Terms of Use

Last updated November 11, 2026

These terms cover your use of Pulse (pulsereferrals.com). By creating an account or using the site, you agree to them. If you are using Pulse for your employer, you are agreeing on your employer's behalf as well.

Your account

You must be at least 18, give accurate information, and choose the account type that matches what you do. Keep your password private. You are responsible for what happens under your account.

For healthcare professionals

  • Pulse is free for you. A sponsoring sales team pays for each course.
  • Accepting a sponsored course does not commit you to refer patients, meet with anyone, or do anything else in return.
  • Courses are provided by H.I.S. Cornerstone Continuing Education. Your licensing board is the final authority on whether a course counts toward your renewal, so check with your board before you rely on it.

For sales teams: pricing and billing

  • Creating an account is free. There are no platform, setup or per-seat fees.
  • A sponsored course costs $15 per CE credit hour. You are billed only when a professional opens the course. Courses that are sent and never opened are not billed.
  • Each rep's first opened course is free.
  • Usage is invoiced monthly to your company or to the individual rep, depending on how billing is set up. Invoices are due as stated on the invoice.
  • We may change prices for future sends by updating the Pricing page. A change does not affect courses already opened.

For sales teams: your responsibilities

  • You decide whether sponsoring continuing education fits the laws and company policies that apply to you, including any rules about gifts to people who refer patients. Pulse does not give legal or compliance advice.
  • A sponsored course must never be offered in exchange for patient referrals, or made conditional on them.
  • Only add contacts you have a real professional reason to reach, and only contact people in ways you are allowed to.
  • Your own presentation or in-service does not earn CE credit. The credit comes from the accredited online course, and you may not tell anyone otherwise.
  • Do not enter patient information anywhere on Pulse.

Acceptable use

Do not use Pulse to send spam, to collect information about professionals for use outside Pulse, to copy or scrape the site, to give false information, or to interfere with the service. We may suspend or close an account that does.

What we do not promise

Pulse does not guarantee referrals, introductions, replies, or that a licensing board will accept a particular course. The service is provided as is. To the extent the law allows, Pulse is not liable for indirect or consequential losses, and our total liability to you is limited to the amount you paid Pulse in the twelve months before the claim.

Ownership

The courses belong to their provider and the Pulse site belongs to Pulse. You keep ownership of the contacts and content you add, and you allow us to use them to run the service for you.

Ending your account

You can stop using Pulse at any time. Professionals can delete their account from the dashboard, and sales teams can ask us to close theirs. Amounts already invoiced remain due.

Changes, governing law and contact

We may update these terms by posting a new version here. These terms are governed by the laws of the State of Texas. Questions go to hello@pulsereferrals.com.