Need some help?

Want to chat with your health team or schedule an appointment?

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

Need a refill?

Download the RxLocal app below or ask your team in Spruce.


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


The simplest way to request a refill is to use RxLocal. You can also just ask your team in Spruce or call/text 573-814-1170.

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