Membership terms

Using CRx

These terms explain your use of CRx and any membership you buy. Membership is for healthcare professionals and healthcare students aged 18 or over who can enter into a contract. Our teaching is UK-focused; availability to someone outside the UK does not mean the material reflects their local practice or rules. Nothing here removes mandatory consumer protections in your country.

Accounts are personal. Give accurate account information, keep your sign-in details private and do not share access. Accounts are ordinarily limited to two simultaneous sessions; contact us if this causes a legitimate access problem. Do not submit patient-identifiable information, attack the service, bypass access controls, scrape the collection or redistribute or resell protected material.

You may read and use resources for your own study, recall, CPD and professional development. You may use the Copy, download and prompt-building features provided, including copying your generated prompt into an external AI service for your own use. This does not permit bulk extraction, republication or commercial redistribution of the collection. Rights in third-party material and permissions or exceptions provided by law remain unaffected.

What membership includes

The membership page and checkout describe the access included when you join. Early Access covers the resources available today; formats vary by topic. It does not promise an unpublished resource or completion date. External AI subscriptions are separate. CRx Ask AI and Tutor AI build prompts rather than generate answers or automatically submit your prompt.

Free trial and monthly payments

One month free, then £10/month. The free trial is for new Premium members, once per member. Payment details are required. Previous Premium or trial members pay the applicable joining price immediately; opening another account does not create another trial. Discount codes may change the price or trial. Checkout shows your payment terms before you confirm.

The free trial lasts one calendar month, rather than a fixed 30 days. Cancel before your trial ends and you won’t be charged. After the trial, payments recur monthly until you cancel. Your subscription details show your payment dates. Stripe processes payments. Existing subscriptions keep their agreed prices, discounts, payment dates and any other terms agreed when they started.

Your subscription price: your agreed recurring price stays the same while your subscription continues. This includes a failed payment collected on a later attempt, provided the subscription has not ended. Cancelling and later joining again creates a new subscription at the offer then available. Mandatory legal or tax changes remain subject to applicable law and appropriate notice.

Cancel future renewal

Use Account to cancel renewal. Cancel before the first payment to avoid that charge, or before a later renewal to avoid the next charge. When you cancel, check the confirmation for when your Premium access ends. Contact support if you cannot use the account controls.

Statutory cancellation and consumer rights

We do not ask you to waive statutory cooling-off rights as a condition of immediate access. Where the UK statutory 14-day cancellation right applies, you can exercise it within 14 days after entering the contract by sending a clear cancellation request to team@clinicalreasoning.io or using Contact support. You can use this optional wording: “I give notice that I cancel my CRx membership contract entered into on [date]. My name and account email are [details].” You do not have to use this wording.

We will deal with statutory refunds without undue delay and within the applicable legal deadline, normally no later than 14 days after being informed of cancellation, using the original payment method unless another method is agreed without extra cost. Rights concerning faulty or misdescribed digital content or services, and other rights that cannot lawfully be excluded, continue to apply. These rights are separate from cancelling future renewals.

Billing questions

For a billing or refund query, contact us from your account email and provide the order reference if available. Do not send card details or passwords. Approved refunds are processed without undue delay; statutory deadlines take precedence over support response targets.

Changes, access problems and suspension

We may correct content, maintain the service and change features for security, legal or operational reasons. If a proposed change materially reduces a paid service or changes these terms, we will explain it and give reasonable advance notice where possible, with the opportunity to cancel before it takes effect. Urgent security or legal changes may need immediate action. Existing consumer remedies and refunds due for services not supplied remain available.

We may restrict an account where reasonably necessary to investigate misuse or protect the service. We will explain the reason and how to contact us to challenge the decision unless doing so would compromise security or breach the law. Restrictions will be proportionate; they do not remove refund or other statutory rights.

Responsibility and disputes

We take reasonable care in providing the service, but educational resources can contain errors or become outdated. Check authoritative guidance for clinical work. We do not promise an examination result, qualification or clinical outcome. External sites and AI providers have their own terms and privacy practices.

Nothing in these terms excludes liability for death or personal injury caused by negligence, fraud or fraudulent misrepresentation, or any liability or consumer right that cannot lawfully be excluded. Educational-purpose statements do not override those protections.

English and Welsh law governs these terms, without removing mandatory protections where you live. You retain any right to bring proceedings in your local courts. Contact support first if you have a complaint so we can try to resolve it.

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Privacy notice

Dr QuickNotes LTD is responsible for the personal information described here. Contact team@clinicalreasoning.io with a privacy request. We do not sell personal information.

What we use and why

Your profile can include your professional role, country or region, working setting and learning goals. These preferences are not evidence that we have verified your registration or credentials. Please use fictional examples in learning tools and never send patient-identifiable information through prompts, search phrases or support forms.

Learning tools and Workspace

The four Open learning tools and seven Pharmacy First pathways run in your browser without creating a saved history of your entries or sending them to an AI service. You choose whether to open external reference and search links. Workspace may separately remember your layout and recently opened resources on your device. Ordinary page requests are still processed by our hosting services.

Ask AI, Tutor AI and just-in-time learning (JITL)

The current Ask AI and Tutor AI pages build and edit prompts in your browser. They may read the role, region and setting saved in your CRx profile to initialise preferences after an access check. Editing those starter values does not write back to your profile. Prompt inputs, previews and edits are not saved by these builders as drafts or submitted to a CRx AI service. Closing or refreshing the page clears that page session.

When you choose Ask AI or Tutor AI from Workspace’s JITL dialog, only the edited search phrase is transferred in a link fragment. The receiving page removes the recognised fragment and uses the phrase once in temporary page memory; it discards it if access is denied. A fragment is not part of the HTTP page request, but it is not encrypted and may be visible to browser software or extensions. Article text, patient context and profile details are not included in this handoff.

Copy writes the prompt to your device clipboard. Opening an AI provider is a separate action and does not send your prompt automatically. If you paste or submit it there, that provider processes it under its own policies. Reference-search and JITL source links send the search phrase, any optional context you enable, and source-specific search terms to the selected provider. Review these before opening.

Service providers and transfers

We use Kinsta and Sevalla for website/app hosting and related infrastructure, Stripe for payments, and CookiePal for cookie choices. Some pages request fonts from Google Fonts, which receives the network information needed to deliver them. Where a profile avatar is displayed, an image request may be made to Gravatar (Automattic). Account and support forms run within our website. Support correspondence is delivered through our mail service and handled in our support mailbox. Authorised service providers may process information needed for these functions; they are not all independent recipients of every field.

External resources, media and AI providers receive information when you choose to use them, and their own policies apply. With your consent, we use Google Analytics 4 across clinicalreasoning.io and its learning resources to understand visits, page categories, traffic sources and device/browser types and improve the service. Google receives browser/session identifiers and usage information. See Google’s privacy policy and how Google uses information from sites that use its services.

Some providers operate internationally. Where personal information is transferred outside the UK, the applicable arrangement must provide a lawful transfer basis, such as UK adequacy regulations or appropriate contractual safeguards. Contact us for details of the safeguards applying to your information.

Retention

We keep information for the purpose for which it is needed, rather than applying one deletion date to every record:

  • Account records support your membership and any Free access retained afterwards. Closing a paid subscription is different from requesting deletion of the account.
  • Financial records are retained for applicable accounting and tax obligations. Limited trial-use and dispute records may need to remain to enforce the once-only offer, prevent abuse or deal with a legal claim.
  • Support records are kept while resolving the request and for a proportionate period afterwards for follow-up, recurring faults or disputes. The contact and issue-report forms are configured to move entries to trash after two years; this is not a promise that email copies, trash or backups disappear on that date.
  • We retain security logs while needed to investigate errors, misuse or an active incident, taking account of the incident and any legal obligation. Backups are retained for service recovery and replaced through the hosting backup schedule; deleting an active record does not immediately remove every backup copy. We restrict the use of retained backups to recovery, security and legal needs.
  • Google Analytics detailed user/event data is retained for two months. Aggregate reports are not subject to this limit.
  • PostHog collection has stopped; earlier analytics and recordings may remain in that account.

Contact us to ask about retention for a particular record or request deletion. We will explain any information we must retain and why.

Your rights

Depending on the circumstances, you can request access, correction, erasure, restriction or portability, object to processing based on legitimate interests, and withdraw consent without affecting earlier lawful processing. We may need to verify identity. We normally respond to a data-rights request within one calendar month; if a lawful extension applies, we will explain it. To complain about how we handle your information, email team@clinicalreasoning.io or use our contact form. We will acknowledge your complaint within 30 days, investigate and tell you the outcome. You can also complain to the Information Commissioner’s Office.

Membership/access checks use subscription information; the platform does not make automated clinical decisions about patients. Contact support if an account-access decision appears incorrect.

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Cookies and browser storage

Cookies and similar storage help keep you signed in, protect checkout, remember consent and retain requested interface preferences. Apps may also remember layout, recent resources, panel sizes, zoom or JITL audience preferences in browser storage. Clearing site data can sign you out and reset these settings.

Necessary account, security, payment and consent storage supports the service. Optional Google Analytics runs after you accept Analytics in CookiePal. Your choice is shared across our subdomains.

Use Cookie settings to change or withdraw consent at any time. Withdrawal stops future Analytics collection and clears its cookies. Google Analytics cookies, such as _ga and _ga_*, distinguish browsers and sessions and can last up to two years during consented use. Your browser can also clear or block site data; blocking necessary storage may affect sign-in or payments.

We also use a 30-minute staff/test exclusion preference and a one-year marker to prevent repeated provider-change consent prompts.

External sites you open have their own privacy notices and cookie settings. If a cookie control or blocked embed does not behave as expected, report the page.

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Educational use

CRx is an educational reference and learning resource for clinicians and students. It is not patient-facing advice, a medical device or a patient-specific diagnosis or prescribing service. It does not replace professional judgement, current guidance, local policies or appropriate supervision.

Some material is drafted or refined with AI assistance. Resources may contain inaccuracies or become outdated; availability does not mean every item has completed independent human clinical review. Sources support further checking rather than implying endorsement by NICE or another organisation.

Use fictional or appropriately anonymised examples. Do not enter identifiable patient information into learning tools, external searches, AI services or support reports. These educational limitations do not restrict the legal rights set out above.

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Accessibility

We are working towards WCAG 2.2 AA. We do not claim full conformance across the whole platform. Recent work addresses keyboard controls, contrast, responsive layouts and readable labels.

  • Complex diagrams can require zooming, panning or an alternative text/reference view.
  • Some older tools and third-party embeds still have keyboard or assistive-technology limitations.
  • Browser testing at mobile widths is not equivalent to testing every physical device or screen reader.

Email team@clinicalreasoning.io with the page, the problem and any relevant device or assistive technology. Do not include patient details. We will try to provide an alternative way to access the information and prioritise barriers to core tasks.

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