This is a legally binding agreement between Telethrive Inc. DBA Ringadoc.com, a Delaware Corporation (“we,” “Ringadoc,” or “us”) and you, as a user of our Answering Service. By clicking “sign up” or through the continued use of the system, you are undertaking legal obligations and conferring legal rights. Please read this agreement carefully and do not click “sign up” or continue to use the system unless you agree with these terms. You and we are collectively referred to as the “Parties.”


  1. Definitions

For the purposes of this Agreement, the terms set forth in this section have the meanings assigned to them below. Terms not defined below (whether or not capitalized) have the definitions given them in HIPAA, unless the context requires otherwise:

“Authorized Staff” Means those members of your Workforce who are individually authorized by you and us to have access to the System which includes patient messages and information and to whom have been assigned a unique identifier PIN number to access the System

“Confidential Information” means any information concerning our business, financial affairs, current or future products or technology, trade secrets, workforce, customers, or any other information that is traded or designated by us as confidential or proprietary, or would reasonably be viewed as confidential or as having value to our competitors. Confidential Information shall not include information we make publicly available or that becomes known to the general public.

“De-identified Health Information,” means health information that has been de-identified in accordance with the provisions of the Privacy Rule and “de-identify,” with respect to health information, means make it into De Identified Health Information

“De-Identified Personal Information,” means personal information from which a user’s name and other unique identifiers have been removed, and from which the user cannot reasonably be identified; and “De-Identify,” with respect to Personal Information, means to make it into De-Identified Personal Information.

“HIPAA,” means the administrative simplification provisions of the Health Insurance Portability and Accountability Act of 1996, and the regulations promulgated thereunder, including the Privacy Rule and Security Rule

“HITECH Act,” means the Technology for Economic and Clinical Health Act of 2009, and regulations promulgated thereunder.

“Personal Information,” means information that identifies you personally as a user of the System, and all information concerning you and your use of the System that is not Protected Health Information.

“Policies and Procedures,” means our rules, regulations, policies and procedures for access to and use of the System, as changed from time to time and as posted electronically on our website.

“Privacy Rule” means the Standards for Privacy of Individually Identifiable Health Information at 45 CFR part 160 and part 164 subparts A & E.

“Protected Health Information,” has the meaning given it in the Privacy Rule, and includes all individually identifiable health information concerning your patients that you provide to the System.

“Security Rule,” means the Security Standards for the Protection of Electronic Protected Health Information at 45 CFR part 160 and part 164, subparts A & C.

"Services" means the services to which you have been granted access care of Ringadoc which may include the Answering Service and other related practice management services provided by Ringadoc.

"System" means the electronic communication network from time to time operated by us, including all hardware provided by us, all software used or provided  us and all such hardware and software accessed from your site, and all documentation provided by us in connection with the System.

"Term" means the initial term and all renewal terms of this Agreement as provided in Section 15.

"User" means you and any other user of the System.

"User PIN" means a unique user PIN number assigned to an individual User pursuant to Section 3.7.

"Workforce" means employees, agents and independent contractors.

"Your Health Information" means Protected Health Information that you or your Workforce enter into the System.

"Your Site” means the location you provided us upon registration and such other location or locations as we may approve from time to time.

2. Grant of Right to Use Services

2.1 We grant to you and you accept a non-exclusive, personal, nontransferable limited right to have access to and to use the System, and a non-exclusive, personal nontransferable, limited license to use any computer software furnished by us for access to or use of the System for the purpose of obtaining the Services during the Term subject to your full compliance with the terms and conditions set forth in this Agreement and with our Policies and Procedures. You will not:

(a) use the System for time-sharing, rental or service bureau purposes;

(b) make the System, in whole or in part, available to any other person, entity or


(c) copy, reverse engineer, decompile or disassemble the System, in whole or in part, or otherwise attempt to discover the source code to the software used in the System; or

(d) modify the Services or the System or associated software or combine the Services or the System with any other software or services not provided or approved by us. You will obtain no rights to the System except for the limited rights to use the System expressly granted by this Agreement.

2.2 The System includes certain third-party software and services, which may require that you enter into separate subscription or licensing agreements with third-party vendors. We may also make available optional services provided by third parties. You agree to comply with and upon request to execute, such agreements as may be required for the use of such software or services, and

to comply with the terms of any license or other agreement relating to third-party products included in the System or made accessible to you through the System. Your use of the System or of such third-party products or services will constitute your agreement to be bound by the terms of all licensing, subscription and similar agreements relating to such use.

3. Access to the System

3.1 Verification. You agree that your use of the System is subject to verification by us of your identity and credentials as a health care practitioner, and to your ongoing qualification as such. You agree that we may use and disclose your Personal Information for such purposes, including (without limitation) making inquiry of third parties concerning your identity and professional and practice credentials. You authorize such third parties to disclose to us such information as we may request for such purposes and you agree to hold them and us harmless from any claim or liability arising from the request for or disclosure of such information. You agree that we may terminate your access to or use of the System at any time if we are unable at any time to determine or verify your qualifications or credentials.

3.2 Permitted Uses. Subject to the terms of this Agreement you may use Your Health Information for any purpose expressly permitted by applicable law. Ifyou are granted access rights to another user’s Protected Health Information through Ringadoc you may use such information for treatment and forobtaining payment for treatment; provided that, except as expressly authorized in our Policies and Procedures, (i) you may access only information pertaining to individuals with whom you have a treatment relationship or for whom a provider who has a treatment relationship with the individual has requested a professional consultation from you, or from whom you have received authorization to use their health information; and (ii) you may use only the minimum necessary information for payment purposes. You agree that you will not access the System or use the Services for any other purposes. ln particular: You will not reproduce, publish or distribute content in connection with the System that infringes any third party's trademark, copyright, patent, trade secret, publicity, privacy, or other personal or proprietary right; You will comply with all applicable laws, including laws relating to maintenance of privacy, security and confidentiality of patient and other health information and the prohibition on the use of telecommunications facilities to transmit illegal obscene, threatening, libelous, harassing, or offensive messages, or otherwise unlawful material; You will not: (a) abuse or misuse the System or the Services, including gaining or attempting to gain unauthorized access to the System, or altering or destroying information in the System except in accordance with accepted practices; (b) using the System or Services in a manner that interferes with other

Users' use of the System; or (c) using the System or the Services in any manner that violates our Policies and Procedures

3.4 Safeguards.

3.4.1 You will implement and maintain appropriate administrative, physical and technical safeguards to protect information within the System from access, use or alteration from Your Site or using a User PIN assigned to you or a member of your Workforce. Such safeguards shall comply with federal, state, and local requirements, including the Privacy Rule and the Security Rule, whether or not you are otherwise subject to HIPAA. You will maintain appropriate security with regard to all personnel, systems, and administrative processes used by you or members of your Workforce to transmit, store and process electronic health information through the use of the System.

3.4.2 You will immediately notify us of any breach or suspected breach of the security of the System of which you become aware, or any unauthorized use or disclosure of information within or obtained from the System| and you will take such action to mitigate the breach or suspected breach as we may direct, and will cooperate with us in investigating and mitigating the breach.

3.6 Compliance. You will comply with the terms of this Agreement, our Policies and Procedures and all applicable laws and regulations. You will be solely responsible for the use of the System by you and your Workforce and shall indemnify us and hold us harmless from any claim cost or liability arising from such use, including reasonable attorneys' fees.

3.7 User PIN Identification. We authorize you and your Authorized Staff to use the User PINs assigned to you. You acquire no ownership rights in any User PIN, and User PINs may be revoked or changed at anytime in our sole discretion. You will adopt and maintain reasonable and appropriate security precautions for User PINs to prevent their disclosure to or use by unauthorized persons. Each member of your Authorized Staff shall have and use a unique PIN identifier. You will use your best efforts to ensure that no member of your Workforce uses a User PIN assigned to another person.

3.8 No Third-Party Access. Except as required by law, you will not permit any third party (other than your Authorized Staff) to have access to the System or to use the Services without our prior written agreement. You will promptly notify us of any order or demand for compulsory disclosure of health information if the disclosure requires access to or use of the System. You will cooperate fully with us in connection with any such demand.

3.9 Your Workforce.

3.9.1 You may permit your Authorized Staff to use the System and the Services on your behalf, subject to the terms of this Agreement. You will obtain a unique User PIN from us for each member of your Authorized Staff; train all members of your Authorized Staff in the requirements of this Agreement and the Policies and Procedures relating to their access to and use of the System and the Services, and ensure that they comply with such requirements; take appropriate disciplinary action against any member of your workforce who violates the terms of this Agreement or the Policies and Procedures; ensure that only you and your Authorized Staff access the System immediately notify us of the termination of employment of any member of your Authorized Staff, or of your withdrawal of authorization for any such person to access the System.

3.12 Compliance with Law. Subject to the provisions of section 16, you are solely responsible for ensuring that your use of the System and the Services

(including making health information available through the System) complies with applicable law. You will not undertake or permit any unlawful use of the System, or take any action that would render the operation or use of the System by us or any other User unlawful. We offer no assurance that your use of the System and the Services under the terms of this Agreement will not violate any law or regulation applicable to you.

3.13 Professional Responsibility. You will be solely responsible for the professional and technical services you provide. We make no representations concerning the completeness, accuracy or utility of any information in the System or concerning the qualifications or competence of individuals who placed it there. We have no liability for the consequences to you or your patients of your use of the System or the Services.

3.14 Cooperation. You will cooperate with us in the administration of the System including providing reasonable assistance in evaluating the System

3.15 Indemnification. You agree to indemnify, defend, and hold harmless us and other Users and our and their affiliates, officers, directors, and agents, from and against any claim, cost or liability including reasonable attorneys' fees arising out of: (a) the use of the System by you or your Workforce; (b) any breach by you or your Workforce of any representations, warranties or agreements contained in this Agreement; (c) the actions of any person gaining access to the System under a User PIN assigned to you or a member of your Workforce; (d) the actions of anyone using a User PIN password or other unique identifier assigned to you or any member of your Workforce that adversely affects the System or any information accessed through the System; and (e) your negligent or willful misconduct or that of any member of your Workforce.

4. Use of Information

4.1 Purpose of System. The purpose of the System is to store and manage after-hours communications, messages and data and (i) to make it available to you and your Authorized Staff; (ii) and to communicate with patients as necessary. You authorize us, as your business associate to use and disclose Your Health Information as follows, subject to the recipient's agreement to comply with our Policies and Procedures and with applicable laws and regulations relating to the use and disclosure of health information and subject also to the provisions of section 8

4.1.1 We will permit unrestricted access to Your Health Information to you and your Authorized Staff.

4.1.3 We will permit access to Your Health information by health care providers and their business associates to whom you have consented to provide information to. We will obtain your consent before we make Your Health information available to other providers. You acknowledge that once we have granted access rights to another provider, we have no control over the uses and disclosures that the provider makes of Your Health information.

4.1.4 We may disclose or permit access to Your Health Information to health plans, health care clearinghouses, medical groups, independent practice associations and other parties responsible for payment and their business associates for the purpose of obtaining payment for services you provide, unless you advise us in writing that the patient has paid out of pocket in full for the service to which the Health information relates, and has requested that it not be disclosed to his or her health plan.

4.1.5 We may De-Identify Your Health Information and Your Personal Information, and use and disclose De-Identified information as provided by Section 5 and Section 6.2.

4.1.6 We may create limited data sets from Your Health Information, and disclose them for any purpose for which you may disclose a limited data set; and you hereby authorize us to enter into data use agreements on your behalf for the use of limited data sets in accordance with applicable law and regulation.

4.1.7 We may use Your Health Information in order to prepare analyses and reports, such as activity or quality-metrics reports, or any other reports the System makes available, in order to render these reports to You. Such reporting will be done in a manner that does not make any disclosure of Your Health information that you would not be permitted to make.

4.1.8 We may use Your Health Information for the proper management and administration of the System and our business and to carry out our legal responsibilities. We may also disclose Your Health Information for such purposes if the disclosure is required by law or we obtain reasonable assurances from the recipient that it will be held confidentially and used or further disclosed only as required by law or for the purpose for which it was disclosed to the recipient, and the recipient notifies us of any instances of which it is aware in which the confidentiality of the information has been breached. Without limiting the foregoing, we may permit access to the system by our contracted system developers under appropriate confidentiality agreements.

4.1.9 We may use Your Health Information to contact your patients on your behalf for any purpose for which you would be permitted to contact them, including without limitation:

(a) For treatment, and/or treatment related electronic notifications

(b) To request authorization on your behalf from your patients to use or disclose their health information for any purpose for which use or disclosure may be made with an appropriate authorization, including marketing purposes. You agree that we may also use and disclose your patient’s health information as permitted by any such authorization; and

(c) To provide information about health-related products or services that you provide, or that we provide on your behalf as your business associate.

4.1.10 We may use or disclose Your Health Information for other purposes, as from time to time described in our Policies and Procedures; provided that we will not make or permit any such use or disclosure that would violate applicable law or regulation if made by you or your business associate. Except as provided in subsection 4.1.7 and subsection 4.1.8, and notwithstanding any other provision of this section, we will not use or disclose Your Health Information in any manner that would violate the requirements of the Privacy Rule if done by you.

4.2 Responsibility for Misuse by Other Users. You acknowledge that in granting access to the System for the purposes set forth in section 4.1, we will rely on the assurances of the recipients of the information as to (i) their identity and credentials, (ii) the purposes for which they are accessing the system and

(iii) the nature and extent of the information to which they will have access. You acknowledge that while the System will contain certain technical safeguards against misuse of the System, it will rely to a substantial extent on the representations and undertakings of Users. You agree that we will not be responsible or any unlawful access to or use of Your Health Information by any User resulting from the User`s misrepresentation to us, or breach of the User's user agreement or our Policies and Procedures.

4.3 Specially Protected Information. We apply the standards of the Privacy Rule in permitting access to the System. You acknowledge that other federal and state laws impose additional restrictions on the use and disclosure of certain types of health information, or health information pertaining to certain classes of individuals. You agree that you are solely responsible for ensuring that Your Health Information may properly be disclosed for the purposes set forth in section 4.1, subject only to the restrictions of the Privacy Rule. In particular you will:

4.3.1 not make available through the System any information subject to any restriction on use or disclosure (whether arising from your agreement with the individual or under law), other than the general restrictions contained in the Privacy Rule;

4.3.2 obtain any necessary consents, authorizations or releases from individuals required for making their health information available through the System for the purpose set forth in section 4.1;

4.3.3 include such statements (if any) in your notice of privacy practices as may be required in connection with your use of the System;

4.3.4 not place in the System any information that you know or have reason to believe is false or materially inaccurate.

5. Providing Physician Data to Payers. Without limiting the provisions of Section 6.2, you agree that we may provide De-ldentified Health Information and other information (including Your Personal Information and information concerning your practice to any medical group independent practice association of physicians, health plan or other organization with which you have a contract to provide medical services, or to whose members or enrollees you provide medical services. Such information may identify you but will not identify any individual to whom you provide services. Such information may include (without limitation) aggregate data concerning your patients, diagnoses, procedures, orders and the like.

6. Intellectual Property Rights

6.1 Individually identifiable Health information. Except as provided in Section 6.2 (De-Identified information), you retain all rights with regard to your Protected Health information.

6.2 De-ldentified Information. ln consideration of our provision of the Services, you hereby transfer and assign to us all right, title and interest in and to all De-ldentified Information that we make from Your Health Information or Your Personal Information pursuant to Section 4.1.5. You agree that we may use, disclose, market, license and sell De-ldentified Information for any purpose without restriction, and that you have no interest in such information, or in the proceeds of any sale, license, or other commercialization thereof. You acknowledge that the rights conferred by this section are the principal consideration for the provision of the Services without which we would not enter into this Agreement.

7. Individuals` Rights. You shall be solely responsible for affording individuals their rights with respect to Your Health information, such as the rights of access and amendment. You will not undertake to afford an individual any rights with respect to any information in the System other than Your Health information

8. Business Associate Provisions.  maintaining, using and affording access to Your Health Information in accordance with this Agreement we will:

8.1 Not use or further disclose the information except as permitted or required by this Agreement or as required bylaw;

8.2 Use appropriate safeguards to prevent use or disclosure of the information other than as provided for by this Agreement, including administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the information;

8.3 Report to you any use or disclosure of the information not provided for by this Agreement of which we become aware, or any security incident as a result of which we determines that unauthorized access has been obtained to Your Health information;

8.4 Ensure that any of our agents or subcontractors to whom we provide Your Health Information for purposes of assisting us in providing the System or the Services, agrees to the same restrictions and conditions that apply to us with respect to such information including the obligation to implement reasonable and appropriate safeguards to protect it (it being understood that other Users of the System are not our agents or subcontractors);

8.5 Make available protected health information in accordance with Section164.524 of the Privacy Rule;

8.6 Make available protected health information for amendment and incorporate any amendments to protected health information in accordance with

8.7 Make available the information required to provide an accounting of disclosures in accordance with Section 164.528 of the Privacy Rule;

8.8 Make our internal practices, books, and records relating to the use and disclosure of protected health information received from or created or received by us on your behalf available to the Secretary of the United States Department of Health and Human Services for purposes of determining your compliance with the Privacy Rule; and

8.9 At termination of this Agreement we will provide you with a copy of Your Health Information in an electronic form that is accessible through commercially available hardware and software. You may have to purchase such hardware and software from third parties in order to access your data and you may have to configure your systems in order to use your data in your practice. Upon termination we will if feasible, return or destroy all protected health information received from, or created or received by us on your behalf that we still maintain in any form and retain no copies of such information; or, if such return or destruction is not feasible, extend the protections of this Agreement to the information and limit further uses and disclosures to those purposes that make the return or destruction of the information infeasible. You acknowledge that you may have to purchase proprietary software in order to access such information.

8.10 HITECH Act. As required by the HITECH Act:

(a) We will comply with the provisions of the HIPAA Security Rule that are made applicable to business associates by section 13401(a) of the HITECH Act, with the additional provisions of the HITECH Act relating to security that are made applicable to business associates and incorporated into business associate contracts by section 13401la) of the HITECH Act and with the additional provisions of the HITECH Act relating to privacy that are made applicable to business associates and incorporated into business associate contracts by section 13404la) of the HITECH Act.

(b) We will report to you the discovery of any breach of unsecured Protected Health Information that we access, maintain, retain, modify, record, store destroy or otherwise hold, use or disclose on your behalf, in compliance with the requirements of Section 13402 of the HITECH  and the regulations promulgated thereunder (45 CFR Parts 160 and 164, Subpart D), and we will cooperate reasonably with you to investigate and mitigate any such breach, and to provide you with information you need to make any legally required notification to individuals.

9. Computer Systems

9.1 Your Systems. You will acquire, install, configure and maintain all hardware, software and communications systems necessary to access the System (your "Implementation"). Your Implementation will comply with the specifications from time to time established by us. This may include regular software updates to Ringadoc’s mobile applications on your mobile device.You will ensure that your Implementation is compatible with the System and Services. If we notify you that your Implementation is incompatible with the System, you will eliminate the incompatibility, and we may suspend Services to you until you do so.

9.2 Assistance. Upon request, we may provide goods or services in connection with your Implementation. You will pay our then standard charges for such assistance, and our out-of-pocket costs.

10. Third-Party Sites and Service Providers.

10.1 Third-Party Sites. The System may contain hyperlinks (including hyperlinked advertisements) to Internet web sites operated by third parties or to materials or information made available by third parties. Such third parties may offer goods or services for sale to you.

Such links do not constitute or imply our endorsement of such third parties, or of the content of their sites the quality or efficacy of their goods or services, or their information privacy or security practices, and we have no responsibility for information goods or services offered or provided by such third parties or for

the manner in which they conduct their operations. Your use of third-party sites and the materials goods and services offered by them is entirely at your own risk and is subject to the terms of use of the third parties operating or providing them. You should assume that any Internet page or other material that does not bear the Ringadoc logo is provided by a third party.

11. Fees and Charges

11.1 Service Fees. You will pay to us a monthly service fee (the "Service Fee") for the services to which you have access during the Term of this Agreement.

("Miscellaneous Charges"). We will notify you of the Service Fee when you are granted access to a service, and we will notify you of the applicable Miscellaneous Charges before performing services to which a Miscellaneous Charge will apply. The Service Fee and Miscellaneous Charges may change from time to time. Current fees and charges may be obtained by emailing support@ringadoc.com

11.2 Payment. The Service Fee and any Miscellaneous Charges shall be paid within twenty (20) days of date of invoice at the address set forth under our name below, or such other address as may be set forth in our Policies and Procedures.

11.3 Late Charges. Fees not paid within ten (10) business days of the due date are subject to a late charge of five percent (5%) of the amount owing and

interest thereafter at the rate of one percent (1%) per month on the outstanding balance, or the highest amount permitted by law whichever is lower. Failure to pay fees within ten (10) days of the due date may result in termination of access to the System without notice. A reconnection fee equal to one (1) month's Service Fee shall be assessed to re-establish connection after termination due to non-payment.

11.4 Taxes. All charges and fees shall be exclusive of all federal, state, municipal, or other government excise sales, use, occupational, or like taxes now in force or enacted in the future, and you agree to pay any tax (excluding taxes on our net income) that we may be required to collect or pay now or at any time in the future and that are imposed upon the sale or delivery of items and services purchased under this Agreement.

11.5 Other Charges. You are responsible for any charges you incur to use the System, such as telephone and equipment charges and fees charged by third-party vendors of products and services.

12.1 You may not disclose our Confidential Information to any other person, and you may not use any Confidential Information except for the purpose of this Agreement. Except as otherwise provided in this Agreement, you may not, without our prior written consent, at any time, during or after the Term of this Agreement directly or indirectly, divulge or disclose Confidential Information for any purpose or use Confidential Information for its own benefit or for the purposes or benefit of any other person. You agree to hold all Confidential Information in strict confidence and to take all measures necessary to prevent unauthorized copying use or disclosure of Confidential Information, and to keep the Confidential Information from falling into the public domain or into the possession of persons not bound to maintain its confidentiality. You will disclose Confidential Information only to members of your Workforce who have a need to use it for the purposes of this Agreement. You will inform all such recipients of the confidential nature of Confidential Information and will instruct them to deal with Confidential Information in accordance with the terms of this Agreement. You will promptly advise us in writing of any improper disclosure, misappropriation or misuse of the Confidential Information by any person, which may come to your attention.

12.2 You agree that we will suffer irreparable harm if you fail to comply with its obligations set forth in this Section 12, and you further agree that monetary damages will be inadequate to compensate us for any such breach. Accordingly, you agree that we will, in addition to any other remedies available to us at law or in equity, be entitled to the issuance of injunctive relief to enforce the provisions hereof, immediately and without the necessity of posting a bond.

12.3 This section 12 will survive the termination or expiration of this Agreement for any reason.

13. Disclaimer, Exclusion of Warranties, and Limitation of Liability

13.1 Carrier Lines. You acknowledge that access to the system will be provided over various facilities and communications lines and information will be transmitted over local exchange and internet backbone carrier lines and through routers, switches, and other devices (collectively, “carrier lines”) owned, maintained, and serviced by third-party carriers, utilities, and internet service providers all of which are beyond our control. We assume no liability for or relating to the integrity, privacy, security, confidentiality, or use of any information while transmitted on carrier lines, or any delay, failure, interruption, interception, loss, transmission or corruption of any data or other attributable to transmission on the carrier lines. Use of the carrier lines is solely at your risk and subject to all applicable local, state, national, and international laws.

13.2 No Warranties. Access to the System and the information contained on the System is provided “as is” and “as available” without any warranty of any kind, expressed or implied, including but not limited to, the implied warranties of merchantability, fitness for a particular purpose and non-infringement. You are solely responsible for any and all acts or omissions taken or made in reliance on the system or the information in the System, including inaccurate or incomplete information. It is expressly agreed that in no event shall we be liable for any special, indirect, consequential, or exemplary damages, including but not limited to, loss of profits or revenues, loss of use, or loss of information or data, whether a claim for any such liability or damages is premised upon breach of contract, breach of warranty, negligence, strict liability, or any other theory of liability, even if we have been apprised of the possibility or likelihood of such damages occurring. We disclaim any and all liability for erroneous transmissions and loss of service resulting from communication failures by telecommunication service providers or the System.

13.3 Conditions for Breach. We will not be deemed to be in violation of this Agreement unless you have first given us written notice specifying the nature of the default, and we have failed within thirty days of receipt of the notice either to cure the default or, if cure within such period is not practicable, to be diligently proceeding to cure the default.

13.4 Other Users. You acknowledge that other users have access to the System and are receiving our services. Such other users have committed to comply with our policies and procedures concerning use of the System; however, the actions of such other users are beyond our control. Accordingly, we do not assume any liability for or relating to any impairment of the privacy, security, confidentiality, integrity, availability, or restricted use of any information on the system resulting from any user’s actions or failures to act.

13.5 Unauthorized Access; Lost or Corrupt Data. We are not responsible for unauthorized access to your data, facilities, or equipment by individuals or entities using the System or for unauthorized access to alteration, theft, corruption, loss or destruction of your data files, programs, procedures, or information through the system, whether by accident, fraudulent means or devices, or any other means. You are solely responsible for validating the accuracy of all output and reports and for protecting your data and programs from loss by implementing appropriate security measures, including routine backup procedures. You hereby waive any damages occasioned by lost or corrupt data, incorrect report, or incorrect data files resulting from programming error, operator error, equipment or software malfunction, security violations, or the use of third-party software. We are not responsible for the content of any information transmitted or received through our provision of the services.

13.6 Limitation of Liability. Notwithstanding anything in this Agreement to the contrary, our aggregate liability under this agreement regardless of theory of liability, shall be limited to the aggregate fees actually paid by you under this Agreement for the six (6) month period preceding the event first giving rise to claim.

14. Insurance. You will obtain and maintain such policies of general liability, errors and omissions, and professional liability insurance with reputable insurance companies as is usually carried by persons engaged in your business covering the Term of this Agreement.

15. Term,; Modification; Suspension; Termination

15.1 Term. The initial term of this Agreement shall commence on the Effective Date and continue for a period of one (1) year, and thereafter until terminated as provided in this Section.

15.2 Termination Upon Notice. We or you may terminate this Agreement at any time without cause upon thirty (30) days prior written notice to the other Party.

15.3 Modification. We may update or change the Services and/or the terms set forth in this Agreement from time to time and recommend that you review the Agreement on a regular basis. You understand and agree that our continued use of the Services after the Agreement has been updated or changed constitutes your acceptance of the revised Agreement. Without limiting the foregoing, if we make a change to the Agreement that materially affects your use of the Services, we may post notice or notify you via email or on our website of any such change.

15.4 Termination, Suspension or Amendment as a Result of Government Regulation. Notwithstanding anything to the contrary in this Agreement, we have the right, on notice to you, immediately to terminate, suspend or amend this Agreement, without liability: (a) to comply with nay order issued or proposed to be issued by any governmental agency; (b) to comply with any provision of low, any standard in any reimbursement program, or any accreditation standard; or (c) if performance of any term of this Agreement by either Party would cause it to be in violation of law, or would jeopardize its tax-exempt status

15.5 Judicial or Administrative Procedures; Credentialing. We may terminate this Agreement immediately upon notice to you: (a) if you are named as a defendant in a criminal proceeding for a violation of federal or state law; (b) if a finding or stipulation is made or entered into that you have violated any standard or requirement of federal or state law relating to the privacy or security of health information is made in any administrative or civil proceeding; (c) you are excluded from participation in a federal or state health care program or (d) you cease to be qualified to provide services as a health care professional or we are unable to verify your qualifications as such.

15.6 Suspension of Access. We may suspend access to the System or the Services by you or any member of your Workforce immediately pending your cure of any breach of this Agreement, or in the event we determine in our sole discretion that access to use or of the System by you or the member of your Workforce may jeopardize the System or the confidentiality, privacy, security, integrity or availability of information within the System, or that you or the member of your Workforce has violated or may violate this Agreement or our Policies and Procedures, or has jeopardized or may jeopardize the rights of any third party, or that any person is or may be making unauthorized use of the System with any User PIN assigned to you or a member of your Workforce. We may terminate the access of any member of your Authorized Staff upon termination or change in status of his or her employment with you. Our election to suspend the Services shall not waive or affect our rights to terminate this Agreement as permitted under this Agreement.

15.7 Obligations After Termination. Upon termination of this Agreement, you will cease to use the System and we may terminate your access to the System. You will pay to us the Access Fee for the balance of the Term upon termination. Upon termination for any reason, you will remove all software provided under this Agreement from your computer systems or devices which access our System and you will return to us all hardware, software and documentation provided by or on behalf of us.

16. Applicable Law. The interpretation of this Agreement and the resolution of any disputes arising under this Agreement shall be governed by the laws of the State of California. If any action or other proceeding is brought on or in connection with this Agreement, the venue of such action shall be exclusively in the City and County of San Francisco, California.


18. Non-Assignability. This Agreement may not be assigned or transferred by you without our prior written consent.

19. Supervising Circumstances. No Party to this Agreement shall be deemed in violation of this Agreement if it is prevented from performing any of the obligations under this Agreement by reason of: (a) severe weather and storms; (b) earthquakes or other natural occurrences; (c) strikes or other labor unrest (d) power failures (e) nuclear or other civil or military emergencies; (f) acts of legislative, judicial, executive, or administrative authorities; or (g) any other circumstances that are not within its reasonable control.

20. Severability Any provision of this Agreement that shall prove to be invalid, void, or illegal, shall in no way affect, impair or invalidate any other provision of this Agreement, and such other provisions shall remain in full force and effect.

21. Notices. Any and all notices required or permitted under this Agreement shall be sent by US mail or fax transmission to the address below. If you supply us with an e-mail address, we may give notice by email message addressed to such address; provided that if we receive notice that the email message was not delivered, we will give the notice by US mail or fax

To us:


611 Mission Street, Suite 600

San Francisco, CA 94105



To you, at the address provided to us when you registered as a user of the System.

22. Waiver. No term of this Agreement shall be deemed waived and no breach excused, unless such waiver or consent shall be in writing and signed by the Party claimed to have waived or consented. Any consent by any Party to, or waiver of a breach by the other, whether expressed or implied, shall not constitute a consent to, waiver of, or excuse for any other different or subsequent breach.

23. Complete Understanding. This Agreement contains the entire understanding of the Parties, and there are no other written or oral understandings or promises between the Parties wit respect to the subject matter of this Agreement other than those contained or referenced in this Agreement. Except as otherwise provided in this Agreement (including Section 15,3) all modifications or amendments to this Agreement shall be in writing and signed by all Parties.

24. No Third-Party Beneficiaries. Nothing express or implied in this Agreement is intended to confer, nor shall confer, upon any person or entity other than the parties and their respective successors or assigns any rights, remedies, obligations or liabilities whatsoever.

25. Advice of Counsel. Each Party acknowledges: (a) having fully read this Agreement in its entirety; (b) having had full opportunity to study and review this Agreement; (c) having been advised that counsel for us has acted solely on our behalf in connection with the negotiation, preparation and execution of this Agreement; (d) having been advised that all parties have the right to consult and should consult independent counsel respecting their rights and duties under this Agreement; and (e) having had access to all such information as has been requested.

26. Authority. The individuals entering into this Agreement represent and warrant that they are competent and capable of entering into a binding contract, and that they are authorized to enter into this Agreement on behalf of the Parties.