Billing

Sign Up for a Spruce Subscription

You can sign up for a Spruce subscription from the web or Android version of Spruce. 

On the Web

Navigate to your Settings, then select Billing. From there, you can review the plan options and select the appropriate one. After selecting your desired plan, enter the requested information and click Subscribe to complete the sign-up process.

On Android

Navigate to your Settings, then select Billing. From there, you can review the plan options and select the appropriate one. After selecting your desired plan, enter the requested information and tap Subscribe to complete the sign-up process.

You can view the Spruce plans and features included here.

Spruce Invoices

All Spruce invoices are emailed to the billing email listed in your Spruce settings under Billing. All invoices are emailed from support@sprucehealth.com. You will receive an invoice anytime you make any changes to your subscription or have additional charges (e.g., VoIP purchase). When you add or remove teammates or upgrade or downgrade your subscription, you will get a new invoice with the prorated charge or credit. 

To learn more about your Spruce invoice, see here. 

Update Billing Information (Credit Card, Address, Email)

Your billing information can be updated only via the web version of Spruce. Please log in from your computer by going to https://app.sprucehealth.com/ or you can click here to be redirected straight to the billing page.

Please note that only your organization's Spruce administrator can access your organization's billing information. The first teammate on your account is made an administrator by default and can promote others to be administrators. For more information about administrators on Spruce, please see our article on growing and managing your team on Spruce.

If you are an administrator for your organization, follow these steps to update your billing information:

1. Log in to Spruce on your computer and navigate to your Settings (gear icon).
2. Select Billing.
3. Under "Billing Details," select Edit next to "Payment Method" or "Billing Information," depending on which you want to update.
4. Update your information and select Submit.
5. Once you have updated your billing information, your new credit card, address, and/or email address will be reflected in your next billing cycle.

Tips for entering your Business Address

• Do not abbreviate parts of street or city names (e.g., enter 'Saint Louis', instead of 'St Louis').
• Use abbreviations for address suffixes where possible, such as "St" for "Street" or "Ave" for "Avenue" (E.g., 521 Main St). Do not use punctuation with any abbreviation.
• Do not use symbols like “&, @ #,” etc. in your Business Name or the Address Fields. It is okay to use these symbols in the secondary address field (such as a unit or office number).
• Only 32 characters are allowed for your Business Name.
• Enter a standard 5-digit ZIP code.
• Do not add extra spaces before or after any of the required address or name fields.
• You cannot use a P.O. Box for your business address. 

Per-User Pricing

Spruce is priced per user, per month. A user is any teammate you have added to your Spruce organization. Generally, this will include all clinicians, staff, and other employees (but not your patients). Spruce is not priced by the number of phone lines or the amount of feature usage.

All users in a single organization must be on the same billing plan.

Example: A clinic with 3 physicians, 2 nurses, 1 front-desk assistant, and 1 virtual assistant will have 7 total users on Spruce, all on the same plan and with the same cost per user.

Whenever you add a teammate on Spruce, we'll add a prorated charge for their cost to your next month's bill.

Whenever you remove a teammate, we'll add a prorated credit to your account.

For full details, please see the complete Spruce Plans & Pricing.

Managing or Canceling Your Subscription

Information on how to upgrade, downgrade, or cancel your subscription can be found in the "Cancel or Update Your Subscription" article.