Terms of Service

Please read these Terms carefully. By creating an account, clicking “I agree,” or otherwise using the Service, you agree to be bound by these Terms, including the binding arbitration and class-action waiver in Section 19. If you do not agree, do not use the Service.

Alfi is not a doctor and does not provide medical care. Nothing Alfi tells you is medical advice. If you think you may be having a medical emergency, call 911 or your local emergency number immediately.

1. About these Terms and who we are

These Terms of Service (the “Terms”) form a binding agreement between you and Axiom Health, Inc., a Delaware corporation doing business as Alfi (“Alfi,” “we,” “us,” or “our”), and govern your access to and use of hialfi.com, the Alfi web and mobile applications, and any related products, services, communications, or content we make available (together, the “Service”).

We may amend these Terms by posting a revised version with an updated effective date. Material changes will be communicated through the Service or by email where required. Your continued use of the Service after changes take effect constitutes your acceptance of the revised Terms. If you do not agree, your sole remedy is to stop using the Service and close your account.

2. Eligibility and where the Service is offered

You must be at least 18 years old (or the age of majority in your state of residence, if higher) to use the Service. The Service is intended for use only in the United States. By using the Service, you represent that you meet these requirements, that the information you provide is true and complete, and that you will keep your account information current.

Alfi is for your own health. Do not use it to make decisions about another person, and do not enter another person’s health information into the Service unless you have the legal authority to do so.

3. What Alfi is — and what it is not

Alfi is a software product that helps you gather, organise, and understand your own health information, and that answers questions about it using artificial intelligence. It is an informational and educational tool.

Alfi does not provide medical care. Alfi is not a doctor, nurse, pharmacist, or other licensed professional. It does not practise medicine, does not diagnose conditions, does not prescribe or dispense medication, does not order laboratory tests, and does not treat you. Using Alfi does not create a patient–provider relationship between you and Alfi or anyone at Alfi.

Alfi does not connect you to a clinician. The Service does not include consultations, second opinions, clinician review of your record, prescriptions, laboratory ordering, or pharmacy fulfilment. If we introduce any such feature in the future, we will describe it, and the terms that apply to it, before you use it.

Alfi is not a medical device. It is intended for general informational and wellness purposes. It is not intended to diagnose, treat, cure, or prevent any disease or condition, and it is not intended to be relied upon for any medical decision.

Nothing Alfi tells you is a substitute for evaluation by a qualified clinician who can examine you. Always consult a qualified clinician before starting, stopping, or changing any treatment, and never delay seeking care because of something Alfi said.

4. Emergencies and urgent symptoms

The Service is not for emergencies. Alfi does not monitor your health in real time, cannot contact emergency services for you, and may not respond at all. If you think you may be having a medical emergency, call 911 or go to the nearest emergency department.

Alfi may sometimes suggest that a symptom deserves prompt or urgent attention. Those prompts are informational, are not a clinical assessment, and their absence is not an indication that you are well. Do not treat silence from Alfi as reassurance.

5. How Alfi uses artificial intelligence

Alfi uses artificial intelligence models, including models operated by third-party providers, to interpret what you tell it, to read documents you upload, to hold conversations with you by text and by voice, and to generate the summaries, suggestions, and explanations you see (together, “Output”).

Output may be inaccurate, incomplete, or unsuitable for your situation. It is generated automatically and is not reviewed by a clinician before you see it. You are responsible for checking anything that matters before you act on it, and for correcting anything Alfi has recorded incorrectly.

Output depends on what you have told Alfi. Incomplete or inaccurate information produces weaker answers. Where Alfi can show you the source of a piece of information, it does, so you can judge it for yourself.

Acting on Output without confirming it with a qualified clinician can result in serious harm. Do not delay seeking care, start or stop a medication, change a dose, or disregard a symptom on the basis of anything Alfi tells you. You use the Service with that understanding and accept the risks of doing so. Nothing in this paragraph limits responsibilities we cannot disclaim under applicable law — see Section 17.

To generate Output, relevant parts of your health information are sent to our AI providers for processing. Our Privacy Policy describes what is sent, what we do to limit it, and the terms under which those providers may use it.

6. What Alfi records in your health profile

Alfi maintains a structured record of your health information: your goals, the things you have told it, documents you have uploaded, and the conversations you have had. As part of providing the Service, Alfi may add entries to that record automatically — including observations drawn from what you said, items it is tracking on your behalf, and summaries of your conversations. Entries Alfi created are identified as such.

These entries are a record of your interaction with a software product. They are not a medical record, not a clinical assessment, and not a diagnosis, and they are not authored or reviewed by a licensed professional. If you share them with a clinician, present them as what they are: your own notes, assembled with software.

You may correct or remove entries as described in Section 13 and in our Privacy Policy.

7. Information you provide, and its accuracy

The quality of what Alfi tells you depends on the quality of what you give it. You agree to provide accurate information and to keep it current, and you acknowledge that Alfi cannot verify what you tell it. Alfi may ask you to confirm values that matter; please confirm them carefully.

8. Documents and connected records

You may upload documents such as laboratory results, and you may be able to connect external health records. Alfi reads these automatically to extract health information, using third-party document-processing services described in our Privacy Policy.

Automatic extraction may be inaccurate or incomplete. Check extracted values against the original document before relying on them. You represent that you have the right to upload any document you provide.

9. Accounts and security

You are responsible for your account and for everything that happens under it. Keep your credentials and your email account secure — anyone with access to your email may be able to sign in as you. Notify us promptly at the address in Section 25 if you believe your account has been accessed without your permission.

10. Membership and billing

Some parts of the Service may be offered free of charge and others through a paid membership. Where a membership applies, you authorise us and our payment processors to charge your payment method on a recurring basis at the price and frequency disclosed to you at checkout, including applicable taxes, until you cancel.

Paid memberships renew automatically at the then-current price unless cancelled before the renewal date. You may cancel at any time and will keep access through the period you have paid for. Except where required by law, payments are non-refundable. Cancelling a membership does not delete your health information; you control that separately, as described in our Privacy Policy.

11. Acceptable use

You agree not to:

• use the Service to obtain a diagnosis, prescription, or treatment decision, or present Output as though it came from a clinician;
• enter another person’s health information without the authority to do so;
• attempt to extract, reverse-engineer, or replicate the models or prompts behind the Service, or use the Service to build a competing product;
• scrape, bulk-download, or use automated means to access the Service other than as we expressly permit;
• interfere with the Service’s security, probe it for vulnerabilities without our written permission, or access another user’s account or information;
• use the Service unlawfully, or to harass, defraud, or harm anyone.

12. Your content and the licence you grant

You keep ownership of the information and documents you provide. You grant us a non-exclusive, worldwide, royalty-free licence to host, store, process, transmit, display, and create derived representations of that content solely to operate and improve the Service for you, and to perform the processing described in our Privacy Policy. This licence ends when you delete the content or your account, except for copies we are required to retain or that exist in routine backups.

De-identified information. By using the Service you agree that we may create de-identified information from your health information and use it to improve the Service. De-identified means we have removed identifiers and taken reasonable measures so the information cannot reasonably be used to identify you or be linked back to you; we do not attempt to re-identify it, and we require anyone who receives it to do the same. This setting is on by default and you can turn it off at any time in your settings, which stops any further use.

Sharing de-identified information with third parties for health research is separate, is off by default, and happens only if you turn it on yourself. Neither setting affects the Service you receive.

13. Privacy and health information

Our Privacy Policy describes what we collect, how we use it, who processes it on our behalf, and the controls you have. It forms part of these Terms.

Consent to handle your health information is collected separately. Accepting these Terms is not consent to collect or process your health information. We ask for that separately, in its own step, before you share anything health-related, and you can withdraw it at any time in your settings. State consumer health privacy laws require that consent to be separate from a general agreement like this one, and we agree with the reasoning: agreeing to terms is not the same as agreeing to let software read your medical history.

Alfi is not a HIPAA covered entity. We do not provide treatment, we do not bill health plans, and we are not a healthcare clearinghouse. Information you share with us is handled under our Privacy Policy and applicable law. Sharing records with us does not make us your provider.

You may view, correct, obtain a copy of, and delete your information as described in our Privacy Policy. Deletion is permanent: we remove the information from our live systems and instruct our service providers to do the same, subject only to backup cycles and any legal hold, both of which our Privacy Policy explains.

14. Intellectual property

The Service, including its software, design, text, and the Alfi name and marks, is owned by us or our licensors and is protected by intellectual property laws. We grant you a limited, personal, non-transferable, revocable licence to use the Service for your own health, subject to these Terms. We reserve all rights not expressly granted.

Subject to Section 12, you may use Output for your own personal, non-commercial purposes, including sharing it with your own clinician.

15. Third-party services

The Service depends on third parties, including cloud hosting, a health-record platform, AI model providers, document-processing services, analytics, and payment processing. We are not responsible for third-party products or services you choose to use alongside Alfi, and your use of them is governed by their own terms.

16. Disclaimers

TO THE FULLEST EXTENT PERMITTED BY LAW, THE SERVICE AND ALL OUTPUT ARE PROVIDED “AS IS” AND “AS AVAILABLE,” WITHOUT WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NON-INFRINGEMENT, AND ANY WARRANTY THAT OUTPUT WILL BE ACCURATE, COMPLETE, CURRENT, OR CLINICALLY APPROPRIATE. WE DO NOT WARRANT THAT THE SERVICE WILL BE UNINTERRUPTED OR ERROR-FREE.

17. Limitation of liability

TO THE FULLEST EXTENT PERMITTED BY LAW, NEITHER ALFI NOR ITS OFFICERS, DIRECTORS, EMPLOYEES, OR SUPPLIERS WILL BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, EXEMPLARY, OR PUNITIVE DAMAGES, OR FOR LOST PROFITS, DATA, OR GOODWILL, ARISING OUT OF OR RELATING TO THE SERVICE. OUR TOTAL LIABILITY FOR ALL CLAIMS RELATING TO THE SERVICE WILL NOT EXCEED THE GREATER OF ONE HUNDRED U.S. DOLLARS ($100) OR THE AMOUNTS YOU PAID US IN THE TWELVE MONTHS BEFORE THE EVENT GIVING RISE TO THE CLAIM.

What this does not limit. Nothing in these Terms excludes or limits our liability for death or personal injury caused by our negligence, for fraud or fraudulent misrepresentation, for gross negligence or wilful misconduct, or for anything else that cannot be excluded or limited under applicable law. Some jurisdictions do not allow certain exclusions, so parts of this section may not apply to you.

18. Indemnification

You agree to indemnify and hold harmless Alfi and its officers, directors, employees, and agents from any claims, losses, and expenses (including reasonable legal fees) arising from your use of the Service, your content, your breach of these Terms, or your violation of any law or the rights of another.

19. Dispute resolution; binding arbitration and class waiver

Please read this section carefully. It affects your rights.

We will try to resolve any dispute informally first. Contact us at the address in Section 25 and give us 30 days to respond before starting a formal proceeding.

If we cannot resolve it, you and Alfi agree that any dispute arising out of or relating to these Terms or the Service will be resolved by final and binding arbitration administered by the American Arbitration Association under its Consumer Arbitration Rules, before a single arbitrator, rather than in court. Judgment on the award may be entered in any court with jurisdiction.

Class-action waiver. You and Alfi agree to bring claims only in an individual capacity, and not as a plaintiff or class member in any class, collective, or representative proceeding. The arbitrator may not consolidate claims or preside over any form of representative proceeding.

What stays out of arbitration. Either party may bring an individual claim in small-claims court. Either party may seek injunctive relief in court for infringement or misuse of intellectual property, or in aid of arbitration. Nothing here prevents you from reporting a concern to, or participating in an investigation by, a government agency. And to the extent applicable law gives you a right to seek public injunctive relief that cannot be waived, that claim may be brought in court; the rest of the dispute still goes to arbitration.

If the class waiver fails. If a court decides the class-action waiver above is unenforceable as to a particular claim or request for relief, then that claim or request — and only that one — must be brought in court. Every other claim stays in arbitration.

Coordinated filings. If 25 or more similar arbitration demands are filed against us within a six-month period by or with the assistance of the same law firm, organisation, or coordinated group, those demands will be administered in batches of up to 100, with one arbitrator and one set of filing fees per batch. The parties will work with the administrator to resolve each batch efficiently. This provision exists so that coordinated claims are heard, not delayed, and it does not reduce anyone’s right to have their claim decided.

Fees. Each party pays its own legal costs. Where the applicable rules or law require it, we pay the arbitrator’s fees and the administrator’s fees.

Your right to opt out. You may opt out of this arbitration agreement within 30 days of first accepting these Terms. Send us your full name, the email address on your account, and a clear statement that you are opting out of arbitration, either by email to legal@hialfi.com or by post to the address in Section 25. Opting out is free, it will not affect your use of the Service, and it does not affect any other part of these Terms.

20. Governing law and venue

These Terms are governed by the laws of the State of California, without regard to its conflict-of-laws rules. Where a claim is not subject to arbitration, you and Alfi submit to the exclusive jurisdiction of the state and federal courts located in Santa Barbara County, California. Nothing in this section deprives you of the protection of any mandatory consumer law of the state where you live.

21. Electronic communications and SMS

By using the Service you consent to receive communications from us electronically, and you agree that electronic communications satisfy any legal requirement that a communication be in writing. If you provide a mobile number and opt in, you consent to receive text messages from us at that number, which may be sent using an automated system. Message and data rates may apply. Reply STOP to stop and HELP for help. Consent to marketing messages is not a condition of using the Service.

22. Suspension and termination

You may stop using the Service and close your account at any time. We may suspend or terminate your access if you breach these Terms, if we are required to by law, or if continuing to provide the Service to you would create a risk to you, to others, or to us. Sections that by their nature should survive termination — including Sections 12, 14, and 16 through 20 — will survive.

If we discontinue the Service, we will give you reasonable notice and a means to export your information before access ends.

23. Changes to these Terms

We may update these Terms as the Service changes. When we do, we will revise the date at the top and, for material changes, give notice through the Service or by email where required. Changes are not retroactive.

24. Miscellaneous

These Terms, together with our Privacy Policy, are the entire agreement between you and Alfi regarding the Service. If any provision is found unenforceable, the remaining provisions remain in effect and the unenforceable provision will be modified to the minimum extent necessary to make it enforceable. Our failure to enforce any right is not a waiver of that right. You may not assign your rights or obligations without our prior written consent. We may assign these Terms freely, including in connection with a merger, acquisition, or sale of assets. Nothing in these Terms creates any partnership, joint venture, agency, or employment relationship.

25. Contact

Questions about these Terms? Contact us at hello@hialfi.com or Axiom Health, Inc. d/b/a Alfi, 1117 State St, Santa Barbara, CA 93101.