Terms of Service

1. About the Service

Primary AI ("Primary AI", "we", "us", "our") provides an AI-powered clinical knowledge assistant (the "Service") that returns structured, citation-backed responses to clinical questions submitted by healthcare professionals. The Service is available through primaryai.world, related subdomains, and supported mobile applications, approved business APIs, and a read-only MCP connection that compatible third-party AI clients, including ChatGPT, may use.

The Service provides clinical information and decision support. It is not intended for autonomous diagnosis or treatment and does not replace independent review and clinical judgment by a qualified healthcare professional. The regulatory classification of any feature or deployment depends on its actual intended use and applicable law; this description is not a regulatory determination.

The information and tools made available through the Service are provided for educational, informational, and clinical decision-support purposes. They are in no way intended to serve as a diagnostic service or platform, to provide certainty with respect to a diagnosis, to autonomously recommend a particular product or therapy, or to otherwise substitute for the clinical judgment of a qualified healthcare professional. You remain solely responsible for evaluating information obtained from the Service and for any use or misuse of that information in connection with treatment decisions or otherwise, and for compliance with all laws and standards of professional practice applicable to you.

2. Eligibility & Intended Users

Patient Education Mode, available at /patients, is a separate general-education service for adults aged 18 or older in Canada and the United States. It explains general medical evidence and provides source links and questions to discuss with a clinician. It does not assess personal symptoms or urgency, provide a diagnosis, or recommend personal treatment or dose changes. It does not provide medical care or create a clinician–patient relationship. Do not use it for emergencies or submit identifying health information. AI can make mistakes; review sources and discuss decisions with your own clinician.

The professional eligibility requirements below apply to clinician features, not Patient Education Mode. Patient accounts do not gain access to clinician features.

The professional Service is intended for use by licensed physicians and other credentialed healthcare professionals ("Healthcare Professionals") acting in their professional capacity. By using the Service you represent that:

• You are at least 18 years old.
• You are a licensed Healthcare Professional or are using the Service under the supervision of one.
• You are accessing the Service for legitimate clinical, educational, or research purposes.
• You will exercise your own independent clinical judgment when applying any information obtained.

The professional Service is not intended for patients, consumers, or members of the general public seeking medical advice. If you are a consumer who accesses professional-level information through the Service, you should not rely on that information as professional medical advice or as a replacement for a relationship with your physician or other qualified healthcare professional. If you are a patient, please consult a qualified healthcare provider. In a life-threatening or emergency situation, seek immediate medical help or call your local emergency number.

3. No Doctor–Patient Relationship; No Medical Advice

Use of the Service does not create a doctor–patient, provider–patient, or fiduciary relationship between you and Primary AI. Primary AI is not a healthcare provider. Content returned by the Service is provided for general educational, informational, and decision-support purposes only and does not constitute medical advice, diagnosis, treatment, or a recommendation regarding any specific patient. It is not a substitute for an individual patient assessment by a qualified healthcare professional, including factors unique to that patient.

You are solely responsible for any clinical decision, prescription, intervention, or omission resulting from your use of the Service. Always verify dosing, indications, contraindications, and current guidelines against authoritative primary sources before acting on any information. Content may be incomplete, may not cover all uses, precautions, side effects, warnings, or interactions, and may not apply to any specific medical condition or jurisdiction.

4. AI-Generated Content

Responses are generated by large language models. Despite our best efforts to ground answers in evidence and cite authoritative sources, AI-generated content may be incomplete, out of date, or inaccurate, and may occasionally reference sources incorrectly. You must independently verify every clinically significant claim, citation, dose, and recommendation before relying on it. The Service does not provide certainty with respect to diagnosis, prognosis, or choice of therapy for any individual patient.

5. Personal Health Information

Patient Education Mode lets you save your own optional health history and choose whether to include it with each question. Do not include names, birth dates, health card numbers, or another person's records. This information is linked to your account. The Privacy Policy explains storage, provider processing, and deletion. It is for information and education only. Not medical advice, diagnosis or treatment. This permission does not extend to the public MCP endpoint or clinician question features.

Do not submit identifiable patient information to the clinical question and answer features unless Primary AI approved your Canadian Business API account for PHI. An approval for the Business API does not apply to the public MCP endpoint. The public MCP endpoint must never receive identifiable patient information, even when a separately contracted Business API account permits it. Unless Primary AI approved your Business API account for PHI, you agree to de-identify patient-specific facts before you use those features. Authorized clinicians can use identifiable patient information in Scribe for care. Scribe transcripts and notes are stored for up to 30 days unless you delete them sooner. By using Scribe for a visit, you represent that the clinic authorized that use and that you met its patient notice and consent requirements. Scribe is limited to encounters provided in Canada. Patient-data use is also governed by the Scribe Clinic Terms. Approved Business API patient-data use is governed by the Business API Health Data Terms. You must meet applicable federal and provincial privacy requirements.

You are responsible for ensuring your use of the Service complies with all applicable privacy laws and your employer's or institution's policies.

6. Acceptable Use

You agree not to:

• Use the Service to provide direct patient care advice to non-professionals.
• Submit identifiable patient data, PHI, or other regulated sensitive data outside Scribe, a separately approved Canadian Business API account, or your own optional history in Patient Education Mode as described above.
• Attempt to reverse engineer, extract, or replicate the underlying model, prompts, or infrastructure.
• Use the Service to generate content that is unlawful, harmful, discriminatory, or misleading.
• Scrape, crawl, or programmatically access the Service except via interfaces we explicitly authorize.
• Circumvent rate limits, authentication, or other technical protection measures.
• Use the Service to train or fine-tune a competing model.

6A. MCP and Third-Party AI Clients

Primary AI makes a read-only Model Context Protocol (MCP) endpoint available at our MCP connection page. It is restricted to de-identified clinical evidence questions from qualified Healthcare Professionals or supervised trainees. Do not send patient names, dates of birth, record identifiers, free-text clinical notes containing identifiers, or any protected health information through this endpoint. Separate approval for patient-data access through a Business API never extends to MCP.

MCP outputs are informational clinical decision support. They are not approved for autonomous clinical decisions, automated prescriptions, emergency triage, patient-facing diagnosis, or use without independent professional review of material clinical claims, drug information, and source documents. You are responsible for the intended use, configuration, downstream presentation, and clinical oversight of any application you connect.

Third-party clients and their operators are independent from Primary AI and may have their own terms, logging, retention, processing, and privacy practices. You must assess those practices and have the authority to share each question before connecting the Service. Making an MCP endpoint available does not mean that any third-party platform has reviewed, endorsed, or certified Primary AI, or that Primary AI has approved a specific deployment.

We may restrict, rate-limit, suspend, or discontinue public MCP access to protect security, reliability, or compliance. Public MCP access does not include a service-level agreement, a business associate agreement, a data-processing agreement for patient information, or permission to use the Service with protected health information. Any clinical enterprise terms must be agreed separately in writing before production use.

7. Accounts & Verification

Certain features may require account creation and verification of your professional credentials. You agree to provide accurate information, keep your credentials current, and promptly notify us of any unauthorized access. We may suspend or terminate accounts where verification cannot be completed or where misuse is suspected.

8. Intellectual Property

The Service, including its design, software, prompts, and brand assets, is owned by Primary AI and its licensors and is protected by intellectual property laws. We grant you a limited, non-exclusive, non-transferable, revocable license to use the Service in accordance with these Terms.

You retain rights to the questions you submit. By submitting content, you grant us a worldwide, royalty-free license to process that content as needed to operate, secure, and improve the Service, subject to our Privacy Policy.

9. Disclaimers

THE SERVICE IS PROVIDED "AS IS" AND "AS AVAILABLE" WITHOUT WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, ACCURACY, AND NON-INFRINGEMENT. WE DO NOT WARRANT THAT RESPONSES ARE COMPLETE, CURRENT, ERROR-FREE, OR SUITABLE FOR ANY PARTICULAR CLINICAL DECISION.

10. Limitation of Liability

TO THE MAXIMUM EXTENT PERMITTED BY LAW, PRIMARY AI AND ITS AFFILIATES WILL NOT BE LIABLE FOR ANY INDIRECT, INCIDENTAL, CONSEQUENTIAL, SPECIAL, OR EXEMPLARY DAMAGES, OR FOR ANY LOSS OF PROFITS, DATA, GOODWILL, OR CLINICAL OUTCOMES ARISING FROM YOUR USE OF OR INABILITY TO USE THE SERVICE. OUR AGGREGATE LIABILITY FOR ANY CLAIM SHALL NOT EXCEED ONE HUNDRED U.S. DOLLARS (USD $100) OR THE AMOUNT YOU PAID US IN THE TWELVE MONTHS PRECEDING THE CLAIM, WHICHEVER IS GREATER.

11. Indemnification

You agree to indemnify and hold harmless Primary AI from any claims, damages, or expenses arising from your use of the Service, your violation of these Terms, or your violation of any third-party rights, including any claim relating to a clinical decision you made.

12. Termination

We may suspend or terminate your access to the Service at any time, with or without notice, for any reason, including violation of these Terms. Sections that by their nature should survive termination will survive.

13. Changes to the Terms

We may update these Terms from time to time. Material changes will be indicated by updating the "Last updated" date above and, where appropriate, by providing additional notice. Continued use of the Service after changes become effective constitutes acceptance of the revised Terms.

14. Governing Law

These Terms are governed by the laws of the State of Delaware, United States, without regard to its conflict-of-laws principles. Any dispute will be resolved exclusively in the state or federal courts located in Delaware, and you consent to personal jurisdiction there.

15. Contact

For questions about these Terms, email rishad@primaryai.world or use the in-product feedback controls. The Service is operated by 18058458 CANADA CORP..