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Go to Production

Build on test keys today. When you're ready for real physician review, complete the Activate Production workflow.

The activation checklist

  1. Add a card. Your card is kept on file for prepaid-credit charges.
  2. Buy credits. Purchase an initial credit balance.
  3. Configure auto-refill (optional but recommended) so submissions never bounce on an empty balance.
  4. Verify your identity. You — the developer — verify your own identity via Stripe Identity.
  5. Accept the developer terms.
  6. Request production access. We review and approve (manual review at launch). You'll get an email when you're live.

After approval

Create a production key (ak_live_…) from your dashboard. Submissions made with it reach a board-certified physician. Everything else about the integration stays identical to sandbox.

Acceptable use

Transmit the patient's information faithfully; don't tune narratives for a specific outcome. Appendix reserves the right to restrict indications, decline any request, or suspend access for misuse. See Consent & Identity for the full do/don't list.