Sub-processors

Last updated 8 September 2026

These are the service providers PatientMail (Kari Labs Ltd) uses to deliver the service, each bound by contract to process data only on our instructions unless noted as independently responsible. We tell every provider that the data includes health information so it is treated as sensitive, and we verify US providers' certifications quarterly. Practices receive 30 days' notice of any change to this list and may object under the data processing agreement.

ProviderWhat it doesData it touchesWhereTransfer safeguard
Supabase (on Amazon Web Services)Database hostingEverything PatientMail storesEuropean Union (Frankfurt)No restricted transfer — the data stays in the EU
VercelApplication hostingRequests to the applicationUnited StatesUK Extension to the EU–US Data Privacy Framework, or an International Data Transfer Agreement with a documented risk assessment
Meta PlatformsWhatsApp message deliveryMessage content (held up to 30 days to deliver it) and phone numbersUnited States / EUWhatsApp Business Data Processing Terms. The transfer route depends on which Meta company contracts with the practice: WhatsApp Ireland — no restricted transfer from the UK's point of view beyond the EU, covered by the UK Extension to the EU–US Data Privacy Framework for onward US processing; WhatsApp LLC — the WhatsApp Business UK Data Transfer Addendum, preceded by a documented data protection test. Being confirmed before WhatsApp goes live. Meta is independently responsible for some aspects of its platform
TwilioText message deliveryMessage content and mobile numbersUnited StatesUK Extension to the EU–US Data Privacy Framework, or an International Data Transfer Agreement with a documented risk assessment
The SMS WorksText message delivery (used in place of Twilio where a practice's account is configured for it)Message content and mobile numbersUnited KingdomNo restricted transfer — the data stays in the UK
ResendEmail deliveryEmail content and addressesUnited StatesUK Extension to the EU–US Data Privacy Framework, or an International Data Transfer Agreement with a documented risk assessment
StripeDeposit paymentsPayment amounts and references. Card details go to Stripe directly and never reach PatientMailUnited States / EUStripe's data processing agreement. Stripe is independently responsible for card, fraud-prevention and tax data under its own privacy policy

Dentally, your practice management system, is your own provider and does not appear here — PatientMail reads from it on your instruction. See also our privacy policy and data processing agreement.