provider. All communication exchanged with a particular practice will be visible here. To send a message, simply compose your message by tapping into the compose bar at the bottom of the screen and select Send

Sending attachments 

You can securely send photos, videos, and PDFs to your doctor using Spruce. Select the Camera Icon at the bottom of the screen to send a photo or video. Select the Paper Icon at the bottom of the screen to send a PDF. The file you want to send will need to be available on your mobile phone in order to attach it through Spruce.

Accepting Video Calls from your Doctor  

You can accept video calls from your doctor from your mobile smart phone or a desktop computer. Only your Provider can initiate the call to you, so at the time of your appointment, it is best to be logged into Spruce and ready to accept the video call. 

Accepting video calls from your mobile device: 

Accepting video calls from your desktop computer (from the Google Chrome, or Safari browser): 

Adjusting your Spruce settings

On iPhone

You can access your Settings page by selecting the Spruce Logo Icon in the top left corner. 

  • Select Notification Preferences to adjust your Spruce notifications as needed. 
  • If you use Spruce to communicate with more than one practice, select the practice you want to communicate with under Practices before composing a message.
  • If you need help from the technical support team for the Spruce app, select Email Support to reach us. We're happy to help, but note that we are not part of your doctor's practice, and you should not send us any medical information. 
  • To log off of Spruce, select Sign Out.

On Android

Select Notifications from your Settings panel to set up your notification preferences.

Not using Spruce yet? Learn more here.

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