Cosign

Terms of Use

Last updated: 2026-08-21

1. Educational simulation only

Cosign ("the Platform") is an educational tool for practicing U.S.-style clinical documentation using entirely fictional patients. It is not a medical device, not an electronic health record, not medical advice, and not for real patient care.

2. No real patient information

By using the Platform, you agree that you will:

  • Not enter any real patient information, including names, dates of birth, medical record numbers, or identifying details.
  • Not use the Platform for real patient care, documentation, or clinical decision-making.
  • Understand that all cases, charts, and patients on the Platform are fictional.
  • Report any accidental entry of real patient information immediately using the in-app reporting flow.

The Platform includes automated screening intended to detect likely real-patient information before it is sent to any AI provider. Submissions flagged with high confidence are blocked. This screening is a safety control, not a guarantee. You remain responsible for not entering real patient data.

3. AI-generated feedback

AI feedback may be incomplete or incorrect. It is provided as a learning aid only and should not be treated as authoritative medical or clinical guidance. Compare it against reviewed educational materials and your own clinical judgment.

4. No guarantee of outcomes

The Platform does not guarantee residency placement, USMLE or exam performance, clinical competence, licensure eligibility, or any specific outcome.

5. Accounts and payment

You are responsible for maintaining the confidentiality of your account. Paid access unlocks a defined set of cases and a defined number of AI-graded note submissions as described on the Pricing page at time of purchase.

6. Prohibited use

You may not use the Platform to store, process, or transmit real patient health information; to provide real clinical care; or to attempt to circumvent grading quotas, PHI safeguards, or entitlement checks.

7. Changes

We may update these Terms as the Platform evolves. Continued use after changes constitutes acceptance.

8. Contact

Questions about these Terms can be sent to the support contact listed in your account settings.