Every call, text, portal message and email in one inbox.
Keep your practice’s number, or get a new local one. Add the automated front desk, and the calls you can’t take still get answered.
Every plan includes a Business Associate Agreement.

The front desk
It picks up the calls nobody can get to and says up front that it is automated. It answers questions like “Do you take Aetna?” and books the visit or takes a message.
When something sounds urgent, it tells the caller to call 911 if it’s an emergency. Then it texts you and adds a task to call them back.
Visits go straight into LactaRoute, Acuity, Cal.com, Cliniko, DrChrono, Healthie, Practice Better, PracticeQ or Square Appointments, or into a Google or Outlook calendar. With any other system, it texts the caller your booking link and adds a task to call them back.
It never gives clinical advice, and anyone can ask for a person.
Call from Jen O’Connor
Today, 1:40 pm · 2 min
- Front desk
Hi, you’ve reached Dr. Szabo’s office. I’m the practice’s automated front desk. How can I help?
- Jen
Hi, it’s Jen O’Connor. I’ve had a fever of 103 since last night, and it won’t come down.
- Front desk
If you think this is an emergency, please hang up and call 911. I’m texting Dr. Szabo now and marking your call urgent.
What the front desk did
- 1:40 pmAnswered
- 1:41 pmMarked urgent: fever of 103 since last night
- 1:41 pmTexted Dr. Szabo
- 1:42 pmAdded a task: call Jen back
The client record
A check beside a name means the person is already a client. Everyone else is New until you match them.
Their appointments
Who they saw and when, and what’s booked next.
Tasks the whole team can see
Each with an owner and a due day.
Notes for the team
The front desk reads them too.

Pricing
Essentials
Every conversation in one inbox.
$29per team member, a month
- Calls, texts, portal messages and email
- Your practice’s number, or a new local one
- A fax line, with no page charges
- Video visits with your clients
- A record for every client
- Conversations assigned, snoozed and marked done
Practice
With automations, and the front desk if you add it.
$49per team member, a month
- Everything in Essentials
- Auto-replies, and a text back after a missed call
- A phone menu, and phones that ring in order or together
The front desk
One add-on covers the whole practice, on the Practice plan. It stays off until you switch it on.
$99a month
500 minutes included, then 20¢ a minute
Other add-ons
Portal seat
For a team member who answers portal messages and email, but not calls or texts.
$19a month each
Extra numbers
For calls and texts, or for fax.
$5a month each
Try it free for 14 days, without a card. Calls in the US and Canada are unlimited. Each team member on a plan adds 1,500 texts and 40 hours of video visits a month, shared by the whole practice. Pay yearly, and two months are free.
Compared with what you use now
- A business phone line
- Portal messages and email arrive in the same inbox as your calls and texts, beside each client’s record.
- A messaging app for health practices
- Your email comes into the same inbox, and the front desk answers the phone and books the visit.
- An answering service
- The front desk answers the calls you can’t take, books the visit and texts you when something is urgent. Its transcript of each call waits in the inbox.
Not in Spathe yet: call recording, desk phones and international calling.
Security
A Business Associate Agreement with every practice
We sign it with you when you start, on either plan.
Services that have signed one too
Calls, texts and messages run only through companies that have signed one with us.
Appointments only
From your EHR or scheduling software, Spathe reads date, time and provider. Never notes or charts.
Porting your number is free
Or start with a new local number.