Missed Call Text-Back for Clinics

These bots handle marketing and admin only. Never put patient health info into an AI tool unless it's HIPAA-compliant.

Price: Starts at $49/mo per user (checked Oct 2026)
Setup: Self-serve
Best size: Solo practices up to multi-location clinics
Time saved: "We freed up at least 20 hours a week of her time" (owner, Kynetex Sports Care) Customer storychiropractic and sports rehab group, 11 locations, 15+ providersSource

Who it's for

Chiropractors and sports clinics losing new patients to missed calls and phone work.

Good fit if

Your front desk misses calls when it's busy.
You run more than one location and want every number in one app.
You need a HIPAA business associate agreement for patient texting.

Skip it if

You only need appointment reminders. A reminder tool may be simpler.
You want to test missed-call text-back for free. The free trial doesn't include texting or the Communicator plan.
Your team won't keep health details out of texts that aren't sent through Spruce.

What it does

Texts back callers you miss
Writes up and sums up voicemails
Sends follow-up texts to people who miss appointments

Proof

Maker's claimThe company that makes it says so

Kynetex Sports Care (11 locations) cut admin phone time from 30 hours a week to about 10.

Spruce HealthDate not shown Read the source

Try it yourself DIY version

Not ready to buy the tool? Paste this into ChatGPT, Claude or Grok. Fill in the [brackets] first.

Copy this prompt

Write texts my clinic's front desk can send to missed callers. Do not include any patient names, health details or treatments. Clinic name: [CLINIC NAME]. Booking link: [LINK]. Office hours: [HOURS]. Please write: 1) a missed-call text-back for office hours and one for after hours, each under 160 characters, 2) a short text for someone who missed their appointment, inviting them to rebook with the link, and 3) three quick replies for common questions like hours, location and new-patient booking. Keep the tone friendly and never ask the person to share health details by text.

Missed-call text to patients

Hi, this is [Clinic name]. Sorry we missed your call! Reply here to book or ask a question and we'll text you back soon. Please don't share health details by text. If this is an emergency, call 911.

Missed-appointment follow-up text

Hi [First name], we missed you today at [Clinic name]. Reply here or call [phone] to pick a new time that works for you.

How to set it up

Have ready

Your clinic phone numbers (to move into Spruce) or the area codes you want
A list of staff who will answer calls and texts
The text you want patients to get after a missed call

Turn on missed-call text-back first.
Set up a local number for each location if you have several.
Turn on no-show follow-up texts.
Keep health details out of texts unless the tool is HIPAA-ready.

Steps from the maker

Cost

Starts at $49/mo per user

Plans: Basic $24/mo per user. Communicator $49/mo per user. Patients don't count as users. No per-text or per-minute charges.
Good to know: Communicator plan, which has missed-call text-back. The Basic plan is $24/mo per user but doesn't include it. Every user in your clinic must be on the same plan.
Free trial: 14 days, no credit card. Basic features only, without texting.
Extras: One-time $19.50 fee to turn on texting. Telecom taxes and fees are added on. Desk phones and single sign-on cost extra. Larger practices may pay an onboarding fee.
Contract: Month to month by default, and you can cancel anytime. Larger practices may need a yearly contract.

Checked Oct 2026 on the maker’s site

Works with

athenahealth
DrChrono
Elation Health
ModMed
Hint Health
Spruce API (Communicator plan)

Pros

HIPAA business associate agreement included, even in the trial.
Month to month, with no per-text charges or usage caps.
Phone, text, fax and video for all locations in one app.

Cons

Missed-call text-back needs the $49 Communicator plan.
The free trial doesn't include texting or Communicator features.
Extra fees: $19.50 to turn on texting, plus telecom taxes and fees.

Questions people ask

Is Spruce HIPAA compliant?

Spruce says it is, and it includes a business associate agreement (BAA) on trials and paid plans.

Is missed-call text-back in the free trial?

No. The trial covers the Basic plan without texting. Missed-call text-back is on the Communicator plan, so ask Spruce sales to try it.

Do I pay per text?

No. Spruce charges per user, with no per-text, video or voice-minute charges. Very heavy use may get custom pricing.

Does it connect to my EHR?

Spruce lists integrations with athenahealth, DrChrono, Elation, ModMed and Hint Health, among others. Integrations and the API need the Communicator plan.

Try Spruce Health