Terms of Service

Last updated: October 28, 2026

These Terms of Service ("Terms") are an agreement between you and Cima Growth Solutions, LLC, a Pennsylvania limited liability company ("Cima," "we," "us," or "our"). They govern your use of cimagrowth.com, os.cimagrowth.com, the GrowthOS software platform, and the GrowthOS mobile apps (together, the "Service"). If you use the Service on behalf of an organization, you confirm that you have authority to bind that organization, and "you" means that organization.

1. Acceptance

By accessing or using the Service, or by continuing to use it after we post changes to these Terms, you agree to these Terms. If you do not agree, do not use the Service.

2. The Service

GrowthOS is subscription software for fertility and specialty clinics. Clinics use it to respond to inquiries, hold two-way conversations with their own patients and prospective patients by text, email, WhatsApp, web chat and phone, schedule appointments, manage pipelines, collect consent, manage their own connected advertising accounts, and report on results. Each customer operates its own account and controls who it contacts and what it sends. Cima provides the software, onboarding, and support. Cima does not provide medical care, medical advice, or clinical decisions.

3. Signed agreements

If you have signed a GrowthOS Platform Services Agreement or order form with Cima, that agreement governs the commercial terms of your subscription, such as scope, term and fees. These Terms apply to everything that agreement does not cover. If the two conflict, the signed agreement controls.

4. Accounts

Accounts are created by Cima for customers with a signed agreement. You must provide accurate information, keep your login credentials secure, and are responsible for activity under your account and by the users you invite.

5. Acceptable use

You will not use the Service to:

1. break any law or regulation;
2. send spam, unsolicited bulk messages, or any message to a person who has not given the consent required by applicable law and carrier rules, including the TCPA, CAN-SPAM, CTIA guidelines, and GDPR where it applies;
3. commit fraud or deceive anyone, including by impersonation;
4. infringe anyone's intellectual property or privacy rights;
5. upload malware, probe or test the Service's security, circumvent access controls, or scrape the Service by automated means;
6. resell or sublicense the Service without our written permission.

You are responsible for obtaining and recording any consent required to message your patients and prospective patients. The Service processes opt-out requests (such as STOP) automatically, and you must not work around them.

6. AI features

The Service includes AI features that draft messages, answers, summaries and other content. AI output may be inaccurate or incomplete. You are responsible for the instructions you give, for reviewing output before relying on it, and for what you send. AI output is not medical, legal, or other professional advice and must not be used in place of clinical judgment. You may not use AI features to create illegal, harassing, hateful, sexual, or deceptive content, to impersonate real people, or to bypass the Service's safeguards. We may restrict or remove content that breaks these Terms.

7. Your data and health information

You own the data you put into the Service. You grant us the rights needed to host, process and display it to provide the Service. You must not submit Protected Health Information unless a Business Associate Agreement with Cima is in place. Our Privacy Policy describes how we handle personal information.

8. Our intellectual property

Cima owns the Service, including its software, design, content and trademarks. These Terms give you a limited, non-exclusive, non-transferable right to use the Service during your subscription. If you send us feedback, we may use it without obligation to you.

9. Orders, payment and subscriptions

Our order process is conducted by our online reseller Paddle.com. Paddle.com is the Merchant of Record for orders placed through our online checkout, and Paddle's Buyer Terms (https://www.paddle.com/legal/checkout-buyer-terms) apply to those purchases, including payment, billing, taxes, renewals and cancellations. Where your signed agreement provides for direct invoicing by Cima, Cima bills you under that agreement.

Subscriptions renew automatically for the same term (monthly, six-month or annual) until cancelled. You can cancel at any time and cancellation takes effect at the end of the current billing period, or after the notice period in your signed agreement if it sets one. Some features, such as messaging, calling and AI usage, are billed by usage at the rates shown in your account or agreement. Fees exclude taxes unless taxes are calculated at checkout.

10. Refunds

Refunds are governed by our Refund Policy at https://cimagrowth.com/refund-policy.

11. Suspension and termination

We may suspend or terminate your access if you materially breach these Terms, fail to pay, create a security or fraud risk, repeatedly or seriously violate these Terms or messaging rules, or if a carrier, platform or law requires it. Where practical we will give notice first. You may stop using the Service at any time. After termination you may request an export of your data for 30 days.

12. Service availability

We work to keep the Service available and reliable, but we do not guarantee that it will be uninterrupted or error-free. Parts of the Service depend on third parties, such as phone carriers, Meta and Google, whose availability we do not control.

13. Disclaimer of warranties

To the maximum extent permitted by law, the Service is provided "as is" and "as available," without warranties of any kind, express or implied, including merchantability, fitness for a particular purpose and non-infringement.

14. Limitation of liability

To the maximum extent permitted by law, Cima is not liable for indirect, incidental, special, consequential or punitive damages, or for lost profits, revenue or data. Cima's total liability for any claim relating to the Service is limited to the amounts you paid for the Service in the 12 months before the claim.

15. Indemnity

You will defend and indemnify Cima against third-party claims arising from your content, the messages you send through the Service, or your failure to obtain required consent.

16. Changes

We may update the Service and these Terms. Changes to these Terms take effect when posted on this page, and we will notify active customers of material changes.

17. Governing law

These Terms are governed by the laws of the Commonwealth of Pennsylvania, without regard to its conflict-of-laws rules.

18. Contact

Cima Growth Solutions, LLC
3467 Trexler Blvd, Allentown, PA 18104
support@cimagrowth.com
+1-484-480-9296