TERMS OF SERVICE — PATIENT CARE PROGRAMS

Effective Date: January 2026

INTRODUCTION
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These Terms of Service ("Terms") govern your participation in patient care programs ("Program" or "Programs") operated by iksa.ai ("iksa," "we," "us," or "our") in partnership with healthcare providers, health systems, life sciences companies, and clinical research organizations ("Healthcare Partners"). Our Programs use AI-assisted technology delivered via WhatsApp, SMS, email, and other digital channels to support your health journey, including appointment reminders, care coordination, health education, medication adherence support, and follow-up communications.By enrolling in a Program, clicking "I AGREE," or continuing to participate after receiving these Terms, you acknowledge that you have read, understood, and agree to be bound by these Terms.

1. PROGRAM OVERVIEW

1.1 What Our Programs Do
iksa.ai operates AI-assisted patient support programs designed to:
- Care Coordination: Facilitate communication between you and your care team.
- Health Monitoring: Send reminders for appointments, medications, lab tests, and follow-up visits.
- Medication Adherence: Support you in following your prescribed treatment plan.
- Educational Content: Deliver personalized health information relevant to your condition and treatment.
- Outcome Tracking: Support your care team in monitoring your progress and wellness goals.

1.2 How the Programs Work
Programs operate through digital channels including WhatsApp, SMS, and email, and may include automated messages and reminders, AI-generated health insights based on your data, direct communication channels with care coordinators, surveys and check-ins to assess your wellbeing, and medication and appointment reminders.

1.3 Program Partners
Programs are delivered through collaboration between:
- Your Healthcare Provider: The clinic, hospital, or health system responsible for your clinical care.
- iksa.ai: The technology platform powering the AI-assisted care coordination.
- Program Sponsors: Pharmaceutical companies, research organizations, or other entities that may fund or support specific Programs.
- Your Care Team: Physicians, nurses, care managers, and health coordinators involved in your treatment.

2. ELIGIBILITY AND ENROLLMENT
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2.1 Eligibility
To participate in the Program, you must be a patient of a participating Healthcare Partner, be at least 18 years of age (or have parental/guardian consent if under 18), have access to a smartphone with WhatsApp installed, and provide accurate contact information and consent to receive communications.

2.2 Enrollment
Enrollment in the Program is voluntary. By enrolling, you confirm that you are the authorized user of the phone number provided, you consent to receive Program communications via WhatsApp, and you understand the Program supplements, but does not replace, your clinical care.

3. DATA COLLECTION AND USE

3.1 Information We Collect
To deliver the Program, we collect and process:
- Personal Information: Name, date of birth, gender, contact details (phone number, email address).
- Health Information: Medical history, diagnoses, treatment plans, lab results, medication lists, vital signs, and other clinical data shared by you or your care team.
- Engagement Data: Your interactions with Program messages, response times, and communication preferences.
- Device Information: WhatsApp account details and message delivery status.
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3.2 How We Use Your Information
Your information is used to deliver personalized care coordination and health reminders, support your care team in monitoring your health and treatment progress, generate insights to improve your care experience, analyze Program effectiveness (using aggregated, de-identified data), and comply with legal and regulatory requirements.
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3.3 Legal Basis for Processing
We process your data based on:
- Your Consent: Provided when you enroll in the Program.
- Contractual Necessity: To deliver the services you have requested.
- Legitimate Interests: To improve Program quality and patient outcomes.
- Legal Obligations: To comply with applicable healthcare and data protection laws.

4. DATA SHARING AND CONFIDENTIALITY
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4.1 Who We Share Your Data With
Your personal and health information may be shared with:
- Your Care Team: Physicians, nurses, and coordinators involved in your care.
- Healthcare Partners: Laboratories, specialists, or other providers as necessary for your treatment.
- Technology Partners: Service providers who support Program operations (subject to strict confidentiality agreements).
- Aggregated Data: De-identified, aggregate data may be used for research, quality improvement, and reporting purposes.

4.2 Confidentiality Commitments
All parties with access to your data are bound by confidentiality agreements and professional obligations, applicable data protection laws and healthcare regulations, and security standards designed to protect your information.
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4.3 We Do Not Sell Your Data
We do not sell, rent, or trade your personal or health information to third parties for marketing purposes.

5. DATA SECURITY AND STORAGE

5.1 Security Measures
We implement industry-standard security measures to protect your data, including encryption of data in transit and at rest, access controls limiting data access to authorized personnel, regular security assessments and monitoring, and secure cloud infrastructure with appropriate certifications.

5.2 Data Retention
Your data is retained for the duration of your participation in the Program and for such additional period as required by applicable healthcare record retention laws, regulatory requirements, and legitimate business purposes (such as audit and compliance).Upon request, we will delete your data subject to legal retention obligations.

6. INTERNATIONAL DATA TRANSFER
Your data may be transferred to and stored on servers located outside of your country of residence, including in India and the United States. By participating in the Program, you consent to such transfers.All international transfers are conducted in accordance with applicable data protection laws, appropriate safeguards (such as standard contractual clauses), and this Terms of Service and our Privacy Policy.

7. YOUR RIGHTS AND CHOICES

7.1 Your Data Rights
Depending on your location, you may have the right to:
- Access: Request a copy of the personal data we hold about you.
- Correction: Request correction of inaccurate or incomplete data.
- Deletion: Request deletion of your data, subject to legal retention requirements.
- Restriction: Request that we limit how we use your data.
- Portability: Receive your data in a structured, machine-readable format.
- Withdrawal of Consent: Withdraw your consent at any time (this does not affect the lawfulness of processing before withdrawal).

7.2 How to Exercise Your Rights
To exercise any of these rights, contact us at support@iksa.ai with the subject line "Data Rights Request — Patient Care Program." We will respond to your request within 30 days or as required by applicable law.

7.3 Opting Out
You may opt out of the Program at any time by emailing support@iksa.ai with your opt-out request, or notifying your care coordinator at your Healthcare Provider.Opting out will stop Program communications but will not affect your clinical care with your Healthcare Provider.

8. MEDICAL DISCLAIMER

8.1 Not a Substitute for Medical Care
The Program is a support tool, not a replacement for professional medical advice, diagnosis, or treatment.Always consult your physician or qualified healthcare provider with questions about your health. Do not disregard professional medical advice or delay seeking treatment because of information received through the Program. In case of a medical emergency, contact emergency services immediately.

8.2 AI-Generated Content
Some Program content is generated or assisted by artificial intelligence. While we strive for accuracy, AI-generated insights are intended to support, not replace, clinical judgment. Your care team reviews and oversees AI-assisted recommendations. You should verify any health information with your physician.

8.3 No Doctor-Patient Relationship with iksa
Your participation in the Program does not create a doctor-patient relationship with iksa.ai. Your clinical relationship is with your Healthcare Provider and treating physicians.

9. ACCURACY OF INFORMATION

9.1 Your Responsibility
You represent and warrant that the personal and health information you provide is accurate and complete to the best of your knowledge, you will promptly notify us or your care team of any changes to your information, and you will not provide false or misleading information.

9.2 Impact of Inaccurate Information
Inaccurate information may affect the quality of care coordination and the relevance of Program communications. We are not responsible for any consequences arising from information you provide that is inaccurate or incomplete.

10. LIMITATION OF LIABILITY
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10.1 Disclaimer of Warranties
The Program is provided "as is" and "as available." To the fullest extent permitted by law, we disclaim all warranties, express or implied, including warranties of merchantability, fitness for a particular purpose, and non-infringement.

10.2 Limitation of Damages
To the fullest extent permitted by applicable law, iksa.ai and its affiliates, officers, directors, employees, and agents shall not be liable for any indirect, incidental, special, consequential, or punitive damages; loss of data, revenue, profits, or business opportunities; damages arising from your reliance on Program content; damages resulting from interruption, delay, or failure of Program services; or damages arising from unauthorized access to or alteration of your data.

10.3 Maximum Liability
In no event shall our total liability to you exceed the amount you have paid to iksa.ai for the Program in the twelve (12) months preceding the claim, or USD $100, whichever is greater.

10.4 Exceptions
Some jurisdictions do not allow the exclusion or limitation of certain warranties or liabilities. In such jurisdictions, our liability shall be limited to the maximum extent permitted by law.

11. INDEMNIFICATION
You agree to indemnify, defend, and hold harmless iksa.ai and its affiliates, officers, directors, employees, and agents from and against any claims, liabilities, damages, losses, and expenses (including reasonable legal fees) arising out of or related to your violation of these Terms, your provision of inaccurate or misleading information, your misuse of the Program, or your violation of any third-party rights.

12. INTELLECTUAL PROPERTY
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12.1 Ownership
All intellectual property rights in the Program, including software, algorithms, content, trademarks, and trade secrets, are owned by iksa.ai or its licensors. Nothing in these Terms grants you any rights to such intellectual property except the limited right to use the Program as described herein.

12.2 Restrictions
You may not copy, modify, or distribute Program content without authorization; reverse engineer, decompile, or disassemble any Program technology; use the Program for any unlawful purpose; or attempt to gain unauthorized access to Program systems.

13. MODIFICATIONS TO TERMS

13.1 Right to Modify
We reserve the right to modify these Terms at any time. Changes will be effective upon posting to our website or notification via the Program.

13.2 Notification of Changes
For material changes, we will provide notice through a message via WhatsApp, email to your registered address, or prominent notice on our website.

13.3 Continued Participation
Your continued participation in the Program after changes are posted constitutes your acceptance of the revised Terms. If you do not agree to the changes, you must opt out of the Program.

14. TERMINATION
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14.1 Termination by You
You may terminate your participation at any time by opting out as described in Section 7.3.

14.2 Termination by Us
We may suspend or terminate your participation if you violate these Terms, your continued participation poses a risk to Program integrity or security, the Program is discontinued, or as required by law or regulatory authority.

14.3 Effect of Termination
Upon termination, your access to Program services will cease. We will retain your data as required by law and for legitimate business purposes. Provisions that by their nature should survive (including Sections 8, 10, 11, 12, and 15) will remain in effect.

15. GOVERNING LAW AND DISPUTE RESOLUTION

15.1 Governing Law
These Terms are governed by and construed in accordance with the laws of the jurisdiction specified in your Program enrollment materials. Where no jurisdiction is specified, these Terms shall be governed by the laws of the State of Delaware, United States, without regard to conflict of law principles.

For Programs operated in India, these Terms are governed by the laws of India, and disputes shall be subject to the exclusive jurisdiction of the courts of Bengaluru, India.

15.2 Dispute Resolution
Any dispute arising out of or relating to these Terms or the Program shall be resolved as follows:
(a) Informal Resolution: You agree to first contact us at support@iksa.ai to attempt to resolve any dispute informally.
(b) Mediation: If informal resolution fails, the parties agree to attempt mediation before initiating formal proceedings.
(c) Jurisdiction: Any legal proceedings shall be brought in the courts of the applicable jurisdiction as specified above or in your Program enrollment materials.

15.3 Waiver of Class Actions
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.

16. GENERAL PROVISIONS
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16.1 Entire Agreement
These Terms, together with our Privacy Policy, constitute the entire agreement between you and iksa.ai regarding the Program and supersede all prior agreements and understandings.

16.2 Severability
If any provision of these Terms is found to be invalid or unenforceable, the remaining provisions shall continue in full force and effect.
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16.3 Waiver
Our failure to enforce any right or provision of these Terms shall not constitute a waiver of such right or provision.
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16.4 Assignment
You may not assign or transfer your rights under these Terms without our prior written consent. We may assign our rights and obligations without restriction.

16.5 Language
These Terms are provided in English. In the event of any conflict between the English version and any translation, the English version shall prevail.

17. CONTACT US

If you have questions about these Terms or the Program, please contact us:
Email: support@iksa.ai
Company: Iksa Inc. (d/b/a iksa.ai)
Address: Baltimore, Maryland, United States

For clinical questions or concerns about your treatment, please contact your care team at your Healthcare Provider directly.

CONSENT ACKNOWLEDGMENT

By clicking "I AGREE," sending a confirmation message, or continuing to participate in the Program, you acknowledge that:
1. You have read and understood these Terms of Service.
2. You consent to the collection, use, and sharing of your data as described herein.
3. You understand the Program is a support tool and does not replace professional medical care.
4. You agree to be bound by these Terms and any future modifications.

Last Updated: January 2026

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