Terms of Service

Last updated: January 2, 2026

Summary: By using KeisenVPA, you agree to use it responsibly and in compliance with applicable laws. We provide the software "as is" and you're responsible for how you use it in your practice.

1. Agreement to Terms

By downloading, installing, or using KeisenVPA ("the Software"), you agree to be bound by these Terms of Service ("Terms"). If you do not agree to these Terms, do not use the Software.

These Terms constitute a legal agreement between you and Omar Nabil Metwally, M.D. ("Company", "we", "our", or "us").

2. Clinical Use Disclaimer

IMPORTANT: READ THIS SECTION CAREFULLY BEFORE USING THE SOFTWARE FOR CLINICAL DOCUMENTATION.

2.1 Not Medical Advice

KeisenVPA is a documentation assistance tool only. The Software does NOT provide medical advice, diagnosis, treatment recommendations, or clinical decision support. Nothing generated by the Software should be construed as medical advice or used as a substitute for professional medical judgment.

2.2 AI-Generated Content May Contain Errors

The Software uses artificial intelligence and speech recognition technologies that may produce inaccurate, incomplete, or erroneous output. AI-generated content may contain:

You must never rely on AI-generated content without thorough review.

2.3 Professional Responsibility

As the licensed healthcare professional, YOU bear sole and complete responsibility for:

The Software is intended to assist your documentation workflow, not to replace your professional judgment or responsibility.

2.4 No Liability for Clinical Outcomes

TO THE MAXIMUM EXTENT PERMITTED BY LAW, WE EXPRESSLY DISCLAIM ANY AND ALL LIABILITY FOR:

By using this Software, you acknowledge that you understand these limitations and accept full responsibility for all clinical and professional consequences of your use of the Software.

2.5 HIPAA Compliance and API Usage

KeisenVPA can be configured to work in a HIPAA-compliant manner, but compliance depends on how the Anthropic API is accessed:

We make no representations or warranties regarding HIPAA compliance when you use your own API keys. It is your responsibility to ensure your entire workflow — including API usage, data storage, and transmission — meets HIPAA requirements for your specific use case.

3. License Grant

3.1 Trial License

We grant you a limited, non-exclusive, non-transferable license to use the Software for evaluation purposes for fourteen (14) days from the date of first installation ("Trial Period"). During the Trial Period, all features are available without restriction.

3.2 Paid License

Upon purchase of a license key, we grant you a limited, non-exclusive, non-transferable license to use the Software according to your license type:

3.3 License Restrictions

You may NOT:

3.4 Machine Activation

License keys are bound to specific hardware. The number of machines you can activate depends on your license type:

Contact support if you need to transfer your license to a new machine.

4. Your Responsibilities

4.1 Professional Use

KeisenVPA is designed for professional use by qualified individuals. You are responsible for:

3.2 Healthcare Professionals

If you use KeisenVPA for medical documentation:

Important: KeisenVPA is a documentation tool, not a medical device. Always use professional judgment and verify AI-generated content before including it in patient records.

3.3 API Keys

Use of the Claude AI feature requires your own Anthropic API key. You are responsible for:

5. Intellectual Property

The Software, including all code, graphics, user interface, and documentation, is owned by Omar Nabil Metwally, M.D. and protected by copyright and other intellectual property laws. Your license does not grant any ownership rights.

Your data (recordings, transcriptions, documents) remains yours. We claim no ownership of content you create using the Software.

6. Payment and Refunds

6.1 Payment

License fees are processed by our payment provider, LemonSqueezy. By making a purchase, you agree to their terms of service.

6.2 Refund Policy

We offer a 30-day money-back guarantee. If you're not satisfied with KeisenVPA within 30 days of purchase, contact keisenvpa@proton.me for a full refund.

6.3 Subscription Renewal

Annual licenses renew automatically unless cancelled. You can cancel anytime through your LemonSqueezy account or by contacting support.

7. Updates and Support

7.1 Software Updates

We may release updates to improve functionality, fix bugs, or address security issues. Your license includes:

7.2 Support

We provide email support at keisenvpa@proton.me. Response times are typically within 1-2 business days.

8. Disclaimer of Warranties

THE SOFTWARE IS PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NONINFRINGEMENT.

We do not warrant that:

9. Limitation of Liability

TO THE MAXIMUM EXTENT PERMITTED BY LAW, KEISEN LLC SHALL NOT BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, OR PUNITIVE DAMAGES, INCLUDING BUT NOT LIMITED TO:

Our total liability shall not exceed the amount you paid for your license in the twelve (12) months preceding the claim.

10. Indemnification

You agree to indemnify and hold harmless Omar Nabil Metwally, M.D. from any claims, damages, or expenses arising from:

11. Termination

We may terminate your license if you violate these Terms. Upon termination:

12. General Provisions

12.1 Governing Law

These Terms are governed by the laws of the State of Michigan, United States, without regard to conflict of law principles.

12.2 Dispute Resolution

We encourage you to contact us first at keisenvpa@proton.me to resolve any disputes informally. If a dispute cannot be resolved informally, either party may pursue resolution through the courts of Michigan.

12.3 Entire Agreement

These Terms constitute the entire agreement between you and Omar Nabil Metwally, M.D. regarding the Software and supersede all prior agreements.

12.4 Severability

If any provision of these Terms is found unenforceable, the remaining provisions remain in effect.

12.5 Changes to Terms

We may update these Terms from time to time. We will notify you of material changes via email or through the Software. Continued use after changes constitutes acceptance.

13. Contact

For questions about these Terms:

By using KeisenVPA, you acknowledge that you have read, understood, and agree to be bound by these Terms of Service.