Practice review
When intake resumes, a minimal nonclinical application will be reviewed for capacity, scope, clinical appropriateness, expectations, and mutual fit.
Membership application
Applications are temporarily paused.
Membership begins with practice review—not a checkout page. No application, enrollment, payment, medical intake, or appointment scheduling is available from this page during the pause.
New patient applications are temporarily paused while we complete operational preparations. We tentatively expect to resume accepting applications on or around September 14, 2026. Please check back for confirmation.
Non-clinical introduction
Selected applicants may be invited to a Meet & Greet. It provides no diagnosis, treatment, prescription, or medical advice and does not create a physician-patient relationship.
Private enrollment
Only accepted applicants receive private membership enrollment and payment instructions. Enrollment is never offered from a public page.
Please do not send medical information
This public website does not collect symptoms, diagnoses, medications, treatment history, or other health information. Existing patients may use Spruce for non-urgent secure communication.