Terms of Service

Attuned Labs LLC

Effective Date: March 21, 2026 | Last Updated: March 21, 2026

1. Acceptance of Terms

By downloading, installing, accessing, or using the Follie mobile application (the "App"), you ("User," "you," or "your") agree to be bound by these Terms of Service ("Terms"). These Terms constitute a legally binding agreement between you and Attuned Labs LLC, an Ohio limited liability company ("Company," "we," "us," or "our").

If you do not agree to these Terms, do not download, install, or use the App. Your continued use of the App following any modification to these Terms constitutes your acceptance of such modifications.

These Terms incorporate by reference our Privacy Policy and the Apple Licensed Application End User License Agreement.

2. Nature of the Service

2.1 Educational and Informational Tool

Follie is an artificial intelligence–powered mobile application that assists anesthesia students and clinicians in preparing structured anesthetic plans. The App provides:

• AI-generated anesthetic plan considerations based on user-inputted patient and procedural data
• A reference library of anesthetic drug information, dosing ranges, and clinical pearls
• Clinical calculators (BMI, ideal body weight, estimated blood volume, allowable blood loss, MAC, ETT sizing, fluid calculations, emergence time estimation)
• Quick-reference cards for clinical protocols, emergency drug dosing, airway assessment, ASA classification, NPO guidelines, neuraxial anticoagulation timing, and related educational materials
• Case logging functionality for tracking clinical experiences

2.2 Not a Medical Device

Follie is NOT a medical device, and is not intended to be used as one. The App is designed as a clinical decision support tool for educational and informational purposes and is intended to qualify for the exemption from FDA regulation under Section 3060 of the 21st Century Cures Act (the "CDS Exemption"). Specifically, the App:

• Is not intended to acquire, process, or analyze a medical image, signal, or pattern from an in vitro diagnostic device or other diagnostic device
• Is intended for the purpose of displaying, analyzing, or printing medical information about a patient or other medical information
• Is intended for the purpose of supporting or providing recommendations to a healthcare professional about prevention, diagnosis, or treatment of a disease or condition
• Is intended for the purpose of enabling a healthcare professional to independently review the basis for any recommendations the software presents so that the professional is not intended to rely primarily on any such recommendation to make a clinical decision regarding an individual patient

2.3 No Doctor-Patient Relationship

Use of Follie does not create a doctor-patient, provider-patient, or any other clinical relationship between you, the Company, or any third party. The App does not and cannot replace the professional judgment of a qualified healthcare provider.

3. User Eligibility and Accounts

3.1 Eligibility

The App is intended for use by anesthesia students (including Certified Anesthesiologist Assistant students, Student Registered Nurse Anesthetists, and anesthesia residents), practicing anesthesia clinicians (CAAs, CRNAs, and anesthesiologists), and other qualified healthcare professionals or students. You must be at least 18 years of age to use the App.

3.2 Account Registration

You may be required to create an account to access certain features. You agree to provide accurate, current, and complete information during registration and to update such information as necessary. You are solely responsible for maintaining the confidentiality of your account credentials and for all activities under your account.

3.3 Account Termination

We reserve the right to suspend or terminate your account at our sole discretion, with or without notice, for conduct that we determine violates these Terms or is harmful to other users, the Company, or third parties.

4. Purchases, Credits, and Refunds

4.1 Purchase and Access

The App may offer one or more purchase options that grant access to the App's built-in toolkit (drug reference library, clinical calculators, quick-reference cards, case logging) and other features. Current pricing and available purchase options are displayed within the App and on the applicable app store listing at the time of purchase.

4.2 Credit System

The App's AI plan generation feature operates on a credit-based system. Each AI-generated anesthetic plan consumes one (1) credit from your account. Credits may be purchased separately through the App. Credits do not expire. Credit balances are non-transferable between accounts. Current credit pack pricing and quantities are displayed within the App at the time of purchase.

4.3 In-App Purchases

All purchases are processed through the Apple App Store or Google Play Store, as applicable. By making a purchase, you agree to the payment terms of the applicable app store. Prices are subject to change, but changes will not affect credits already purchased.

4.4 Refund Policy

Because the App delivers digital content and consumable credits, all sales are final. Refund requests are governed by the policies of the Apple App Store or Google Play Store through which the purchase was made. The Company does not independently process refunds.

5. Acceptable Use

You agree to use the App only for its intended educational and informational purposes. You shall NOT:

• Use the App as the sole or primary basis for clinical decisions regarding any individual patient without independent verification by a qualified healthcare professional
• Input actual Protected Health Information (PHI) or personally identifiable patient data into the App (see Section 8 for HIPAA considerations)
• Reverse engineer, decompile, disassemble, or attempt to derive the source code of the App
• Use the App to develop a competing product or service
• Circumvent, disable, or interfere with security-related features of the App or the credit system
• Redistribute, sublicense, rent, lease, or lend the App or any portion thereof
• Use the App in any manner that violates applicable laws, regulations, or professional ethical obligations

6. AI-Generated Content

6.1 Nature of AI Output

The App uses third-party artificial intelligence services (specifically, Anthropic's Claude API) to generate anesthetic plan considerations. AI-generated output is presented as educational considerations—not as prescriptions, orders, or definitive clinical recommendations. All AI output is framed as "considerations" and is intended to support, not replace, independent clinical judgment.

6.2 Limitations of AI Output

You acknowledge and agree that:

• AI-generated content may contain errors, omissions, inaccuracies, or outdated information
• AI models may produce different outputs for identical inputs at different times
• Drug dosing ranges, interactions, and clinical guidelines referenced by the AI may not reflect the most current literature, institutional protocols, or FDA labeling
• The AI does not have access to the patient's complete medical record and generates output based solely on the data you provide
• You bear sole responsibility for verifying any AI-generated content before applying it in any clinical context

6.3 Clinician Confirmation

Before exporting or acting upon any AI-generated plan, you must independently verify all content against current clinical guidelines, institutional protocols, drug references, and the specific patient's medical record. The App requires clinician confirmation prior to export of any generated plan.

7. Reference Content and Calculators

The App includes a built-in toolkit of drug references, clinical calculators, emergency drug dosing references, and quick-reference cards. This content is compiled from widely published medical literature and standard pharmacology references. It is written in original language by the Company and is not a substitute for clinical judgment. Follie is not affiliated with or endorsed by any medical organization, professional society, or pharmaceutical manufacturer.

Drug dosing ranges shown in the App are informational. The App does not perform direct dosing calculations for individual patients; rather, it displays published ranges with weight-based mathematical relationships visible to the user for independent verification.

8. HIPAA and Protected Health Information

8.1 PHI Minimization

The App is designed to minimize the collection and transmission of Protected Health Information ("PHI") as defined under the Health Insurance Portability and Accountability Act of 1996, as amended ("HIPAA"). Users are strongly advised NOT to input actual patient names, dates of birth, medical record numbers, Social Security numbers, or other direct patient identifiers into the App.

8.2 De-Identification

Where patient data is submitted for AI plan generation, the App is designed to transmit only de-identified clinical parameters (e.g., age range, weight, medical history categories, medication classes, procedure type) to the AI service. Users are responsible for ensuring that no individually identifiable health information is transmitted through the App.

8.3 No Business Associate Agreement

The Company is NOT a "Business Associate" as defined under HIPAA and does not enter into Business Associate Agreements (BAAs). Follie is not designed or intended for use as a component of a covered entity's electronic health record system or for the storage or transmission of PHI. If you are a healthcare provider subject to HIPAA, you are solely responsible for compliance with HIPAA when using the App.

9. Intellectual Property

9.1 Company IP

The App, including all software, content, design, text, graphics, logos, the Follie character and brand identity, and all related intellectual property, is owned by Attuned Labs LLC and protected by copyright, trademark, and other intellectual property laws. These Terms do not grant you any ownership interest in the App.

9.2 License Grant

Subject to your compliance with these Terms and upon completion of the applicable purchase, the Company grants you a limited, non-exclusive, non-transferable, revocable license to download and use the App on devices you own or control, solely for your personal, educational, and professional use.

9.3 User-Generated Content

You retain ownership of the patient data, case logs, notes, and other content you input into the App. By using the App, you grant the Company a limited license to process your input data solely for the purpose of generating AI output and providing App functionality. The Company does not claim ownership of your input data.

10. Third-Party Services

The App integrates with or relies upon the following third-party services:

• Anthropic (Claude API) — AI plan generation
• Supabase — Authentication, database, and server infrastructure
• RevenueCat — In-app purchase management
• Apple App Store / Google Play Store — Distribution and payment processing

Your use of these third-party services is subject to their respective terms and privacy policies. The Company is not responsible for the availability, accuracy, or practices of any third-party service.

11. Disclaimers and Limitation of Liability

11.1 Disclaimer of Warranties

THE APP IS PROVIDED ON AN "AS IS" AND "AS AVAILABLE" BASIS, WITHOUT WARRANTIES OF ANY KIND, WHETHER EXPRESS, IMPLIED, OR STATUTORY. TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, THE COMPANY DISCLAIMS ALL WARRANTIES, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, ACCURACY, COMPLETENESS, NON-INFRINGEMENT, AND ANY WARRANTIES ARISING FROM COURSE OF DEALING OR USAGE OF TRADE.

THE COMPANY DOES NOT WARRANT THAT: (A) THE APP WILL MEET YOUR REQUIREMENTS; (B) THE APP WILL BE UNINTERRUPTED, TIMELY, SECURE, OR ERROR-FREE; (C) THE AI-GENERATED OUTPUT WILL BE ACCURATE, COMPLETE, OR CLINICALLY APPROPRIATE; OR (D) ANY DEFECTS IN THE APP WILL BE CORRECTED.

11.2 Clinical Disclaimer

FOLLIE IS NOT A SUBSTITUTE FOR PROFESSIONAL MEDICAL JUDGMENT, TRAINING, OR CLINICAL EXPERIENCE. THE COMPANY MAKES NO REPRESENTATION OR WARRANTY REGARDING THE SUITABILITY OF ANY AI-GENERATED PLAN FOR ANY SPECIFIC PATIENT OR CLINICAL SCENARIO. YOU ASSUME ALL RISK ASSOCIATED WITH YOUR USE OF OR RELIANCE UPON THE APP'S OUTPUT.

11.3 Limitation of Liability

TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT SHALL THE COMPANY, ITS MEMBERS, OFFICERS, EMPLOYEES, AGENTS, OR AFFILIATES BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, OR PUNITIVE DAMAGES, INCLUDING BUT NOT LIMITED TO DAMAGES FOR LOSS OF PROFITS, GOODWILL, DATA, OR OTHER INTANGIBLE LOSSES, REGARDLESS OF THE CAUSE OF ACTION OR THEORY OF LIABILITY, EVEN IF THE COMPANY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.

TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, THE COMPANY'S TOTAL AGGREGATE LIABILITY TO YOU FOR ALL CLAIMS ARISING OUT OF OR RELATING TO THESE TERMS OR YOUR USE OF THE APP SHALL NOT EXCEED THE AMOUNT YOU ACTUALLY PAID TO THE COMPANY FOR THE APP IN THE TWELVE (12) MONTHS PRECEDING THE CLAIM.

11.4 Assumption of Risk

You expressly acknowledge that the practice of anesthesia involves inherent risks and that clinical decision-making requires consideration of factors beyond those captured by any software tool. You assume full responsibility for any clinical decisions made in connection with your use of the App.

12. Indemnification

You agree to indemnify, defend, and hold harmless the Company, its members, officers, employees, agents, and affiliates from and against any and all claims, liabilities, damages, losses, costs, and expenses (including reasonable attorneys' fees) arising out of or in any way connected with: (a) your use of the App; (b) your violation of these Terms; (c) your violation of any applicable law, regulation, or professional ethical obligation; (d) any clinical decision you make in connection with the App's output; or (e) your infringement or misappropriation of any third-party intellectual property or privacy rights.

13. Governing Law and Dispute Resolution

13.1 Governing Law

These Terms shall be governed by and construed in accordance with the laws of the State of Ohio, without regard to conflict of law principles.

13.2 Dispute Resolution

Any dispute, controversy, or claim arising out of or relating to these Terms or your use of the App shall first be submitted to good-faith negotiation between the parties. If the dispute is not resolved within thirty (30) days, either party may initiate binding arbitration administered by the American Arbitration Association under its Consumer Arbitration Rules. The arbitration shall be conducted in Ohio. Each party shall bear its own costs, and the arbitrator's fees shall be split equally.

13.3 Class Action Waiver

TO THE FULLEST EXTENT PERMITTED BY LAW, YOU AGREE THAT ANY DISPUTE RESOLUTION PROCEEDINGS WILL BE CONDUCTED ONLY ON AN INDIVIDUAL BASIS AND NOT IN A CLASS, CONSOLIDATED, OR REPRESENTATIVE ACTION.

14. Modifications to Terms

The Company reserves the right to modify these Terms at any time. If we make material changes, we will notify you by posting the updated Terms within the App and updating the "Last Updated" date. Your continued use of the App after such changes constitutes your acceptance of the revised Terms. If you do not agree with the updated Terms, you must discontinue use of the App.

15. Termination

These Terms remain in effect until terminated. You may terminate by deleting your account and uninstalling the App. The Company may terminate or suspend your access at any time for violation of these Terms. Upon termination, Sections 6, 8, 9, 11, 12, 13, and 16 shall survive.

16. General Provisions

Entire Agreement. These Terms, together with the Privacy Policy and the Apple Licensed Application End User License Agreement, constitute the entire agreement between you and the Company regarding the App.

Severability. If any provision of these Terms is found to be unenforceable, the remaining provisions shall remain in full force and effect.

Waiver. The failure of the Company to enforce any right or provision of these Terms shall not be deemed a waiver of such right or provision.

Assignment. You may not assign or transfer your rights under these Terms without the Company's prior written consent. The Company may assign its rights without restriction.

Force Majeure. The Company shall not be liable for any failure or delay in performance due to circumstances beyond its reasonable control, including but not limited to acts of God, natural disasters, war, terrorism, pandemics, government actions, or disruptions to third-party services.

17. Contact Information

If you have questions or concerns about these Terms, please contact us:

Attuned Labs LLC
Email: attunedlabs@gmail.com
Website: https://heyfollie.com

BY USING FOLLIE, YOU ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD, AND AGREE TO BE BOUND BY THESE TERMS OF SERVICE.