We use the Spruce messaging app to give you a simple, secure way to reach us between visits — for questions, refills, quick updates, or sharing photos when something comes up. Spruce is a mobile and desktop application that keeps all your communication in one place, making care easier and more seamless. It helps us stay connected so your care feels more responsive and personal.

Connecting with your care team is easy at Bianco Primary Care.

Patient texting on their cell phone.
Patient receiving incoming call from Bianco Primary Care

Why Spruce?

We use Spruce, so staying in touch is easy and secure. No phone trees or voicemail loops—just message your care team directly through the app. Your message reaches the right person quickly and is typically reviewed the same or next day, so you get a prompt, personal reply. It makes quickly connecting with your care team safe and convenient.

Patient on a call with their provider.

How can Spruce help?

  • Message your care team securely

  • Request refills or ask quick follow-up questions

  • Send photos or documents for review

  • Get updates about labs or appointments

  • Handle select virtual visits when appropriate

  • Receive personalized care instructions

Provider consulting patient while smiling.

Getting started

You’ll receive an invitation to join Spruce via text or email from our office. Follow the link to create your free account, download the app, and start messaging your care team.

If you need help setting up your account, our front desk is happy to walk you through it at your next visit.

Frequently asked questions

  • Spruce is great for everyday communication—refills, lab questions, scheduling, or updates that aren’t urgent. Your message goes straight to our team and is usually answered within 24–48 hours.


    If something feels urgent, call the office and select the urgent line.
    For any emergency, always call 911 or go to the nearest Emergency Room.

  • Messages sent through Spruce during business hours are typically reviewed and answered the same or next day.

    If you message after hours or on the weekend, our team will respond once the office reopens (usually within 24–48 hours).

  • Your message goes straight to our care team, where it’s directed to the person best suited to help—whether that’s your provider or a medical assistant who communicates directly with our providers. Your provider reviews messages and responds personally when needed, ensuring you always get a timely, accurate answer.

  • Yes, Spruce is the best way for Bianco Primary Care to reach out to you regarding any additional lab results, you can ask ask follow-up questions, or clarify instructions from your visit. It keeps all communication in one secure place so nothing gets lost.

  • Absolutely. You can securely send images or documents to help us better understand your concern.

Phone screen showing back and forth messages.
Provider using laptop to message.
Patient texting through the Spuce messaging system.

Questions about Spruce?

If you need help setting up or using Spruce, our team is happy to assist.

Contact our office