Need some help?

Need a virtual or in person appointment?

The easiest way is to click here. You can also call or text 573-814-1170.

Want to chat with your health team?

Download the Spruce app below or text message 573-814-1170.

Need a refill?

Ask your team in Spruce or by texting 573-814-1170.


The Spruce app is the most convenient way to securely message your team. It is also what we use for your video-based appointments.

A quick demo on how to message Big Tree with a question or to request a refill.