Go to Production
Build on test keys today. When you're ready for real physician review, complete the Activate Production workflow.
The activation checklist
- Add a card. Your card is kept on file for prepaid-credit charges.
- Buy credits. Purchase an initial credit balance.
- Configure auto-refill (optional but recommended) so submissions never bounce on an empty balance.
- Verify your identity. You — the developer — verify your own identity via Stripe Identity.
- Accept the developer terms.
- 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.