Disclaimer & Terms of Use

Any Medical Form is not currently offered under a Business Associate Agreement and should not be treated as a HIPAA-compliant service. The product is designed so that PHI is never required and is not knowingly collected, stored, or transmitted. Because we do not accept PHI, we do not function as a business associate to your practice.

If your compliance office requires a signed BAA before any clinical content — even de-identified — may be sent to a third-party model, do not use this tool in that workflow. A BAA offering is on our roadmap; contact us if you'd like to be notified when it's available.

We take data security seriously. All data is transmitted securely, and no patient identifiers are required to use this tool. We are actively working toward formal compliance certifications and will update this page as those are completed.

We ask clinicians not to enter patient names, dates of birth, MRNs, addresses, phone numbers, insurance IDs, or other direct identifiers. The tool does not currently run an automated PHI scrubber on your dictation before it is sent to the language model, and free-text descriptions can still contain quasi-identifiers (age, rare diagnosis, employer, town, injury circumstances) that could re-identify a patient in combination. Treat the dictation field as if it were a public notepad: describe the clinical picture in general terms and add identifiers later, in your own EHR, after you paste the draft.

An automated PHI-detection layer is planned. Until it ships, the responsibility for keeping identifying detail out of dictations rests with the clinician.

Dictations and generated drafts are sent to a third-party language model provider (see Subprocessors & model below) to produce your output. We do not persist dictations or generated drafts in our own database, we do not build a per-user history of your sessions, and we do not use your content to train, fine-tune, or evaluate any model — ours or a third party's.

Short-lived operational logs (timestamps, request status, error messages, coarse rate-limit counters) may be kept for reliability and abuse prevention. These logs are not designed to contain dictation content.

Dictations are routed through the Lovable AI Gateway to a general-purpose large language model provided by Google (Gemini family). Model selection may change as models improve; we will keep this section current so compliance reviewers can identify the provider in use.

Hosting and edge functions run on Cloudflare Workers. Application infrastructure (auth, storage) is provided through Lovable Cloud (built on Supabase). None of these subprocessors have been engaged under a BAA for this product — see the HIPAA section above.

Any Medical Form generates letters and administrative documentsthat summarize a clinical picture. It is not a chart note of the actual encounter, not an examination record, and not a substitute for contemporaneous clinical documentation of what you did with the patient.

Do not use it for: emergency or time-critical clinical decisions, medico-legal reports intended to stand alone as the primary record of an encounter, or any workflow where the generated letter would replace (rather than accompany) proper documentation of the visit itself.

Insurance appeal letters (Level 1, Level 2, external review, and denial-specific appeals) are jurisdiction- and payer-specific. A fluent, professional-sounding appeal generated from a one-line dictation can look authoritative while being substantively thin.

For any appeal, we strongly recommend providing structured input: the payer's exact denial reason, the specific policy or coverage criteria cited, the clinical facts that meet those criteria, and the prior treatments tried and failed. Generating an appeal from minimal input, and submitting it without a clinician's substantive review, can shade into misrepresentation if the underlying medical necessity is not real. You are responsible for the accuracy of any appeal you sign and submit.

The tool does not verify that a user is a licensed clinician. Sign-in establishes an account, not a credential — we do not check NPI, state license, DEA, or specialty. Use of Any Medical Form is restricted, by these terms, to licensed clinicians (and their delegates acting under a clinician's supervision) generating documents for patients under their own care. Use by anyone else — including patients generating letters for themselves, or third parties generating letters on behalf of a clinician who has not reviewed the underlying clinical facts — is prohibited and may constitute fraud under applicable law.

The tool does not block copy, download, or printing of a draft. "Review before submit" is guidance, not a hard gate. Every draft is displayed in an editable review pane, and the expectation — reflected in these terms — is that a clinician reads and edits the draft before it is placed in a chart, handed to a patient, or submitted to a payer.

Any Medical Form is a documentation aid for licensed clinicians. It does not provide medical advice, does not make clinical decisions, and is not a substitute for professional judgment. Nothing produced by this tool should be treated as a recommendation for diagnosis, treatment, coding, or billing.

Every draft produced from a dictation must be reviewed and edited by a clinician before it is used. You are responsible for the accuracy, completeness, and clinical appropriateness of any document you place in a patient chart, hand to a patient, or submit to a payer.

To keep the tool available and prevent abuse, we ask for an email to sign in. We do not ask for your NPI, license number, DEA, or any other professional credential. You may sign in under any name you choose — a display name is not verification of identity or licensure. The sign-in method may change in the future.

You are not signing any document inside our tool. Nothing you do here constitutes a clinical signature, attestation, or legal execution of a form. Signing happens later, on your side, after you download and save the draft and have decided it is appropriate to use as a letter or document.

When ICD-10 codes appear in a draft, treat them as convenience suggestions to help you get started. You are responsible for selecting and verifying the correct codes for the patient encounter and for any billing or coverage decisions that follow.

The tool is provided "as is" and "as available," without warranties of any kind, express or implied, including fitness for a particular purpose, accuracy, or non-infringement. To the fullest extent permitted by law, Any Medical Form and its contributors are not liable for any damages arising from the use of, or inability to use, the tool or its output.

Do not use the tool to enter PHI, to attempt to identify individual patients, to generate content that impersonates a clinician you are not, or to disrupt the service for other users. We may rate-limit or block access where necessary to keep the service available.

We may update this page as the tool evolves. Continued use after an update means you accept the current version.

Paid plans start with a 14-day free trial. Payment details are collected when the trial begins, and your card is charged automatically at the end of the trial unless you cancel first. You can cancel at any time during the trial from your account page or the Stripe customer billing portal (linked from your account) at no cost.

All charges are non-refundable once the 14-day trial ends and your card is charged. This includes both monthly and annual plans, and applies whether or not the tool is used during the paid period. You must cancel before the trial ends to avoid being charged — no refunds are issued after that point.

Cancellation stops future renewals. If you cancel after being charged, access continues until the end of the paid period you already paid for; no partial or pro-rated refunds are issued. Duplicate charges caused by a billing error will be corrected on request.

To report a security vulnerability or concern related to this site, please email skazmi1991@outlook.com. We take security reports seriously and will respond as promptly as possible.