

File photos and documents patients send in Spruce to the chart
Nothing patients send gets stuck in a message thread. Faxes and scanned documents still arrive by the stack, and every one has to be read, matched to a patient and filed before anyone can act on it.
- Saved per item, estimated
- ~5 min
- Roles it helps: nurse and MA and front desk
- 2
- Steps Tabflows handles for your team
- 4
How it runs
Starts: When a patient sends a photo or file in Spruce.
- Step 1
Match the sender to their Elation chart.
- Step 2
Identify the item: rash photo, outside lab, insurance card or form.
- Step 3
Stage it in the chart's documents with a label for staff confirmation.
- Step 4
Create a nurse task when a photo needs clinical review.
Everything lands for your team to review, so the clinic stays in charge of every decision.
More Elation automations
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Fax Triage
Reads incoming faxes, identifies the patient and document type, files each one to the chart and routes it to the right reviewer.
Fax & Document ManagementFax Triage

Document Key Results
Pulls key results from incoming documents and adds review notes.
Fax & Document ManagementDocument Key Results

Fax inbox clearing
Works through a fax backlog until the inbox is cleared.
Fax & Document ManagementFax inbox clearing
Fax-to-order matching
Attaches incoming fax results to the matching open order.
Fax & Document ManagementFax-to-order matching
Refill fax routing
Routes refill faxes and sends outbound faxes.
Fax & Document ManagementRefill fax routing
Auto-upload to chart
Uploads documents generated by Sidekick directly to the patient's Elation chart.
Fax & Document ManagementAuto-upload to chart
Docs & guides
Tabflows University
Short lessons on running a calmer clinic with the tools you already have.
Learn with Tabflows →Learn with TabflowsDPC operations blog
Our best writing on DPC workflow, front-desk operations and clinic software.
Explore the blog →Explore the blogIntegrations
Every tool Tabflows connects to, and what it can do with each one.
Explore integrations →Explore integrationsCase studies
How DPC and concierge clinics use Tabflows day to day.
Read the stories →Read the stories
Get help from our team
Tabflows engineers
We set this up on your Elation and Spruce accounts and keep it tuned to how your clinic works.
Hire Tabflows →Frequently asked questions
What if a document doesn't clearly match a patient?
Nothing is filed on a guess. Tabflows prepares each one for your nurse and MA and front desk to check, and anything it can't place stays with a person to file by hand.
Do we need to switch from Elation and Spruce?
No. File photos and documents patients send in Spruce to the chart works inside the Elation and Spruce accounts your clinic already uses. There is nothing to migrate and no new system for your team to learn.
When does it run?
It starts when a patient sends a photo or file in Spruce. Tabflows works through 4 steps, and the result lands with your nurse and MA and front desk, saving an estimated 5 min per item.