Terms & Conditions

1. Services

In&Out Digital provides fully managed patient-acquisition services for US medical spas, consisting of two core components delivered as a single integrated package:

• AI Receptionist: build, configuration, and ongoing management of a Synthflow-powered AI voice receptionist for your practice, including call handling, lead capture, and appointment booking integration
• Google Ads Management: campaign architecture, ad copywriting, compliance review, bid management, conversion tracking, and ongoing optimization of your Google Ads account

All services are delivered by our team on your behalf. You will never be required to access or manage either platform directly. All accounts and assets created for you remain your property at all times.

2. Fees and Payment

• Monthly retainer: $1,997 per month, billed on the same date each month following the start of service
• Setup fee: $0. There is no setup fee
• Ad spend: paid separately and directly by you to Google. Ad spend is not included in our retainer and does not pass through us
• Payment method: credit card or ACH via our payment processor. All transactions are processed securely; we do not store raw card numbers
• Late payments: invoices unpaid after 10 days may result in suspension of services. We will notify you before any suspension

Pricing is subject to change with 30 days' written notice. Existing clients on active agreements are not subject to mid-term price increases.

3. 60-Day Money-Back Guarantee

If, at the end of 60 days from your campaign launch date, we have not produced measurable results — specifically, at least one qualified booked appointment attributable to our campaign — you may request a full refund of our retainer fees paid to date.

• To claim the guarantee, notify us in writing within 7 days after the 60-day period ends
• Refunds are processed within 14 business days of a validated claim
• Ad spend paid directly to Google is not refundable by us, as those funds go to Google, not to In&Out Digital
• The guarantee applies once per client and is not transferable
• Clients who pause, interfere with, or restrict campaign activity during the 60-day period void the guarantee

4. Cancellation

There is no long-term contract. You may cancel at any time by providing written notice (email is sufficient). The following terms apply on cancellation:

• Service continues through the end of the current billing cycle. No prorated refunds are issued for partial months
• Within 14 days of your final billing cycle, we will transfer all assets to you in full: your Google Ads account access, your Synthflow build and configuration, all call recordings in your account, and any other materials created specifically for your practice
• We do not impose exit fees, retention calls, or cancellation penalties

5. Client Responsibilities

For us to deliver results, you agree to:

• Provide accurate information about your practice, services, pricing, and scheduling at onboarding and on an ongoing basis
• Maintain a funded Google Ads account with sufficient budget to support campaign activity (minimum recommended: $1,500/month in ad spend)
• Grant us necessary admin access to your Google Ads account and any connected scheduling systems
• Respond to our team within 2 business days on matters requiring your input or approval
• Ensure your practice is compliant with applicable state medical and advertising regulations for the services you offer
• Not interfere with, modify, or override campaign settings or AI agent configuration without consulting us first

6. Account Ownership

You own everything we build for you. This includes:

• Your Google Ads account and all campaign data within it
• Your Synthflow AI receptionist build and all associated configurations
• All call recordings and transcripts processed on your behalf
• All ad creative, copy, and landing page content created for your practice

We do not hold your accounts hostage. Upon cancellation or completion of engagement, full transfer of all assets is completed within 14 days at no additional charge.

7. Market Exclusivity

We accept only one med spa client per 10-mile market radius. While you are an active client in good standing (current on payments, no active cancellation notice), we will not onboard a competing med spa within your defined exclusivity zone.

Exclusivity is defined by the primary service address provided at onboarding. It does not extend to adjacent markets or to other practice types (e.g., dermatology clinics, plastic surgery practices). If a dispute arises over exclusivity boundaries, we will resolve it in good faith with both parties.

8. Intellectual Property

Any proprietary systems, methodologies, templates, or processes we use to deliver services remain our intellectual property. Client-specific deliverables — ads, copy, agent scripts created for your practice — are assigned to you upon full payment.

You grant us a limited license to use your practice name, logo, and service information solely to provide the contracted services. We will not use your brand in our marketing without your written consent.

9. Limitation of Liability

We are a marketing and technology services provider, not a licensed medical professional. We are not responsible for:

• Clinical outcomes or patient care decisions made by your practice
• Third-party platform outages or changes in Google Ads policies that affect campaign performance
• Loss of revenue attributable to your practice's operational decisions, staffing, or capacity constraints
• Results that fall short of projections due to factors outside our control, including market conditions, competitor activity, or seasonal fluctuation

Our total liability to you under this Agreement, for any cause and regardless of the form of action, shall not exceed the total fees paid by you to us in the 3 months immediately preceding the event giving rise to the claim.

10. Confidentiality

Both parties agree to keep confidential any non-public information shared during the engagement — including pricing, patient data, business strategy, and performance data — and to use such information only for the purposes of delivering or receiving the contracted services. This obligation survives termination of the Agreement for a period of 2 years.

11. Governing Law and Disputes

This Agreement is governed by the laws of the State of Texas, without regard to conflict of law principles. Any dispute arising under or relating to this Agreement shall first be submitted to good-faith negotiation between the parties. If unresolved within 30 days, disputes shall be submitted to binding arbitration under the rules of the American Arbitration Association, conducted in San Antonio, Texas. Judgment on the arbitration award may be entered in any court of competent jurisdiction.

12. Changes to These Terms

We may update these Terms from time to time. When we do, we will update the "Last Updated" date at the top of this page and notify active clients by email at least 14 days before changes take effect. Continued use of our services after that date constitutes acceptance of the updated terms.

13. Contact

Questions about these Terms? Reach us at: