Klara is a patient-communication platform used across medical specialties that consolidates texting, web chat, calls-to-text deflection, appointment reminders, intake form delivery, and team collaboration into one HIPAA-compliant inbox. Automated workflows send pre-visit instructions, collect forms, and follow up after appointments, while staff message templates and routing keep multi-provider inboxes manageable. It integrates with major practice management and EHR systems, and its phone-deflection features convert voicemail into two-way text conversations — effective for front desks overwhelmed by phone tag. Klara is enterprise-leaning: pricing is custom, sold per provider/location, and its natural buyers are multi-clinician clinics including behavioral health groups within larger medical organizations. A solo therapist will find Spruce cheaper and simpler; a ten-clinician group coordinating intake staff across locations gets more from Klara's workflow and analytics depth.