Terms of Use
Website, Signup and Healthcare Professional Platform Terms
Effective Date: 22 September 2026 | Last Updated: 22 September 2026
These Terms of Use ("Terms") govern access to and use of the Pulli.Health website, account signup, application, platform and related services (collectively, the "Service"). The Service is operated by BILLIONLIVES BUSINESS INITIATIVES PRIVATE LIMITED, a company incorporated in India with its registered office at House No. 163, Giri Nagar, Kochi, Ernakulam - 682020, Kerala, India ("Pulli.Health", "Pulli", "we", "us" or "our").
1. Acceptance of These Terms
By creating a Pulli.Health account, selecting the acceptance checkbox, accessing the authenticated Service or otherwise using the Service, you agree to be bound by these Terms.
If you create or use an account on behalf of a clinic, hospital, medical practice or other organisation, you represent that you are authorised to act on its behalf. In that case, references to "you" may include both you and that organisation, as applicable.
If you do not agree to these Terms, you must not create an account or use the Service.
We may maintain an electronic record of acceptance, including the account, version of these Terms accepted, and date and time of acceptance. Acceptance of these Terms does not itself constitute patient consent for any clinical-data processing activity that requires separate consent.
2. Privacy
Our Pulli.Health Privacy Policy explains how we collect, use, store, disclose and protect personal data relating to website visitors, healthcare professionals, clinic personnel, prospective customers and patients whose information is processed through the Service.
By creating an account, you acknowledge that you have been provided access to the Privacy Policy and have had an opportunity to review it. Where processing requires a specific patient or user consent, that consent will be obtained separately and will not be inferred merely from acceptance of these Terms.
3. Who May Use the Service
- Doctors must hold a valid registration, licence or professional authorisation required to practise medicine in the jurisdiction in which they provide care, and must keep that registration or licence valid while using the Service.
- Clinic staff, assistants and administrators may use the Service only under the authority of the clinic, hospital or registered healthcare professional that invited or authorised them.
- You must provide accurate account and professional information, including name, qualification, speciality and professional registration details where these are required for documents issued to patients.
- Only users granted appropriate signing authority within the Service may approve or sign clinical notes or prescriptions.
- You are responsible for ensuring that persons accessing the Service through your organisation are authorised and use only the permissions assigned to them.
4. What Pulli.Health Does - and Does Not Do
Pulli.Health is a clinical documentation and workflow-support service. With appropriate consent, it may record a consultation, transcribe speech (including code-mixed Indian languages), and generate a draft clinical note for review, editing and approval by the treating healthcare professional. It may also support prescriptions, investigations, follow-up instructions, uploaded reports, patient intake and related clinic workflows.
- The Service does not replace a healthcare professional's clinical judgement.
- Artificial-intelligence generated notes and transcripts are drafts until reviewed and signed or otherwise approved by the responsible healthcare professional.
- The Service is not an emergency service and must not be relied upon where a delay or error could place a patient at immediate risk.
- Doctors may create or edit documentation manually where recording is not used or a generated draft is unsuitable.
5. Clinical Responsibility
You remain responsible for the clinical content of documents issued in your name and for all clinical decisions made in relation to your patients. In particular, you must:
- review every AI-generated draft note in full before signing or approving it;
- verify material facts, diagnoses, symptoms, examination findings, investigations, medicines, doses, frequency, duration and follow-up instructions before they are issued or relied upon;
- not assume that a transcript or draft is complete or error-free, as speech recognition and generative systems can omit, mis-hear, mistranscribe or incorrectly generate content;
- not sign a draft that you do not recognise or believe is inaccurate; and
- ensure that prescriptions and other clinical documents comply with all professional, regulatory and legal requirements applicable to your practice.
6. Patient Consent and Lawful Use
Before using the Service to record or process a consultation or patient information, you or your clinic must ensure that all notices and consents required by applicable law and the Service workflow have been provided or obtained.
- Separate consent may be presented for consultation recording/documentation, uploaded-document processing, delivery of documents by WhatsApp or similar channels, and optional use of recordings for model or product improvement.
- A patient may refuse an optional consent. Refusal to recording does not prevent the healthcare professional from documenting the consultation manually.
- You must not use the Service to covertly record a person or intentionally record someone whose required consent has not been obtained.
- For a child or another person for whom consent must lawfully be provided by a parent, guardian or authorised representative, you are responsible for ensuring the appropriate person provides that consent.
7. Data Protection Roles
For patient clinical information processed to create and maintain clinical records on behalf of a clinic or healthcare provider, the clinic or healthcare provider generally determines the purpose and means of the clinical processing and acts as the Data Fiduciary or equivalent responsible party under applicable law, while Pulli.Health processes such data on its behalf as a Data Processor, subject to the applicable customer agreement.
Pulli.Health acts as Data Fiduciary for personal data for which it independently determines the purposes and means of processing, including practitioner account information and, where separately consented, copies of recordings used by Pulli.Health for model or product improvement.
The exact allocation of responsibilities may also be set out in the applicable customer agreement, data-processing agreement or other written arrangement with the clinic or healthcare organisation.
8. Hosting, Authentication and Service Providers
- Application hosting, databases, stored audio and documents: Google Cloud, Mumbai region (India).
- AI transcription and clinical-note drafting: Google Vertex AI in the Mumbai region (India).
- Practitioner and staff authentication: Clerk, Inc. (United States). Patient clinical data is not intentionally provided to Clerk for authentication.
- WhatsApp delivery, where enabled and consented: MSG91 (India), which may receive the patient's phone number and the information needed to deliver the relevant link or message.
We may change or add service providers where reasonably necessary to operate the Service, subject to appropriate contractual, privacy and security safeguards and any notification obligations applicable to us.
9. Retention and Deletion
Subject to applicable law, legal holds, customer instructions and the Privacy Policy, the Service currently applies the following operational retention approach:
| Data category | Current retention approach |
|---|---|
| Consultation audio recordings | 90 days from the consultation, then deleted unless a separate consent, legal hold, legal obligation or other lawful basis requires otherwise. |
| Copy of audio used for model/product improvement | Up to 1 year while the relevant consent remains valid; deleted from active systems when that consent is withdrawn, subject to technical backup cycles and applicable law. |
| Uploaded clinical documents | Retained for as long as necessary to provide the Service, comply with clinic instructions, applicable medical-record requirements and legal obligations. |
| Signed clinical notes and prescriptions | Retained for the period required by applicable medical-record rules and the clinic's lawful retention requirements. |
| Database backups | Up to 35 days before expiry through the normal backup cycle. |
| Account, security and audit records | Retained for as long as reasonably necessary for account administration, security, audit, compliance, dispute resolution and legal obligations. |
Where a patient or customer requests deletion or withdraws a consent, we will stop the processing that depended on that consent and delete or restrict data that no longer has another lawful reason to be retained. Data may remain in disaster-recovery backups until the relevant backup expires and is not ordinarily restored except for recovery from a failure.
10. Documents Issued to Patients
- Clinical documents may display the healthcare professional's name, qualification, speciality and registration number.
- Patient-facing documents should be issued only after the responsible healthcare professional has reviewed and completed the applicable approval or signing workflow.
- The healthcare professional remains responsible for ensuring that prescriptions and other documents issued in their name comply with applicable prescribing and professional rules.
11. Your Account and Security
- Keep your credentials confidential and do not share authentication factors except through approved organisational workflows.
- You are responsible for activity carried out through your account where such activity results from your failure to protect your credentials, subject to applicable law.
- Clinic administrators may invite or remove authorised users and assign permissions in accordance with available administrative controls.
- Access to patient records may be logged for security, accountability and audit purposes.
- Notify us promptly if you suspect unauthorised access, credential compromise or misuse of your account.
12. Acceptable Use
You must not:
- use the Service unlawfully, without required patient authority or consent, or outside the scope of your professional role;
- attempt to access another clinic's or user's data without authorisation;
- upload content you have no right or lawful authority to process;
- interfere with, disrupt, probe, scan or test the vulnerability of the Service except with our written authorisation;
- introduce malware or malicious code;
- reverse engineer or attempt to derive non-public source code except to the extent expressly permitted by applicable law;
- use the Service to make fully automated clinical decisions without the review required by the Service and applicable professional obligations; or
- use the Service in a manner that infringes third-party rights or compromises patient confidentiality.
13. Model and Product Improvement
We use patient recordings for model or product improvement only where the applicable separate patient consent and any required healthcare-professional or clinic authorisation are in place. Such consent may be withdrawn as described in the Privacy Policy.
Where third-party AI infrastructure is used to provide the Service, we configure and contract for those services in accordance with the relevant enterprise service terms and our privacy and security requirements. We do not intentionally authorise an AI provider to use patient clinical data to train that provider's general-purpose models for its own purposes.
14. Website, Demo and Contact Forms
Public website content is provided for general informational and business purposes. Product descriptions, demonstrations, screenshots, videos and prototypes may be illustrative and do not constitute a binding commitment that a particular feature will be available to every customer.
Do not submit patient medical records, consultation recordings, prescriptions, laboratory reports or other patient health information through general website contact, sales or demo-request forms. Clinical information should be submitted only through authorised Service workflows.
15. Intellectual Property and Customer Content
You and your clinic retain rights you lawfully hold in clinical records and other customer content submitted to or created through the Service. You grant us a limited licence to host, process, transmit, reproduce and technically transform such content only as necessary to provide, secure, support and lawfully improve the Service in accordance with these Terms, the Privacy Policy, applicable consents and the customer agreement.
Pulli.Health and its licensors retain all rights in the Service, software, interfaces, documentation, trademarks, branding, templates and other materials supplied by us, excluding customer content.
16. Feedback
If you voluntarily provide suggestions, comments or feedback about the Service, we may use that feedback to evaluate and improve our products and services without payment to you. This does not transfer ownership of your confidential information, patient records or customer content to us.
17. Fees and Commercial Terms
Fees, subscription periods, pilot conditions, implementation charges, support commitments and other commercial terms will be set out in the applicable proposal, order form, subscription plan or customer agreement. In the event of a conflict between these Terms and a signed commercial agreement concerning commercial matters, the signed agreement will prevail to the extent of that conflict.
18. Availability, Maintenance and Changes
We may maintain, update or modify the Service and may introduce, change or discontinue features. We aim to provide reliable availability but do not guarantee that the Service will be uninterrupted or error-free unless an applicable written service-level commitment states otherwise.
We may temporarily suspend all or part of the Service where reasonably necessary for maintenance, security, legal compliance or protection of patients, users or systems.
19. Third-Party Services
The Service may interoperate with or contain links to third-party products or services. Third-party services are subject to their own terms and privacy practices. We are not responsible for a third party's independent acts or omissions, except to the extent responsibility cannot lawfully be excluded or is expressly assumed in a written agreement.
20. Disclaimers
To the maximum extent permitted by applicable law, the Service is provided on an "as is" and "as available" basis except where a written agreement expressly provides otherwise. We do not warrant that AI-generated drafts, transcripts or extracted values will be complete or error-free.
Nothing in these Terms excludes statutory warranties or obligations that cannot lawfully be excluded.
21. Limitation of Liability
To the maximum extent permitted by applicable law, Pulli.Health is not responsible for clinical decisions that remain the responsibility of the treating healthcare professional, including decisions made after reviewing or editing information generated through the Service.
Except for liability that cannot lawfully be limited, and except as otherwise agreed in writing, neither party will be liable to the other for indirect, incidental, special, punitive or consequential loss, including loss of profit, revenue, goodwill or anticipated savings arising from use of the Service.
For paid Services, any agreed aggregate liability cap will be governed by the applicable customer agreement or order form. Where no separate written cap applies, our aggregate liability arising out of or relating to the paid Service will not exceed the fees paid or payable to us for the relevant Service during the twelve months immediately preceding the event giving rise to the claim. This cap does not apply to liability that cannot lawfully be limited, fraud or wilful misconduct.
22. Indemnity
To the extent permitted by applicable law, you will indemnify Pulli.Health against third-party claims arising from your deliberate unlawful use of the Service, your recording or processing of patient information without required authority or consent, or clinical documents or decisions issued by you in breach of your professional obligations. This obligation does not apply to the extent a claim was caused by Pulli.Health's own breach, negligence, wilful misconduct or unlawful processing.
23. Suspension and Termination
You may stop using the Service subject to any subscription or customer agreement. We may suspend or restrict an account where reasonably necessary to address a material breach, non-payment, security risk, suspected misuse, legal requirement or risk to patients or the Service.
On termination, clinical records will be handled in accordance with the customer agreement, applicable medical-record obligations and the Privacy Policy. Where applicable and technically available, we will support reasonable export of customer records before deletion or account closure, subject to legal retention requirements.
24. Changes to These Terms
We may update these Terms from time to time to reflect changes in the Service, business practices or applicable law. Each version will carry an effective date. Where a material change affects registered users, we will provide reasonable notice and may require acceptance of the updated Terms before continued use.
25. Governing Law and Jurisdiction
These Terms are governed by the laws of India. Subject to mandatory legal rights and any dispute-resolution mechanism agreed in a separate written customer agreement, the courts having jurisdiction in Kochi, Kerala, India will have jurisdiction over disputes arising out of or relating to these Terms or the Service.
26. Contact and Grievance Officer
Questions about these Terms, the Service or a grievance may be directed to:
| Legal Entity | BILLIONLIVES BUSINESS INITIATIVES PRIVATE LIMITED |
|---|---|
| CIN | U74999KL2015PTC037809 |
| Registered Office | House No. 163, Giri Nagar, Kochi, Ernakulam - 682020, Kerala, India |
| Phone | +91 97453 33362 |
| admin@pulli.health | |
| Grievance Officer | Srijith Ramakrishnan |
For privacy-related matters, please refer to the Pulli.Health Privacy Policy.