---
title: "US terms of service — Salisan"
description: "The terms of service for US practices using Salisan: accounts and seats, plans and billing, acceptable use, HIPAA, liability and how the agreement ends."
url: https://salisan.com/us/legal/terms
---

# Terms

Version

2026-11-06

Effective

2026-11-06

These Terms of Service ("Terms") are an agreement between Salisan, Inc., a Delaware corporation with its registered address at 2261 Market Street STE 38901, San Francisco, CA 94114, United States ("Salisan", "we", "us"), and the organization that signs up for or orders Salisan ("Customer", "you"). By accepting these Terms, you confirm that you are authorized to bind the Customer.

These Terms apply to Customers whose organization's main country is the United States. Salisan is provided only to healthcare practices and other businesses and professionals acting in the course of their business, not to consumers. This version applies from 6 November 2026.

## 1. Definitions

- Service: the Salisan software, apps and related services we provide under these Terms, including updates.
- Order: the plan, quantities and fees you select in the Service or agree with us in writing.
- Authorized User: a person you allow to use the Service under your account, such as your employees and contractors.
- Customer Data: data that you or your Authorized Users submit to the Service, including Patient Data, and the output the Service produces from it.
- Patient Data: information about patients and other individuals whose care you provide or record, including Protected Health Information.
- Protected Health Information (PHI): has the meaning given in the BAA.
- AI Output: content generated by the AI features of the Service, such as text, summaries, transcripts and suggestions.
- BAA: our [Business Associate Agreement](https://salisan.com/us/legal/baa), which forms part of these Terms.

## 2. The Service

2.1 Provision. We provide the Service as described in its documentation, with reasonable skill and care.

2.2 Changes. We may update the Service, provided that an update does not materially reduce the core functionality of your plan during its current subscription period.

2.3 Preview features. Features marked as preview or beta are provided as is, may change or be discontinued at any time, and are not covered by any availability commitment.

2.4 Availability and support. We aim to keep the Service available at all times but do not guarantee that it will be uninterrupted or error-free. We plan maintenance to limit disruption. Support is available through the Service and by email. Service level commitments apply only where agreed in an Order.

## 3. Accounts

You are responsible for your Authorized Users and for all activity under your account. Keep sign-in details confidential, give each person their own account, remove access promptly when it is no longer needed, and notify us at [privacy@salisan.com](mailto:privacy@salisan.com) without unreasonable delay if you suspect unauthorized access.

## 4. Acceptable use

You will not, and will not allow anyone to:

- use the Service in breach of applicable law, professional rules or the rights of others;
- upload content you have no right to use or that contains malware;
- access accounts, data or systems that are not yours, or circumvent security or usage limits;
- test, scan or attack the Service without our written permission;
- resell, sublicense or make the Service available to anyone other than your Authorized Users;
- reverse engineer the Service, except where the law permits it;
- use the Service or AI Output to build a competing product, or to extract models or data from it;
- use AI features to generate unlawful, deceptive or harmful content, or to impersonate a person;
- submit prohibited data to AI features, or bypass a patient's AI exclusion, contrary to section 7.6.

## 5. Customer Data

5.1 Ownership. As between the parties, you own Customer Data. You grant us a non-exclusive license to host, copy, process, transmit and display Customer Data as needed to provide, secure and support the Service, as permitted by these Terms and the BAA.

5.2 HIPAA. For PHI in Customer Data, you are a covered entity, or a business associate of one, and we are your business associate. The BAA governs our use and disclosure of PHI and prevails over these Terms in case of conflict. We host Patient Data in the United States.

5.3 Your responsibilities. You are responsible for the lawfulness of Customer Data and of your instructions, including your compliance with HIPAA and state law, your notice of privacy practices, any authorizations you need from patients, and your record-keeping and professional confidentiality obligations.

5.4 De-identified information. You authorize us to de-identify PHI and to use the resulting de-identified information as described in the BAA, for example to produce aggregated statistics, to turn resolved support requests into help articles, and to develop and improve our products. De-identified information is not Customer Data.

5.5 Usage data. We may collect technical and usage data about the Service, such as logs, performance data and AI usage records, to provide, secure, bill and improve the Service. Usage data does not include the content of Customer Data.

5.6 Export. You can export Customer Data at any time while your account is open, in a structured, commonly used and machine-readable format.

5.7 Privacy Policy. Our [Privacy Policy](https://salisan.com/us/legal/privacy) describes how we handle information for our own purposes, such as account, billing and support data.

## 6. Clinical use

6.1 Intended purpose. Salisan supports the documentation, administration and communication of healthcare practices. It is not intended for any purpose that would make it a medical device under section 201(h) of the Federal Food, Drug, and Cosmetic Act, such as diagnosing, preventing, monitoring, treating or mitigating a disease, and it has not been cleared or approved by the US Food and Drug Administration. You will not use the Service, or present it to anyone, for such purposes or as a source of decisions in an emergency.

6.2 Clinical responsibility. All clinical decisions, record entries and communications with patients are made by you and your Authorized Users, who remain responsible for them under their professional obligations. Your Authorized Users review records, documents and messages, including AI Output, before relying on, saving or sending them.

## 7. AI features

7.1 AI Output. AI Output is generated automatically and may be inaccurate, incomplete or out of date. It is a draft for review by your Authorized Users, not professional advice from Salisan.

7.2 Agent actions. The Agent asks an Authorized User to confirm before it sends an email or form, or creates, changes or cancels an appointment. Actions that an Authorized User requests or confirms are your actions.

7.3 Excluding patients. You can exclude any patient from AI assistance at any time. You choose in Settings whether AI features may be used for patients under 18. The setting is off by default; while it is off, patients under 18 are excluded automatically, based on their recorded date of birth. Patients under 13 are always excluded. An exclusion that was set automatically stays in place until an Authorized User removes it. An exclusion blocks AI access to the linked patient record, AI document processing and transcription. Existing Agent conversations are not changed by setting an exclusion. Keep dates of birth accurate and do not copy excluded patient data into other AI inputs.

7.4 Transparency. Where the law requires it, you inform patients and others that AI is used in their care documentation or in communications they receive.

7.5 No training and zero data retention. We do not use Customer Data to train AI models, and our AI providers do not use it to train or improve theirs. We may develop our AI features with de-identified information, as section 5.4 and the BAA describe. The AI models run on Fireworks, under a business associate agreement, with zero data retention: Fireworks does not keep the content of requests or responses after processing. Recordings are transcribed by Amazon Transcribe in our US hosting environment, under our business associate agreement with Amazon Web Services.

7.6 Prohibited AI inputs. You must not submit, upload, record or otherwise make available to AI features:

- information about anyone under 13, and, while AI for patients under 18 is off in Settings, about anyone under 18, including when it appears in another patient's record;
- government identifiers, such as Social Security numbers, passport or driver's license numbers, or personal health-insurance identifiers;
- payment-card or bank-account details, passwords, API keys or other access credentials.

These restrictions apply to chat messages, pasted text, attachments, images, document processing and recordings or transcription. Before using AI, check the content and remove prohibited data or use the Service without AI processing. For patient files that must retain prohibited data, set the patient's AI exclusion before uploading them. Automated filters do not detect every instance and do not redact original documents, images or recordings before those files are sent for AI processing. These restrictions concern AI use; they do not prohibit keeping lawfully held patient records or identifiers in the Service's supported non-AI features.

## 8. Recording and transcription

Before recording or transcribing a conversation, you inform the participants and obtain any consent required by law or professional rules, including where a state requires the consent of every participant, and you stop recording if a participant objects. Salisan does not collect or record consent on your behalf. You are responsible for recordings made by your Authorized Users, and you decide in the Service how long recordings are kept.

## 9. Marketplace and third-party content

9.1 Marketplace Content. The Service gives access to templates, skills, guidelines and other content published by Salisan or by third parties ("Marketplace Content"). Marketplace Content is provided for information only, not as clinical advice, and we do not warrant that it is accurate or suitable for your patients. You decide whether to use it.

9.2 Reporting. You can report Marketplace Content that you believe is unlawful to [legal@salisan.com](mailto:legal@salisan.com). We review reports and may remove or restrict content that is unlawful or breaches these Terms.

9.3 Third-party services. Third-party services that you connect to the Service are governed by their own terms.

## 10. Fees and payment

10.1 Fees. You pay the fees for your plan as shown in the Service or your Order. Subscription fees are billed in advance for each subscription period (monthly or yearly). Fees exclude sales tax and other applicable taxes.

10.2 AI credits. AI features use credits. Your plan includes a monthly allowance. Once it is used, your account owner can allow additional paid usage up to a monthly limit, invoiced monthly at the prices shown in the Service. When the allowance and any allowed additional usage are used up, AI features pause until the next monthly allowance. Unused credits do not carry over.

10.3 Renewal and cancellation. Subscriptions renew automatically for the same period unless cancelled before the end of the current period. Cancellation takes effect at the end of the current period. Fees already paid are non-refundable, except as stated in these Terms or required by law.

10.4 Late payment. If a payment fails, we notify you and retry it. AI features may pause 7 days after a failed payment. If the amount remains unpaid, we may limit your account to read-only access until it is paid; you can still read and export your data.

10.5 Price changes. We may change our prices with at least 30 days' notice, effective from your next subscription period. If you do not agree, you can cancel before the change takes effect.

## 11. Suspension

We may suspend access for an Authorized User or for your account, in whole or in part, where necessary to prevent a security risk or serious harm to the Service, other customers or third parties, if you materially breach section 4, or as described in section 10.4. We limit any suspension to what is necessary, tell you the reason where we are allowed to, and restore access once the issue is resolved.

## 12. Term and termination

12.1 Term. These Terms apply from your acceptance until your last subscription ends.

12.2 Termination for breach. Either party may terminate these Terms by written notice if the other party materially breaches them and does not cure the breach within 30 days of notice. If you terminate for our breach, we refund prepaid fees for the period after termination.

12.3 Effect of termination. After the contract ends, your workspace remains readable and exportable until your account owner closes the account, or we close it 90 days after the contract ends, and for 30 days after that. We then return and destroy PHI as described in the BAA, including from backups within 35 days, except as section 12.4 of the BAA provides.

12.4 Survival. Sections 5, 12.3 and 13 to 19 survive termination.

## 13. Intellectual property

We and our licensors own the Service, its software and documentation. Subject to these Terms, you receive a non-exclusive, non-transferable right to use the Service for your organization during your subscription. We may use any feedback you give us without obligation to you.

## 14. Confidentiality

14.1 Confidential information. Each party keeps the other's confidential information confidential, uses it only to perform these Terms, and shares it only with those who need it for that purpose and are bound by confidentiality obligations. This does not apply to information that is public, already known to the recipient, lawfully received from a third party or independently developed. A party may disclose confidential information where the law requires it, with notice to the other party where permitted, subject to section 14.2 for Patient Data.

14.2 Patient Data. We treat Patient Data as confidential and subject to your professional obligations. We use and disclose PHI only as the BAA permits.

## 15. Warranties and disclaimers

Each party warrants that it has the authority to enter into these Terms. Except as expressly set out in these Terms and the BAA, the Service, AI Output and Marketplace Content are provided "as is" and "as available", and we disclaim all other warranties, express or implied, including merchantability, fitness for a particular purpose and non-infringement, to the extent permitted by law.

## 16. Limitation of liability

16.1 Cap. Each party's total liability arising out of or in connection with these Terms, the BAA and the Service is limited to the fees you paid to us in the 6 months before the event giving rise to the claim.

16.2 Excluded damages. Neither party is liable for indirect, incidental, special or consequential damages, lost profits, lost revenue or loss of goodwill. Loss of data is also excluded, except where caused by our breach of our security or backup obligations, in which case it is recoverable within the cap, including the reasonable cost of restoring data from backup.

16.3 HIPAA and privacy claims. Claims under the BAA or relating to privacy or security, including breaches of PHI, are subject to this section to the extent permitted by law.

16.4 Exceptions. Nothing in these Terms limits liability for gross negligence, willful misconduct or fraud, for death or personal injury, for your payment obligations, or for any other liability that cannot be limited by law.

16.5 Time limit. Claims must be notified in writing within 12 months after the claimant became aware, or should reasonably have become aware, of the event giving rise to them.

## 17. Indemnity

You will defend and indemnify us against third-party claims, including by patients and authorities, to the extent caused by unlawful Customer Data, by a breach of section 8, or by your use of the Service in breach of section 4 or 6 or of applicable law. This does not cover penalties imposed on us for our own violations.

## 18. Changes to these Terms

We may change these Terms for valid reasons, such as changes to the Service, the law or our providers. We will notify you at least 30 days before a material change takes effect, by email or in the Service. A change will not reduce the protection of Customer Data without your agreement. If you object to a material change, you may terminate before it takes effect, and we will refund prepaid fees for the period after termination.

## 19. General

19.1 Governing law and jurisdiction. These Terms are governed by the laws of the State of Delaware, without regard to its conflict of laws rules. The state and federal courts located in Delaware have exclusive jurisdiction.

19.2 Order of precedence. In case of conflict, the following order applies: the BAA (for PHI), a signed Order, these Terms, and the documentation.

19.3 Force majeure. Neither party is liable for failures caused by events beyond its reasonable control. This does not affect payment obligations.

19.4 Assignment. You may not assign these Terms without our written consent. We may assign them to an affiliate or to a successor of our business, with notice to you.

19.5 Subcontractors. We may use subcontractors and remain responsible for them. The BAA governs our use of subcontractors that receive PHI.

19.6 Notices. We send notices to your account owner's email address or through the Service. You send notices to [legal@salisan.com](mailto:legal@salisan.com), or for privacy matters to [privacy@salisan.com](mailto:privacy@salisan.com).

19.7 Entire agreement. These Terms, the BAA and any Order are the entire agreement between the parties on their subject matter. Your purchasing terms do not apply.

19.8 Severability and waiver. If a provision is invalid, the remainder stays in force and the parties will replace the invalid provision with a valid one that comes closest to its purpose. Failure to enforce a right is not a waiver.

19.9 Contact. For questions about the Service, contact [legal@salisan.com](mailto:legal@salisan.com).