Spruce Health vs TherapyNotes Comparison: Reviews, Features, Pricing & Alternatives in 2026

Detailed side-by-side comparison to help you choose the right solution for your team

Updated Apr 2026 8 min read

Spruce Health

0.0 (0 reviews)

Spruce Health is a comprehensive communication platform designed for healthcare professionals to manage patient care through secure messaging, integrated telemedicine, and advanced business phone system capabilities.

Starting at $24/mo
Free Trial 14 days
VS

TherapyNotes

0.0 (0 reviews)

TherapyNotes is a specialized practice management software providing behavioral health professionals with integrated tools for electronic EHR charting, scheduling, billing, and telehealth to streamline mental health clinical workflows.

Starting at $49/mo
Free Trial 30 days

Quick Comparison

Feature Spruce Health TherapyNotes
Website sprucehealth.com therapynotes.com
Pricing Model Subscription Subscription
Starting Price $24/month $49/month
FREE Trial ✓ 14 days free trial ✓ 30 days free trial
Free Plan ✘ No free plan ✘ No free plan
Product Demo ✓ Request demo here ✓ Request demo here
Deployment cloud mobile desktop cloud
Integrations Elation Health Hint Health Healthie Google Calendar Microsoft Outlook Zapier Change Healthcare Waystar CardConnect Google Calendar Microsoft Outlook
Target Users small-business mid-market solopreneur solopreneur small-business mid-market
Target Industries healthcare healthcare
Customer Count 0 0
Founded Year 2014 2010
Headquarters San Francisco, USA Horsham, USA

Overview

S

Spruce Health

Spruce Health provides you with a unified communication platform built specifically for the healthcare industry. You can manage your entire practice's communication—including HIPAA-compliant texting, video calls, and a professional phone system—from a single, organized inbox. This eliminates the need to juggle multiple apps for patient outreach and internal team coordination, allowing you to focus more on clinical care and less on administrative overhead.

The platform is designed for medical practices of all sizes, from solo practitioners to large multi-provider clinics. You can automate your intake processes, securely share files with patients, and collaborate with your team in real-time using internal notes and task assignments. By centralizing your workflows, you ensure that no patient message or lab result falls through the cracks while maintaining strict regulatory compliance.

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TherapyNotes

TherapyNotes is a dedicated practice management platform built specifically for mental and behavioral health professionals. You can manage your entire clinical workflow from a single dashboard, whether you run a solo practice or a large multi-clinician clinic. The system simplifies the complex nature of mental health documentation by providing specialty-specific note templates for intake, progress, and treatment plans.

You can automate your most time-consuming tasks like insurance claim submissions and appointment reminders. The platform includes a secure patient portal where your clients can digitally sign paperwork, request appointments, and pay their balances. By centralizing your scheduling, notes, and billing, you reduce administrative overhead and can focus more of your energy on providing quality patient care.

Overview

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Spruce Health Features

  • HIPAA-Compliant Messaging Securely text your patients and colleagues with end-to-end encryption to ensure full regulatory compliance for all your clinical conversations.
  • Integrated Telemedicine Launch high-quality video visits directly from your chat threads without requiring patients to download complex software or create accounts.
  • Advanced Business Phone Get a professional medical phone system with custom greetings, automated attendants, and intelligent call routing to your mobile device.
  • Shared Team Inbox Collaborate with your staff on patient inquiries using internal notes and task tagging to ensure every message gets a response.
  • Digital Intake Forms Send and receive secure digital forms to collect patient history and consent before appointments, saving you valuable time during visits.
  • Automated Workflows Set up auto-replies for after-hours inquiries and use saved templates to quickly answer common patient questions with one tap.
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TherapyNotes Features

  • Specialty EHR Notes. Create professional clinical documents quickly with templates designed specifically for mental health intake, progress, and termination notes.
  • Integrated Scheduling. Manage your calendar with ease and send automatic text, phone, or email reminders to your clients to reduce no-shows.
  • Electronic Billing. Submit insurance claims electronically with one click and track your ERAs and payments directly within the platform.
  • Secure Patient Portal. Give your clients a professional way to share documents, sign intake forms, and pay their bills online securely.
  • HIPAA-Compliant Telehealth. Conduct secure video therapy sessions directly through your browser without requiring your clients to download extra software.
  • Credit Card Processing. Accept all major credit cards at competitive rates and store payment methods securely for future client sessions.

Pricing Comparison

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Spruce Health Pricing

Spruce Starter
$24
  • HIPAA-compliant messaging
  • Business phone system
  • Secure video calling
  • Standard voicemail
  • Team internal chat
  • Mobile and desktop apps
T

TherapyNotes Pricing

Solo
$49
  • For 1 user/clinician
  • Unlimited patients and notes
  • HIPAA-compliant EHR
  • Appointment reminders
  • Credit card processing
  • Unlimited phone and email support

Pros & Cons

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Spruce Health

Pros

  • Excellent mobile app for managing care on the go
  • Very easy for patients to use without downloads
  • Consolidates multiple communication tools into one single bill
  • Responsive customer support team for technical issues

Cons

  • Higher price point compared to basic VoIP services
  • Learning curve for setting up complex call routing
  • Limited integration with some smaller niche EMR systems
A

TherapyNotes

Pros

  • Highly intuitive interface designed for mental health workflows
  • Exceptional live phone support available for all users
  • Robust note templates that ensure clinical compliance
  • Reliable electronic insurance claim and ERA integration

Cons

  • Mobile experience is web-based rather than a native app
  • Limited customization options for specific clinical forms
  • Telehealth features may require additional fees for some users
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