Spruce gives a practice a complete HIPAA-compliant communication system: a dedicated business phone line with VoIP calling, secure texting and team messaging, e-fax, voicemail transcription, telehealth links, and after-hours rules, all in one app that keeps clinical communication off personal numbers. AI features include call transcription and intelligent triage aids, and its automation ('Spruce Bots') can collect structured information from clients — a lightweight intake assistant. BAAs are standard, panic-button-free pricing is per-user, and it integrates with EHRs including athenahealth, Elation, and via API. Therapists love it as the answer to 'how do I text clients legally': appointment logistics, secure attachments, and standard replies without exposing a cell number. It will not run your schedule or notes; it is the communications layer, and one of the most therapist-adopted ones in the US.