1. Acceptance of terms
By accessing or using the Coco platform, including our web application, mobile applications, and supporting websites (collectively, the "Service"), you agree to be bound by these Terms. If you are using the Service on behalf of a dental or orthodontic practice (a "Practice") or other organization, you represent that you are authorized to bind that organization to these Terms. In that case, "you" refers to both you individually and your organization.
If you do not agree to these Terms, you may not access or use the Service.
2. The service
Coco provides a HIPAA-compliant operating system for dental and orthodontic practices. The Service supports patient consultations, treatment proposals, deterministic payment plan governance, digital agreement execution, and structured patient follow-up, including AI-assisted features such as Coco Assist.
The Service is intended for use by licensed dental professionals and authorized Practice staff, and (in limited features) by patients of those Practices for the purpose of completing intake, reviewing proposals, signing agreements, and submitting payment.
3. Accounts and access
Access to the Service requires an account provisioned by a Practice administrator or by Coco. You agree to:
- Provide accurate, current, and complete information when creating an account
- Maintain the security of your credentials, including any multi-factor authentication mechanisms
- Promptly notify Coco of any unauthorized access to your account
- Use the Service only within the scope of your role and authorization
You are responsible for all activity occurring under your account. Account credentials are not transferable.
5. AI features and limitations
The Service includes AI-assisted features such as Coco Assist (an internal coaching layer for treatment coordinators) and patient-facing AI features authorized by the Practice. You acknowledge that:
- AI features are tools that may draft, summarize, suggest, and explain content; they do not exercise independent clinical judgment.
- AI features operate within boundaries defined by the Practice and by the Service's deterministic rule engine.
- AI output may contain errors and should be reviewed by qualified human users before reliance.
- The Service is clinical-adjacent but is not a substitute for clinical judgment, diagnosis, or treatment decisions.
6. HIPAA and BAA
When the Service is used to handle Protected Health Information ("PHI") under HIPAA, Coco acts as a Business Associate of the Practice, which acts as the Covered Entity. A Business Associate Agreement ("BAA") between Coco and the Practice governs the creation, receipt, maintenance, and transmission of PHI. The BAA is incorporated into these Terms by reference.
Patients of a Practice who have questions about their health information should contact the Practice directly.
7. Fees and payments
7.1 Subscription fees
Practices pay subscription fees for the Service as set forth in their Order Form or written agreement with Coco. Unless otherwise stated, fees are non-refundable.
7.2 Patient payments and billing
The Service may process payments from patients to the Practice. Such payments are facilitated by third-party payment processors. Coco is not the merchant of record for treatment fees; the Practice remains responsible for all aspects of patient billing, refunds, treatment guarantees, fee disclosures, insurance benefit verification accuracy, and compliance with state-specific consumer financing or usury laws.
7.3 Taxes
Practices are responsible for any sales, use, value-added, or similar taxes associated with their subscription, except for taxes based on Coco's net income.
8. Acceptable use
You agree not to:
- Use the Service in violation of applicable law or regulation, including HIPAA, state dental practice acts, or consumer protection laws
- Reverse engineer, decompile, or attempt to extract source code or model weights from the Service, except as expressly permitted by law
- Interfere with the integrity, security, or performance of the Service, including by introducing malware, conducting unauthorized scans, or attempting to bypass access controls
- Use the Service to send unsolicited communications in violation of the Telephone Consumer Protection Act ("TCPA"), the CAN-SPAM Act, or similar laws
- Use the Service to process information about individuals other than your Practice's patients and authorized personnel
- Resell or sublicense the Service without written authorization from Coco
- Use the Service to make clinical decisions outside the scope of the Practice's licensed providers
9. Intellectual property
Coco and its licensors retain all right, title, and interest in and to the Service, including all software, documentation, designs, and trademarks. Coco grants you a limited, non-exclusive, non-transferable, revocable license to access and use the Service during the term of your subscription, solely for the purpose of operating your Practice.
Practices retain all right, title, and interest in their patient and case data ("Practice Data"). Coco may use de-identified and aggregated information derived from the Service to operate, secure, and improve the Service, consistent with applicable law and the BAA.
10. Confidentiality
Each party may receive non-public information of the other party that is marked, identified, or that a reasonable person would understand to be confidential. The receiving party will protect such information using at least the same care it uses to protect its own confidential information of like kind, and will not disclose it except to personnel and subprocessors with a need to know who are bound by similar confidentiality obligations.
11. Disclaimers
The service is provided "as is" and "as available." To the maximum extent permitted by law, Coco disclaims all warranties, whether express, implied, or statutory, including the implied warranties of merchantability, fitness for a particular purpose, and non-infringement. Coco does not warrant that the service will be uninterrupted, error-free, or that defects will be corrected. Coco does not provide medical or clinical advice. Practices and providers are solely responsible for the practice of dentistry, treatment decisions, fee disclosures, and compliance with state and federal law.
12. Limitation of liability
To the maximum extent permitted by law, in no event will Coco be liable for any indirect, incidental, special, consequential, or punitive damages, or for any loss of profits, revenue, data, or goodwill, arising out of or in connection with these Terms or the service, even if Coco has been advised of the possibility of such damages.
Coco's aggregate liability arising out of or in connection with these Terms or the service will not exceed the amounts paid by the practice to Coco for the service in the twelve (12) months preceding the event giving rise to the liability. Some jurisdictions do not allow the exclusion or limitation of certain damages, so some of the above limitations may not apply to you.
13. Indemnification
You agree to defend, indemnify, and hold harmless Coco and its officers, directors, employees, and agents from and against any third-party claims, damages, liabilities, costs, and expenses (including reasonable attorneys' fees) arising out of or related to (a) your or your Practice's use of the Service, (b) your breach of these Terms, (c) your violation of any law or third-party right, or (d) clinical decisions, treatment outcomes, or fee disclosure obligations of the Practice.
14. Term and termination
These Terms remain in effect for as long as you access or use the Service. Coco may suspend or terminate access for any material breach of these Terms, for security reasons, or as required by law, with notice where reasonably practicable.
Upon termination, your right to access the Service ends. Sections of these Terms that by their nature should survive termination (including intellectual property, confidentiality, disclaimers, limitations of liability, indemnification, and governing law) will survive.
15. Governing law and dispute resolution
These Terms are governed by the laws of the State of Delaware, without regard to its conflict-of-laws principles. Any dispute arising out of or relating to these Terms that cannot be resolved through good-faith discussion will be resolved by binding arbitration administered by the American Arbitration Association under its applicable rules, seated in Delaware. Each party retains the right to seek injunctive or equitable relief in a court of competent jurisdiction.
To the extent permitted by law, the parties waive any right to participate in a class, collective, or representative action.
16. General provisions
Entire agreement. These Terms, together with any Order Form, BAA, or written agreement between Coco and the Practice, constitute the entire agreement between the parties regarding the Service.
Amendment. Coco may update these Terms from time to time. Material changes will be communicated through the Service or by email to Practice administrators. Continued use of the Service after the effective date of an update constitutes acceptance of the updated Terms.
Assignment. You may not assign these Terms without Coco's prior written consent, except to a successor in connection with a merger, acquisition, or sale of substantially all of your assets. Coco may assign these Terms in connection with a corporate transaction.
Severability. If any provision of these Terms is held unenforceable, the remaining provisions will remain in full force and effect.
No waiver. A failure to enforce any right or provision is not a waiver of that right or provision.
Force majeure. Neither party will be liable for delays or failures in performance caused by events beyond its reasonable control.
17. Contact
For questions about these Terms: