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Terms of Service

Effective June 29, 2026

These Terms of Service ("Terms") are a binding agreement between you and Cara ("Cara", "we", "us", or "our") governing your access to and use of the Cara website, software, APIs, and related services (collectively, the "Service"). By creating an account or using the Service you agree to these Terms. If you are using the Service on behalf of an organization, you represent that you have authority to bind that organization, and "you" refers to both you and the organization.

1. The Service

Cara provides marketing automation, lead management, AI-generated content and recommendations, communications (email, SMS, voice), and related tooling primarily for home care agencies. The Service may evolve; we may add, change, or remove features at any time.

2. Eligibility & accounts

  • You must be at least 18 years old and able to form a binding contract.
  • You are responsible for safeguarding your credentials and for all activity under your account.
  • You must provide accurate information and keep it current.

3. Subscriptions, fees & taxes

  • Paid plans are billed in advance on a recurring basis through our payment processor (Stripe).
  • Fees are non-refundable except where required by law. You may cancel future renewals at any time; access continues through the end of the paid period.
  • You are responsible for all applicable taxes other than taxes on our net income.
  • We may change pricing on renewal with reasonable prior notice.

4. Third-party services & marketing/ad spend

The Service integrates with third-party providers including, without limitation, Meta (Facebook/Instagram Ads), Google (Calendar and others), Retell AI, Twilio, Resend, Stripe, and OpenAI/Google AI model providers (each a "Third-Party Service"). Your use of any Third-Party Service is governed by that provider's terms. You are solely responsible for:

  • All advertising and media spend, including amounts billed by Meta, Google, or any other ad network. Cara never funds, advances, reimburses, or guarantees ad spend. Charges from ad networks are between you and that network.
  • Telecom and messaging fees (e.g., per-minute voice and per-message charges).
  • Maintaining your own accounts, billing relationships, and compliance with each Third-Party Service.
  • Reviewing AI-generated budget changes, campaign actions, and message drafts before they are applied or sent where applicable.

You authorize Cara to take actions on your behalf within Third-Party Services that you have connected (for example, adjusting ad budgets, sending messages, or creating calendar events). You can revoke this authorization at any time by disconnecting the integration.

5. AI features — no guarantee of results

The Service uses artificial intelligence to generate text, recommendations, classifications, forecasts, voice interactions, and other output ("AI Output"). AI Output can be inaccurate, incomplete, biased, or otherwise inappropriate. You are responsible for reviewing AI Output before relying on it, sending it to a third party, or taking action based on it. Cara makes no guarantee of any particular result, including without limitation any specific number of leads, conversions, appointments, admissions, revenue, return on ad spend, ranking, or business outcome.

6. Your content & data

You retain ownership of the data, contacts, content, and materials you submit to the Service ("Customer Data"). You grant Cara a worldwide, non-exclusive license to host, process, transmit, display, and otherwise use Customer Data solely to provide and improve the Service, including by sending it to Third-Party Services you have connected. You represent that you have all rights, consents, and legal bases necessary to provide the Customer Data and to allow the communications the Service sends on your behalf.

7. Communications compliance (TCPA, CAN-SPAM, CASL, etc.)

You are solely responsible for compliance with all laws governing the marketing, calling, texting, and emailing you conduct through the Service, including the TCPA, CAN-SPAM, CASL, GDPR, and state privacy and telemarketing laws. You will obtain and maintain all required consents from recipients, honor opt-out requests promptly, and not use the Service to send unlawful, deceptive, harassing, or otherwise prohibited messages.

8. Acceptable use

You will not, and will not allow any third party to:

  • Use the Service to violate any law or third-party right.
  • Send spam, malware, or unlawful, harassing, or misleading content.
  • Reverse engineer, scrape, or attempt to derive source code of the Service.
  • Resell, sublicense, or provide the Service to a competitor of Cara.
  • Interfere with or disrupt the integrity or performance of the Service.

9. Health information and HIPAA

Home care intake inevitably involves limited health information. Where you are a Covered Entity or a Business Associate under HIPAA and you use the Service to create, receive, maintain, or transmit Protected Health Information (PHI), Cara acts as your Business Associate. That relationship is governed by our Business Associate Agreement, which you accept inside the app before working with live records, and which is incorporated into these Terms by reference. If the BAA and these Terms conflict as to PHI, the BAA controls.

Even so, keep PHI to the minimum necessary. The Service is built for intake, outreach, and coordination, not as a system of record for clinical care. Do not upload medical charts, full clinical records, imaging, lab results, or payment card data. Email and SMS are not secure channels: Cara deliberately omits health details from notification emails, and you are responsible for the consents and content of messages you send.

By default Cara de-identifies records before sending anything to AI model providers. An administrator can allow full-content AI processing in Settings, and doing so is your decision and your responsibility. We have a signed Business Associate Agreement and Data Processing Agreement with Retell AI. See our security overview and subprocessor list for current vendor agreement status.

10. Termination

You may terminate at any time by cancelling your subscription and discontinuing use. We may suspend or terminate your access immediately if you breach these Terms, create risk or legal exposure for us, or fail to pay fees when due. Upon termination, your right to use the Service ends and we may delete Customer Data after a reasonable retention period.

11. Disclaimers

THE SERVICE AND ALL AI OUTPUT ARE PROVIDED "AS IS" AND "AS AVAILABLE", WITHOUT WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NON-INFRINGEMENT, ACCURACY, AND ANY WARRANTY ARISING FROM COURSE OF DEALING OR USAGE OF TRADE. CARA DOES NOT WARRANT THAT THE SERVICE WILL BE UNINTERRUPTED, SECURE, ERROR-FREE, OR THAT IT WILL PRODUCE ANY PARTICULAR RESULT, INCLUDING LEADS, APPOINTMENTS, ADMISSIONS, REVENUE, OR RETURN ON AD SPEND.

12. Limitation of liability

TO THE MAXIMUM EXTENT PERMITTED BY LAW, CARA AND ITS AFFILIATES WILL NOT BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, EXEMPLARY, OR PUNITIVE DAMAGES, OR FOR ANY LOSS OF PROFITS, REVENUE, GOODWILL, BUSINESS, LEADS, OR DATA, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. CARA IS NOT LIABLE FOR ANY ADVERTISING, MEDIA, TELECOM, MESSAGING, OR OTHER THIRD-PARTY CHARGES INCURRED THROUGH YOUR USE OF THE SERVICE. OUR TOTAL AGGREGATE LIABILITY ARISING OUT OF OR RELATING TO THE SERVICE WILL NOT EXCEED THE AMOUNTS YOU ACTUALLY PAID TO CARA FOR THE SERVICE IN THE THREE (3) MONTHS IMMEDIATELY PRECEDING THE EVENT GIVING RISE TO THE CLAIM.

13. Indemnification

You will defend, indemnify, and hold harmless Cara and its affiliates, officers, employees, and agents from any claim, demand, loss, or damages, including reasonable attorneys' fees, arising out of or related to (a) your Customer Data, (b) your use of the Service or any Third-Party Service, (c) communications sent through the Service on your behalf, (d) advertising or media spend, or (e) your breach of these Terms or any law.

14. Changes to the Service or Terms

We may modify these Terms at any time. Material changes will be announced in-app or by email. Continued use after the effective date constitutes acceptance.

15. Governing law & disputes

These Terms are governed by the laws of the State of Delaware, without regard to its conflict-of-laws principles. The parties consent to the exclusive jurisdiction of the state and federal courts located in Delaware for any dispute not subject to arbitration. Either party may seek injunctive relief in any court of competent jurisdiction to protect its intellectual property.

16. Contact

Questions about these Terms? Contact us at legal@cara.ai.