<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with the Workiva Platform-->
<!--Copyright 2026 Workiva-->
<!--r:019ed0da-1cbb-7da1-b25d-9b888f5ff5b3,g:2321dbb6-7a4e-42bd-a6ee-d36a6ee65633-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <link:roleRef roleURI="http://www.spok.com/role/Cover" xlink:type="simple" xlink:href="spok-20260721.xsd#Cover"/>
  <link:presentationLink xlink:role="http://www.spok.com/role/Cover" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CoverAbstract"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentPeriodEndDate_019ed0da-1cbb-75f8-8351-cf9c5579c7b8" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentPeriodEndDate"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_DocumentPeriodEndDate_019ed0da-1cbb-75f8-8351-cf9c5579c7b8" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityRegistrantName_019ed0da-1cbb-7b32-be41-b567cca9660f" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityRegistrantName"/>
    <link:presentationArc order="2" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_EntityRegistrantName_019ed0da-1cbb-7b32-be41-b567cca9660f" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityTaxIdentificationNumber_019ed0da-1cbb-758b-941c-9d2f833c202b" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityTaxIdentificationNumber"/>
    <link:presentationArc order="3" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_EntityTaxIdentificationNumber_019ed0da-1cbb-758b-941c-9d2f833c202b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityIncorporationStateCountryCode_019ed0da-1cbb-7ce6-a80c-5592a7bdf76c" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityIncorporationStateCountryCode"/>
    <link:presentationArc order="4" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_EntityIncorporationStateCountryCode_019ed0da-1cbb-7ce6-a80c-5592a7bdf76c" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityFileNumber_019ed0da-1cbb-72f7-b562-35dc2e9c51b8" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityFileNumber"/>
    <link:presentationArc order="5" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_EntityFileNumber_019ed0da-1cbb-72f7-b562-35dc2e9c51b8" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressPostalZipCode_019ed0da-1cbb-7b2e-a850-4b06917099a4" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressPostalZipCode"/>
    <link:presentationArc order="6" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_EntityAddressPostalZipCode_019ed0da-1cbb-7b2e-a850-4b06917099a4" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine1_019ed0da-1cbb-7081-a30c-06557a903510" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressAddressLine1"/>
    <link:presentationArc order="7" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_EntityAddressAddressLine1_019ed0da-1cbb-7081-a30c-06557a903510" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine2_019ed0da-1cbb-725d-a996-e5aad4bd535c" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressAddressLine2"/>
    <link:presentationArc order="8" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_EntityAddressAddressLine2_019ed0da-1cbb-725d-a996-e5aad4bd535c" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressStateOrProvince_019ed0da-1cbb-771b-a187-e204ec65d4a9" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressStateOrProvince"/>
    <link:presentationArc order="9" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_EntityAddressStateOrProvince_019ed0da-1cbb-771b-a187-e204ec65d4a9" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCityOrTown_019ed0da-1cbb-7c92-b3ad-e9813ef07cc5" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressCityOrTown"/>
    <link:presentationArc order="10" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_EntityAddressCityOrTown_019ed0da-1cbb-7c92-b3ad-e9813ef07cc5" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CityAreaCode_019ed0da-1cbb-767d-9257-6977587ed72f" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CityAreaCode"/>
    <link:presentationArc order="11" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_CityAreaCode_019ed0da-1cbb-767d-9257-6977587ed72f" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_LocalPhoneNumber_019ed0da-1cbb-7fd4-9ae5-8ff1dfcf951c" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_LocalPhoneNumber"/>
    <link:presentationArc order="12" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_LocalPhoneNumber_019ed0da-1cbb-7fd4-9ae5-8ff1dfcf951c" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_WrittenCommunications_019ed0da-1cbb-7a70-a7d3-bb80fe50c79a" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_WrittenCommunications"/>
    <link:presentationArc order="13" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_WrittenCommunications_019ed0da-1cbb-7a70-a7d3-bb80fe50c79a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SolicitingMaterial_019ed0da-1cbb-79ae-a30e-60fc94b19cf0" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_SolicitingMaterial"/>
    <link:presentationArc order="14" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_SolicitingMaterial_019ed0da-1cbb-79ae-a30e-60fc94b19cf0" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementTenderOffer_019ed0da-1cbb-74f9-aba4-bdbfef044e39" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_PreCommencementTenderOffer"/>
    <link:presentationArc order="15" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_PreCommencementTenderOffer_019ed0da-1cbb-74f9-aba4-bdbfef044e39" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementIssuerTenderOffer_019ed0da-1cbb-7522-a4da-df6e631a07fd" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_PreCommencementIssuerTenderOffer"/>
    <link:presentationArc order="16" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_PreCommencementIssuerTenderOffer_019ed0da-1cbb-7522-a4da-df6e631a07fd" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_Security12bTitle_019ed0da-1cbb-771d-bced-c56e0aa29ab1" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_Security12bTitle"/>
    <link:presentationArc order="17" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_Security12bTitle_019ed0da-1cbb-771d-bced-c56e0aa29ab1" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_TradingSymbol_019ed0da-1cbb-7f4c-a799-a652d24395bf" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_TradingSymbol"/>
    <link:presentationArc order="18" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_TradingSymbol_019ed0da-1cbb-7f4c-a799-a652d24395bf" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SecurityExchangeName_019ed0da-1cbb-7e24-addc-65e7b8014c2b" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_SecurityExchangeName"/>
    <link:presentationArc order="19" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_SecurityExchangeName_019ed0da-1cbb-7e24-addc-65e7b8014c2b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityEmergingGrowthCompany_019ed0da-1cbb-736d-8e74-21578caaf08f" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityEmergingGrowthCompany"/>
    <link:presentationArc order="20" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_EntityEmergingGrowthCompany_019ed0da-1cbb-736d-8e74-21578caaf08f" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentType_019ed0da-1cbb-77c1-a13a-f63e1e1aa071" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentType"/>
    <link:presentationArc order="21" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_DocumentType_019ed0da-1cbb-77c1-a13a-f63e1e1aa071" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityCentralIndexKey_019ed0da-1cbb-750f-8fda-473c7f3acaf5" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityCentralIndexKey"/>
    <link:presentationArc order="22" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_EntityCentralIndexKey_019ed0da-1cbb-750f-8fda-473c7f3acaf5" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AmendmentFlag_019ed0da-1cbb-751b-a07a-780ee265da1c" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_AmendmentFlag"/>
    <link:presentationArc order="23" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed0da-1cbb-745d-bfa2-309a5214e8a6" xlink:to="loc_dei_AmendmentFlag_019ed0da-1cbb-751b-a07a-780ee265da1c" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
  </link:presentationLink>
</link:linkbase>
