Terms of Service

1. Accepting these terms

These Terms of Service ("Terms") are a contract between you and Titra Health LLC, a Georgia limited liability company doing business as Homeostasis ("Homeostasis," "we," "us," "our"). They govern the Homeostasis patient app and the Homeostasis clinician dashboard (together, the "Service").

By claiming an account, signing in or otherwise using the Service, you agree to these Terms. If you do not agree, do not use the Service.

You must be at least 18 to hold a direct consumer account. A clinic may enrol a patient under 18 in its own programme, in which case the clinic is responsible for obtaining any consent the law requires from a parent or guardian.

Our Privacy Policy and AI Policy are part of these Terms.

2. What Homeostasis is — and is not

Homeostasis is a record-keeping and care-support tool. The patient app lets you log a treatment and the daily things around it. The dashboard lets your clinic read what you logged.

Estimates in the Service are estimates. Calorie and macronutrient values — from databases, barcodes, photographs or AI — are approximations, and so are drug-concentration curves, adherence scores and instrument results. Do not rely on them for medical nutrition therapy or for managing a condition such as diabetes, kidney disease or an eating disorder without professional guidance.

3. How you get access

Through a clinic. Most patients receive an eight-character code from a clinic and claim the account with that code and their date of birth. Your clinic decides who it enrols and what is in your plan.

Directly. Where we offer it, you may use Homeostasis without a clinic. The same Terms apply, minus everything in section 4.

We may change, suspend or withdraw features. Where a change materially reduces what the Service does, we will give reasonable notice.

4. Your clinic's role and ours

If a clinic enrolled you, three things follow, and they matter:

1. Your clinic directs your care — not us, and not the app. Your prescriber sets your medication, dose and titration schedule and every target in your plan. We display what they set. We do not review, approve, second-guess or override clinical decisions, and we are not responsible for them.
2. We hold your information on your clinic's behalf. We act as your clinic's HIPAA Business Associate under a signed Business Associate Agreement. Your clinic's Notice of Privacy Practices governs how your health information may be used and disclosed, and you exercise your HIPAA rights through them. See the Privacy Policy.
3. Your clinic controls the link. If your relationship with the clinic ends, or the clinic stops using Homeostasis, the clinic's access to your records ends and the clinic instructs us on what to do with the copy we hold for it. We will tell you in the app before your access changes.

The Service is not a channel for urgent clinical communication, an appointment system, or a substitute for contacting your clinic directly.

5. Your account and your code

• One account per person. Do not share it, and do not log another person's data under it.
• Guard your code. A clinic code plus a date of birth claims an account. If you think someone else has yours, tell your clinic — they can void it and issue a new one.
• Keep your information accurate. Scores, targets and insights are computed from what you enter. Wrong inputs produce wrong outputs, and your clinic may be reading them.
• Tell us about unauthorised use at support@titrahealth.io as soon as you become aware of it.

6. Fees

If a clinic enrolled you, Homeostasis is free to you. Your clinic pays for the Service under its own agreement with us. There is no subscription, trial, upsell or in-app purchase on a clinic-provisioned account, and we will not ask you for payment details.

If we later offer paid features to direct consumer users, we will show the price and terms before you buy, purchases made through the App Store or Google Play will be governed by their payment and refund policies, and nothing will start charging you without your explicit agreement.

Your clinic's fees, and anything it bills you for its own care, are between you and your clinic.

7. AI features

Homeostasis uses artificial intelligence to read meal photographs, transcribe voice notes, generate insights and answer questions about your own plan. Our AI Policy describes exactly what each feature sends and where.

• AI features are optional and consent-gated. You are asked before anything is sent, and the app works without them.
• AI output is not medical advice and may be wrong. It can misread a photograph, mistranscribe a word, or state something incorrect with confidence.
• The assistant does not have your full medical history, cannot diagnose, cannot prescribe, and will not tell you to change a dose.
• Verify before acting. Check anything clinical with your care team.

8. Your data

You own what you put in. Your logs, notes, photographs and messages remain yours. You grant us a limited licence to host, process and display that content for the purpose of operating the Service for you and, where applicable, presenting it to your clinic. That licence ends when you delete the content or your account, except for backups on their normal deletion cycle and records we must retain by law.

We do not sell your data, and we do not use it to train AI models.

You can export your data and delete your account from Settings. Note the limit described in the Privacy Policy: deleting your Homeostasis account does not delete your clinic's own medical record, which the clinic keeps under its own obligations.

We may create and use aggregated, de-identified information — de-identified so that it cannot reasonably be used to identify you — to operate and improve the Service. Where we act as a Business Associate, we do so only as our agreement with your clinic permits.

9. Acceptable use

Do not:

• Use the Service unlawfully, or to give anyone else medical advice
• Try to access another person's records, or any clinic's data you are not authorised to see
• Probe, scan or test the security of the Service except under our responsible-disclosure process
• Reverse engineer, decompile or disassemble the Service, except where that restriction is unenforceable by law
• Scrape or bulk-extract data, or use the Service to build a competing product
• Submit content that is false, unlawful, or infringes someone's rights
• Interfere with the Service's operation or place unreasonable load on it

10. Terms for clinics

If you access the dashboard on behalf of a clinic, you additionally represent and agree that:

• You are authorised by the clinic to access patient information, and you will use it only for treatment, payment and healthcare operations as permitted by law and by your own Notice of Privacy Practices.
• The clinic has executed a Business Associate Agreement with us. If there is any conflict between that BAA and these Terms in respect of PHI, the BAA controls.
• The clinic is responsible for who holds a dashboard account, for removing access promptly when someone leaves, and for the accuracy of the chart data it provisions from.
• The clinic is solely responsible for clinical decisions. The Service surfaces information; it does not make judgements, and alerts are not a clinical triage system or a guarantee that a problem will be noticed.
• The clinic will obtain whatever consent its own patients are owed for enrolling them.
• Access is logged and audited, including views of patient photographs.

A separate written services agreement between us and the clinic, where one exists, takes precedence over this section.

11. Intellectual property

The Service — its software, design, brand, wordmark, the Homeostasis mark, content and the arrangement of all of it — belongs to Titra Health LLC or its licensors, and is protected by intellectual property law. We grant you a personal, revocable, non-exclusive, non-transferable licence to use the Service as permitted by these Terms. Nothing else is granted.

If you send us feedback or a suggestion, we may use it without obligation to you. We will never treat your health data as feedback.

12. Disclaimers

THE SERVICE IS PROVIDED "AS IS" AND "AS AVAILABLE," WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, ACCURACY AND NON-INFRINGEMENT.

We do not warrant that the Service will be uninterrupted, timely, secure or error-free, that data will always sync, that a notification will arrive, or that any score, estimate, trend, insight or AI output is accurate, complete or current. We do not warrant that the Service will produce any particular health outcome.

Some jurisdictions do not allow the exclusion of certain warranties; in those places the exclusions apply to the fullest extent permitted, and nothing here limits liability that cannot lawfully be limited.

13. Limitation of liability

TO THE MAXIMUM EXTENT PERMITTED BY LAW, TITRA HEALTH LLC AND ITS MEMBERS, OFFICERS, EMPLOYEES, AGENTS AND SUPPLIERS WILL NOT BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, EXEMPLARY OR PUNITIVE DAMAGES, OR FOR ANY LOSS OF PROFITS, REVENUE, DATA, GOODWILL OR OTHER INTANGIBLE LOSS, ARISING FROM OR RELATED TO THE SERVICE — WHETHER IN CONTRACT, TORT OR ANY OTHER THEORY, AND EVEN IF WE WERE ADVISED OF THE POSSIBILITY.

OUR TOTAL AGGREGATE LIABILITY ARISING FROM OR RELATED TO THE SERVICE WILL NOT EXCEED THE GREATER OF (A) THE AMOUNT YOU PAID US IN THE TWELVE MONTHS BEFORE THE EVENT GIVING RISE TO THE CLAIM, OR (B) ONE HUNDRED US DOLLARS ($100).

These limits do not apply to liability for death or personal injury caused by our negligence, for fraud or fraudulent misrepresentation, or to any other liability that cannot be excluded or limited under applicable law. They do not limit a clinic's or a clinician's own responsibility for clinical decisions, and they do not limit our obligations under a Business Associate Agreement.

You acknowledge that these limits reflect a reasonable allocation of risk and are a basis on which we provide the Service — including providing it free of charge to clinic-enrolled patients.

14. Indemnification

You agree to indemnify and hold harmless Titra Health LLC and its members, officers, employees and agents from any claim, damage, loss or expense (including reasonable legal fees) arising from your misuse of the Service, your breach of these Terms or of applicable law, or your infringement of a third party's rights. This does not apply to a claim arising from our own breach or negligence.

15. Suspension and termination

By you. Stop using the Service at any time, and delete your account in Settings.

By us. We may suspend or terminate access if you materially breach these Terms, if your use creates a security or legal risk, or if we are required to by law or by our agreement with your clinic. Where practicable we give notice and an opportunity to fix the problem first.

If your clinic relationship ends. Your clinic's access to your records ends, and the clinic instructs us on the copy we hold on its behalf. We will tell you in the app before your access changes.

Sections 8 (your data), 11 (intellectual property), 12 to 14 (disclaimers, liability, indemnity), 17 (governing law) and 18 (general) survive termination.

16. Changes

We may update these Terms. The version and effective date at the top tell you which version you are reading. For material changes we notify you in the app and ask you to accept the new version before continuing. If you do not accept, you may stop using the Service and delete your account. Changes do not apply retroactively to a dispute that already exists.

17. Governing law and disputes

These Terms are governed by the laws of the State of Georgia, without regard to its conflict-of-law rules, and by applicable US federal law.

Talk to us first. Before starting formal proceedings, email support@titrahealth.io describing the problem. Most things are resolved this way, and we will engage in good faith for 30 days.

Arbitration. If we cannot resolve it, any dispute arising from these Terms or the Service will be settled by binding arbitration administered by the American Arbitration Association under its Consumer Arbitration Rules, before one arbitrator, seated in Georgia or conducted remotely at your election. Judgment on the award may be entered in any court of competent jurisdiction.

Exceptions. Either party may bring a claim in small-claims court, and either party may seek injunctive relief in court to protect intellectual property or confidential information.

Class action waiver. Disputes will be brought only in an individual capacity. You and we waive any right to bring or participate in a class, collective or representative action. If this waiver is held unenforceable as to a particular claim, that claim is severed and heard in court.

Opt out of arbitration. You may reject the arbitration and class-waiver provisions by emailing support@titrahealth.io with "Arbitration opt-out" and your account details within 30 days of first accepting these Terms. Opting out costs you nothing and affects nothing else.

Nothing here prevents you from reporting a concern to a regulator, or from exercising any right that cannot be waived by contract.

18. General

Entire agreement. These Terms, the Privacy Policy and the AI Policy are the whole agreement between us about the Service and replace anything earlier. For a clinic, any signed services agreement and BAA take precedence over conflicting terms.

Severability. If a provision is unenforceable, it is limited or removed to the minimum extent necessary and the rest stays in force.

No waiver. Not enforcing a provision is not a waiver of it.

Assignment. You may not assign these Terms. We may assign them to an affiliate or in connection with a merger, acquisition or sale of assets; any successor is bound by the Privacy Policy and by every Business Associate Agreement in force.

Force majeure. Neither party is liable for a failure caused by something genuinely outside its reasonable control.

Apple and Google. Where you obtain the app from the App Store or Google Play, these Terms are between you and us, not with Apple or Google; they have no obligation to support the app, and they are third-party beneficiaries entitled to enforce these Terms against you.

19. Contact

Titra Health LLC (d/b/a Homeostasis), a Georgia limited liability company
support@titrahealth.io