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Telehealth treatment for musculoskeletal conditions functions the same way as an appointment with any other medical provider. You will require a device with a forward-facing camera (smartphones are preferred due to the application installation convenience and ease in device movement during the appointment if found necessary).


This is possible because COSPT’s conservative approach to the assessment and treatment of musculoskeletal conditions is based on MDT McKenzie Methodology, which is a movement and position based treatment process, and it is very rarely necessary for any hands-on intervention of your condition.

Who is able to access IMC's Telehealth through COSPT currently?


All Capital Health Plan Members are able to access the Telehealth Assessment and Treatment option for their care should they find it more convenient during this difficult time.


All Medicaid Plan Members who have been treated for a musculoskeletal condition within the last 90 days are able to access the Telehealth Assessment and Treatment option for their care should they find it more convenient during this difficult time.

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All Blue Cross Blue Shield Plan Members are able to access the Telehealth Assessment and Treatment option for their care should they find it more convenient during this difficult time.

COSPT is actively working with several other health plans and benefit providers to establish the Telehealth Assessment and Treatment option for all patients.

Please check back regularly or contact COSPT directly at (850) 656-1837 to find out if you are eligible for this service should you find it more convenient during these difficult times.


NEW COSPT Telehealth Patients:

Welcome to COSPT's Telehealth Network, facilitated through The Spruce Care Messenger and Web app, an all-in-one communication platform for HIPPA compliant video, audio and text communications between providers and patients.


If you're here, you've probably been invited to use Spruce by your clinician or other healthcare providers. When you download or visit the Spruce app, you can conveniently exchange messages with your provider and have the comfort of knowing your communication is secure, encrypted, and HIPAA-compliant. 

Spruce gives you more than just messaging. You can send and receive photos, videos, and PDF attachments as well. And if your provider uses telemedicine, you may do video calls or health questionnaires on Spruce. Everything you receive from your provider is stored inside the Spruce app, and when you receive a new message, you'll get a notification on your phone from Spruce. 


Setting up your COSPT Telehealth appointment:

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To start using Spruce, you must have an invitation link from COSPT, so begin by calling ‭(850) 656-1837. This special link tells Spruce which practice you'll communicate with once you're on the app. Typically your clinician will send the invitation link via a text message or by email. Here are the steps to accept your doctor's invitation and set up your Spruce account.

Accepting the invitation from a text or email:

  1. The Spruce Care Messanger APP can be managed from any smart mobile device or computer with a forward-facing camera that is able to receive a text message or email

  2. Open the email or text message that contains the invitation link. The link will be Click the link. You may have to click the link twice.  

  3. Your smart device or computer's internet browser will open to a Spruce webpage. Select Get the App & Connect. This will take you to the iOS App Store or Google Play, or Spruce Care Web App depending on the device. 

  4. Select the Spruce – Care Messenger app and download. Once complete, select  Continue when prompted. 

  5. Select Create a new account, and enter your personal mobile phone number. You will receive a verification code via text message. (If you do not receive a verification code within five minutes, delete the app or refresh your browser and start again from step one.) 

  6. On the next screen, enter the verification code, select Next, and enter your profile information to complete your setup. You can begin messaging with your provider once you have completed these steps!


Messaging your clinician:

Any time you log in to Spruce, you will see the conversation thread between you and your provider. All communication exchanged with a particular practice will be visible here. To send a message, simply compose your message by tapping into the compose bar at the bottom of the screen and select Send. 


Sending attachments to your clinician:

You can securely send photos, videos, and PDFs to your doctor using Spruce. Select the Camera icon at the bottom of the screen to send a photo or video. Select the Paper Icon at the bottom of the screen to send a PDF. The file you want to send will need to be available on your mobile phone in order to attach it through Spruce.


Adjusting your settings:

You can access your Settings page by selecting the Spruce Logo Icon in the top left corner. 

  • Select Notification Preferences to adjust your Spruce notifications as needed. 

  • If you use Spruce to communicate with more than one practice, select the practice you want to communicate with under Practices before composing a message.

  • If you need help from the technical support team for the Spruce app, select Email Support to reach us. We're happy to help, but note that we are not part of your doctor's practice, and you should not send us any medical information. 

  • To log off of Spruce, select Sign Out.