The plain-language summary of what clients agree to. The full documents, agreed to in the app before a client’s first chat, are the AI Support Disclosure & Client Consent (PDF) and the Terms of Use for Clients (PDF), both effective September 28, 2026. A client of a physical therapist agrees to the AI Support Disclosure & Client Consent for Physical Therapy (PDF) in place of the first. They are separate: the consent is about care, the Terms of Use are the client’s agreement with PsyBird about using the app, and agreeing to one is not agreeing to the other.
Psy is an AI companion, not your clinician. Clients are told clearly, and agree in the app, that they are talking with an AI system that supports the plan their clinician set. It cannot diagnose or treat.
Your clinician stays informed. Conversations are summarized for your clinician to read, and anything concerning is flagged to them. Letters from Psy reach you only after your clinician approves them.
What is recorded for your clinician. The exercises you complete, your check-ins, and your questionnaire scores are recorded with the date and shared with your clinician, who may use them to document your care. For physical therapy, your workouts are recorded too, with the pain and effort ratings you give. PsyBird is software your clinician uses as part of your treatment; it has not been reviewed, cleared, or approved by the FDA, and it does not treat any condition on its own.
If your clinician is a physical therapist. Psy can talk you through your exercises and answer questions about them. It may suggest easing off, doing more, or trying a different exercise; those suggestions are not your physical therapist’s instructions and never change your program. Exercise carries a risk of injury: follow the program and the precautions your physical therapist set, stop if something feels wrong, and tell them. Section 3A of the Terms of Use for Clients says what you accept about that risk. Physical therapy clients must be adults.
Not monitored in real time, not for emergencies. If you are in danger or thinking about harming yourself, call or text 988 (US) or your local emergency number. If something feels wrong during an exercise, stop, and call 911 for an emergency. Psy will remind you of this too. What Psy does when someone may be in danger is set out on the Security page.
Calls stay private. Video and voice calls connect directly between client and clinician and are encrypted.
Psy’s notes from sessions. A clinician can have Psy take notes in sessions, in person or in a video or voice call, by recording the session. Whether that is on is the clinician’s choice, and it is the clinician’s responsibility to ask the client first and to follow their state’s recording-consent rules; PsyBird records their answer and its date. The audio is deleted once Psy’s draft note is written, and never kept more than 72 hours after the recording ends. The transcript is kept only so the clinician can check the draft, until they sign the note and for no more than 30 days. Neither is used to train public or third-party AI models. The signed note is part of the clinical records the clinician keeps, so clients do not see it in the app. A client who would rather a session were not recorded tells their clinician.
Your data. AI processing runs on Google Cloud under a healthcare data-protection agreement (a HIPAA Business Associate Agreement). What you write stays within your practice’s space, is never sold, is never used to train public AI models, and can be exported or deleted on request.
Consent is recorded like a signature. A mental health client (and a parent or legal guardian for ages 13–17) checks each of the seven consent statements in the app before their first chat, plus a separate eighth box agreeing to the Terms of Use for Clients. A physical therapy client, who must be an adult, checks nine statements and a tenth box. Agreement is recorded electronically with a timestamp, as the E-SIGN Act allows. The guardian’s consent is collected and documented by the practice, not by PsyBird.