Terms of Use

Last Updated: 16 April 2026

Effective Date: 19 July 2023

These Terms of Use (this "Agreement") are a legal agreement between you ("you") and Chiropractic Outcomes OÜ, a company incorporated in Estonia ("Company," "we," or "us"), for use of chiropracticoutcomes.com and all related services, features, and content (collectively, the "Platform").

1. Acceptance of Terms

Please read this Agreement carefully. By creating an account or accessing or using the Platform, you acknowledge that you accept and agree to be bound by the terms of this Agreement. IF YOU DO NOT AGREE TO THESE TERMS, YOU MAY NOT ACCESS OR USE THE PLATFORM.

We may modify this Agreement from time to time. We will notify you by email at least 30 days before modifications that materially change your rights take effect, or by presenting you with a new version of the Agreement for your acceptance. Your continued use of the Platform after the effective date of an updated Agreement constitutes your acceptance of the changes. If you do not agree to the changes, you must stop using the Platform and may cancel your subscription in accordance with Section 10.

2. Medical Services Disclaimer

THE COMPANY IS NOT A LICENSED MEDICAL CARE PROVIDER AND THE PLATFORM IS NOT INTENDED TO REPLACE PROFESSIONAL MEDICAL ADVICE OR DIAGNOSE, TREAT, OR MANAGE ANY ILLNESS OR MEDICAL CONDITION. PLEASE CONSULT WITH A LICENSED PHYSICIAN OR OTHER QUALIFIED HEALTHCARE PROVIDER BEFORE MAKING ANY DECISIONS OR TAKING ACTIONS THAT MAY AFFECT YOUR HEALTH AND SAFETY. NEVER DISREGARD PROFESSIONAL MEDICAL ADVICE OR DELAY IN SEEKING IT BECAUSE OF SOMETHING YOU HAVE READ IN CONNECTION WITH THE PLATFORM. IF YOU THINK YOU HAVE A MEDICAL EMERGENCY, CALL EMERGENCY SERVICES OR GO TO THE NEAREST EMERGENCY ROOM IMMEDIATELY.

For the avoidance of doubt: outcome tracking data collected through the Platform does not constitute a clinical diagnosis. All clinical decisions remain the sole responsibility of the treating practitioner.

3. Registration and Eligibility

To use the Platform, you may be required to create an account and provide certain personal information, which may include your name, email address, health history, and symptom ratings. This information will be held and used in accordance with our Privacy Policy. You agree to supply accurate, complete, and up-to-date information.

To create an account and access the Platform, you must be at least 13 years old (16 years old in the EU/UK) and not barred from using the Platform under applicable law.

If you are under 18, your parent or guardian must review and accept this Agreement on your behalf. By using the Platform, you confirm that your parent or guardian has done so. We reserve the right to limit certain content or features to users aged 18 and over.

Practitioner accounts: If you are registering as a healthcare practitioner, you represent and warrant that you hold all applicable licenses and registrations required by your jurisdiction to provide chiropractic or related health services.

4. Acceptable Use

You agree to use the Platform only for lawful purposes and in accordance with this Agreement. You shall not:

  • Resell, rent, lease, loan, sublicense, or distribute the Platform without our prior written consent;
  • Reverse engineer, decompile, or disassemble the Platform;
  • Modify, adapt, translate, or create derivative works of the Platform without our written authorization;
  • Share your account credentials with any other individual;
  • Circumvent or disable any security or technological protection measures;
  • Use the Platform to compile data for use by a competitive product or service;
  • Use your account to transmit commercial advertisements, spam, or repetitive messages;
  • Engage in any illegal conduct through the Platform;
  • Upload or transmit content that infringes the intellectual property rights of any third party;
  • Upload content containing hate speech, abuse, obscenity, or sexually explicit material;
  • Upload malware, viruses, or any code designed to disrupt, damage, or limit the Platform's functionality;
  • Attempt to gain unauthorized access to any part of the Platform or to any other user's account;
  • Use the Platform in any way that could violate HIPAA, GDPR, or any other applicable data protection or healthcare regulation.

Any prohibited use shall immediately terminate your license to use the Platform.

5. Data Processing Responsibilities

Where you are a practitioner using the Platform to process patient data:

  • You are the data controller (or, in the U.S., the Covered Entity or Business Associate) with respect to your patients' personal data;
  • You are responsible for obtaining all necessary consents and authorizations from your patients prior to them entering their data into the Platform;
  • U.S.-based practitioners who are HIPAA Covered Entities must execute a Business Associate Agreement (BAA) with us before processing Protected Health Information (PHI) through the Platform. Please contact support@chiropracticoutcomes.com to obtain a BAA;
  • You agree to comply with all applicable data protection laws, including GDPR, UK GDPR, HIPAA, CCPA, and any other laws applicable to your jurisdiction and your patients;
  • You agree that no patient data will be entered into the Platform for which you do not have the appropriate legal basis or patient consent to do so.

6. Children's Privacy and Age Restrictions

We are committed to protecting the privacy of children. The Platform is not intended or designed to attract children under the age of 13 (or 16 in the EU/UK). We do not knowingly collect personal data directly from children under these ages.

If health data relating to a minor patient is entered, the practitioner is solely responsible for ensuring that appropriate parental or guardian consent has been obtained in compliance with applicable law.

7. License to Use the Platform

Subject to your compliance with this Agreement, we grant you a personal, worldwide, revocable, non-transferable, non-exclusive license to access and use the Platform for your professional purposes in connection with chiropractic patient outcomes tracking. This license does not include the right to:

  • Copy, store, or reproduce any content from the Platform other than as strictly necessary for your use;
  • Distribute, publish, or commercially exploit any content from the Platform;
  • Use our trademarks, logos, or brand assets without prior written consent.

All rights not expressly granted are reserved by the Company.

8. User Content

The Platform enables you to enter patient outcome data, health metrics, and other information ("User Content"). You retain ownership of User Content that is submitted under your clinic/account.

By submitting User Content, you grant us a limited, non-exclusive, royalty-free license to host, store, process, and display that User Content solely as necessary to provide the Platform services to you. We will not use identifiable patient health data for any purpose other than operating and improving the Platform.

We will not use identifiable patient health data to train machine learning models or AI systems, or for any purpose other than delivering the Platform services, without your explicit consent.

We reserve the right to remove any User Content that violates this Agreement or applicable law.

9. Subscriptions and Billing

By subscribing to the Platform, you agree that your purchase is not contingent on the provision of any future functionality or features.

Billing: Subscription fees are billed in advance on a monthly or annual basis (as selected at purchase) plus applicable taxes. All fees are stated in the currency applicable to your billing region.

Price changes: We will give you at least 30 days' advance notice of any price changes, via email or in-platform notification. Price changes take effect at the start of your next billing period. If you do not agree to a price change, you may cancel your subscription before the new price takes effect.

Renewal and cancellation: Subscriptions automatically renew at the end of each billing period unless cancelled before the renewal date. To cancel, contact us at support@chiropracticoutcomes.com specifying your registered email address. Cancellation takes effect at the end of the current billing period; we do not provide refunds for partial periods except as required by applicable law.

Refunds: We do not offer refunds except as required by mandatory consumer protection law in your jurisdiction. If you believe you are entitled to a refund under applicable law, contact us at support@chiropracticoutcomes.com.

10. Account Security

You are responsible for maintaining the confidentiality of your account credentials and for all activity that occurs under your account. You must:

  • Use a strong, unique password and not share your password with any other person;
  • Enable multi-factor authentication (MFA) when offered;
  • Notify us immediately at support@chiropracticoutcomes.com if you suspect any unauthorized access to your account.

We are not liable for any loss resulting from unauthorized use of your account where you have failed to maintain the security of your credentials.

11. Warranty Disclaimer

THE PLATFORM IS PROVIDED "AS IS" AND "AS AVAILABLE," WITHOUT ANY WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR NON-INFRINGEMENT. WE DO NOT WARRANT THAT THE PLATFORM WILL BE UNINTERRUPTED, ERROR-FREE, OR SECURE. YOUR USE OF THE PLATFORM IS AT YOUR OWN RISK. NOTHING IN THIS AGREEMENT EXCLUDES WARRANTIES THAT CANNOT BE EXCLUDED UNDER APPLICABLE LAW.

12. Limitation of Liability

TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT SHALL THE COMPANY OR ITS OFFICERS, DIRECTORS, EMPLOYEES, AFFILIATES, OR AGENTS BE LIABLE FOR ANY INDIRECT, SPECIAL, INCIDENTAL, CONSEQUENTIAL, OR PUNITIVE DAMAGES (INCLUDING LOSS OF DATA, LOSS OF PROFITS, OR LOSS OF GOODWILL) ARISING OUT OF OR IN CONNECTION WITH YOUR USE OF OR INABILITY TO USE THE PLATFORM.

THE COMPANY'S TOTAL AGGREGATE LIABILITY TO YOU FOR ANY AND ALL CLAIMS ARISING OUT OF OR IN CONNECTION WITH THIS AGREEMENT SHALL NOT EXCEED TTHE TOTAL FEES PAID BY YOU TO THE COMPANY IN THE 12 MONTHS PRECEDING THE EVENT GIVING RISE TO THE CLAIM.

NOTWITHSTANDING THE ABOVE, NOTHING IN THIS AGREEMENT LIMITS OR EXCLUDES THE COMPANY'S LIABILITY FOR: (I) DEATH OR PERSONAL INJURY CAUSED BY OUR NEGLIGENCE; (II) FRAUD OR FRAUDULENT MISREPRESENTATION; (III) ANY LIABILITY THAT CANNOT BE EXCLUDED BY LAW; OR (IV) OUR OBLIGATIONS UNDER APPLICABLE DATA PROTECTION LAW (INCLUDING GDPR AND HIPAA).

13. Indemnification

You agree to defend, indemnify, and hold harmless the Company, its officers, directors, employees, agents, affiliates, licensors, and partners from and against any claims, liabilities, damages, losses, and expenses (including reasonable legal fees) arising out of or relating to: (a) your use of or access to the Platform; (b) your violation of this Agreement; (c) your violation of any applicable law or regulation (including HIPAA and data protection laws); or (d) your infringement of any third-party intellectual property or privacy rights.

14. Third-Party Services and Links

The Platform may include links to or integrations with third-party websites, applications, or services ("Third-Party Services"). We are not responsible for the content, privacy practices, or security of Third-Party Services. Your use of any Third-Party Service is at your own risk and subject to that service's own terms and privacy policy.

Where the Platform integrates with third-party services (e.g. practice management software), such integrations are activated at the discretion of the practitioner account holder. We are not responsible for data processed by third-party integration partners beyond our Platform.

15. Mobile Device Use

Your mobile carrier's standard data rates and fees may apply when you access the Platform via a mobile device. The Company is not responsible for any such charges.

16. Feedback

If you submit feedback, suggestions, or ideas about the Platform, you grant us a perpetual, irrevocable, royalty-free license to use and incorporate that feedback into the Platform without obligation to you. We will not disclose feedback in a manner that identifies you without your consent.

17. Monitoring and Enforcement

We reserve the right (but have no obligation) to monitor use of the Platform for compliance with this Agreement and applicable law. We may remove content, suspend, or terminate accounts at our sole discretion if we determine that you have violated this Agreement, without prior notice and without liability.

We may disclose information to law enforcement or regulators where required by law or to protect our rights or the rights of others.

18. Changes to the Platform

We may modify, suspend, or discontinue the Platform or any part of it at any time. We will endeavor to give reasonable advance notice of material changes that affect your use of the Platform. Your continued use after such changes constitutes acceptance. We are not liable for any modification, suspension, or discontinuation of the Platform.

19. Dispute Resolution and Governing Law

If you are a resident of the European Union, United Kingdom, Switzerland, Norway, or Iceland, this Agreement is governed by the laws of your usual place of residence, and any disputes will be subject to the exclusive jurisdiction of the courts of your usual place of residence.

If you are a resident of the United States, the arbitration provisions below apply:

Informal Resolution: Before initiating any formal proceedings, you agree to attempt to resolve disputes informally by contacting us at support@chiropracticoutcomes.com. We will endeavor to respond within 30 days. If the dispute is not resolved within 30 days of your notice, either party may proceed to arbitration.

Binding Arbitration: For U.S. residents, any unresolved dispute arising out of or relating to this Agreement will be resolved by binding individual arbitration administered by the American Arbitration Association (AAA) under its Consumer Arbitration Rules, except as modified herein.

Class Action Waiver: TO THE EXTENT PERMITTED BY LAW, YOU AND THE COMPANY WAIVE THE RIGHT TO BRING OR PARTICIPATE IN CLASS ACTION LAWSUITS OR CLASS-WIDE ARBITRATION.

Nothing in this Section prevents either party from seeking emergency injunctive or other equitable relief from a court of competent jurisdiction to prevent irreparable harm pending arbitration.

20. Copyright Infringement (DMCA Notice)

If you believe that content on the Platform infringes your copyright, please send a written notice to support@chiropracticoutcomes.com that includes:

  • A description of the copyrighted work you believe has been infringed;
  • A description of the infringing material and its location on the Platform;
  • Your name, address, telephone number, and email address;
  • A statement that you have a good faith belief the use is not authorized;
  • A statement, under penalty of perjury, that the information in your notice is accurate and that you are the copyright owner or authorized to act on their behalf;
  • Your physical or electronic signature.

Repeat infringers may have their accounts terminated.

21. General Provisions

  • Entire Agreement: This Agreement, together with our Privacy Policy and any BAA, constitutes the entire agreement between you and the Company regarding your use of the Platform.
  • Severability: If any provision of this Agreement is held invalid or unenforceable, it will be enforced to the maximum extent permissible, and the remaining provisions will continue in full force and effect.
  • No Waiver: Our failure to enforce any provision does not constitute a waiver of our rights.
  • Assignment: You may not assign your rights under this Agreement without our prior written consent. We may assign our rights to an affiliate or in connection with a merger, acquisition, or sale of assets.
  • Force Majeure: We are not liable for any delay or failure to perform resulting from causes outside our reasonable control, including acts of God, pandemic, war, cyberattack by third parties, or governmental action.

22. Contact Information

For questions, support, or notices under this Agreement, please contact:

Chiropractic Outcomes OÜ

Email: support@chiropracticoutcomes.com

Tornimäe tn 3-7, 10145 Tallinn, Estonia