By accessing, downloading, registering for, or using CSHealthED ("the Platform," "Service," or "we/our/us"), you ("User," "you," or "your") agree to be bound by these Terms of Service ("Terms"), our Privacy Policy, and any additional guidelines or policies incorporated herein by reference. These Terms constitute a legally binding agreement between you and CSHealthED, LLC.
If you do not agree to these Terms in their entirety, you must immediately cease use of the Platform. Your continued use of the Platform after any modification to these Terms constitutes your acceptance of the updated Terms. We will notify registered users of material changes via email or in-app notification.
These Terms apply to all visitors, registered users, students, instructors, institutional administrators, and any other persons who access or use the Service. Use of the Platform by minors under the age of 18 requires verifiable parental or guardian consent.
CSHealthED provides a cloud-based healthcare education simulation platform ("Service") offering:
The Platform is intended exclusively for healthcare professional education and training. It is not a clinical decision support tool and must never be used in the context of actual patient care.
3.1 Eligibility. You must be at least 18 years of age (or the age of majority in your jurisdiction) to create an account. By creating an account, you represent and warrant that all registration information you provide is accurate, current, and complete.
3.2 Account Security. You are solely responsible for maintaining the confidentiality of your login credentials and for all activity that occurs under your account. You agree to: (a) use a strong, unique password; (b) notify us immediately of any unauthorized account access at support@cshealthed.com; and (c) not share your credentials with any other person. CSHealthED will not be liable for any loss resulting from unauthorized account use.
3.3 One Account Per User. Each registered user may maintain only one active individual account. Creating multiple accounts to circumvent subscription restrictions, trial limitations, or access controls is prohibited and may result in immediate account termination.
3.4 Institutional Accounts. Educational institutions, EMS agencies, and healthcare programs that purchase institutional licenses agree to designate a primary account administrator responsible for managing user access, maintaining compliance with these Terms, and ensuring appropriate use by all sub-users within their license.
4.1 Subscription Plans. CSHealthED offers subscription-based access at the rates displayed on the Platform at the time of purchase. Current plans include individual student and practitioner tiers as well as institutional Starter, Program, and Enterprise tiers. Pricing is subject to change with 30 days' advance notice to existing subscribers.
4.2 Automatic Renewal. Subscriptions automatically renew at the end of each billing period (monthly or annual) at the then-current rate unless cancelled prior to the renewal date. By subscribing, you authorize CSHealthED (through its payment processor, Stripe) to charge your payment method on a recurring basis.
4.3 Payment Processing. All payments are processed securely by Stripe, Inc. CSHealthED does not store, transmit, or have access to full credit card numbers or bank account information. Stripe's privacy policy and terms of service govern payment data handling. By providing payment information, you agree to Stripe's terms.
4.4 Failed Payments. If a payment fails, we will attempt to process the charge again within 3 and 7 days. If the charge cannot be collected after three attempts, your account may be downgraded to a free tier or suspended until payment is resolved.
4.5 Taxes. Stated prices do not include applicable taxes. You are responsible for all sales, use, value-added, or other taxes applicable to your subscription in your jurisdiction.
CSHealthED offers a 7-day free trial for new individual accounts. During the trial period, you have access to all features included in the selected subscription tier. No charge is made during the trial period.
At the conclusion of the trial, your account will automatically convert to a paid subscription unless you cancel before the trial ends. You may cancel the trial at any time by visiting your account settings or contacting support@cshealthed.com. We reserve the right to limit trial eligibility to one trial per person, household, or institution.
6.1 Cancellation. You may cancel your subscription at any time through your account settings or by contacting support@cshealthed.com. Cancellations take effect at the end of the current paid billing period. You retain access to the Service through the end of the period for which you have already paid.
6.2 Refunds — Individual Subscriptions. CSHealthED will issue a full refund if requested within 7 days of the initial charge for a new subscription, provided you have not extensively used the Platform (defined as completing more than 5 simulation sessions or 1 full practice exam). After 7 days, or after substantial use, refunds are issued at CSHealthED's sole discretion on a case-by-case basis.
6.3 Refunds — Institutional Subscriptions. Institutional subscription refunds are governed by the applicable institutional license agreement. In the absence of a specific agreement, no refunds are issued for institutional plans after the first 14 days of the subscription term.
6.4 No Refund for Violations. Accounts terminated for violations of these Terms are not eligible for any refund.
CSHealthED is committed to protecting your privacy. This Privacy Policy describes how we collect, use, disclose, and safeguard personal information when you use our Platform. By using the Service, you consent to the practices described in this Privacy Policy. If you do not agree with these practices, please do not use the Platform.
8.1 Information We Collect.
| Category | Data Collected | Purpose |
|---|---|---|
| Account Data | Name, email address, profession, organization | Account creation, authentication, communications |
| Usage Data | Simulation session logs, exam scores, scenario selections, timestamps | Performance tracking, instructor dashboards, product improvement |
| Device & Technical Data | Browser type, IP address, device identifiers, pages visited | Security, fraud prevention, platform analytics |
| Payment Data | Billing address, last 4 digits of card (stored by Stripe only) | Subscription processing |
| Communications | Emails to support, feedback submissions | Customer service, product improvement |
8.2 Information We Do NOT Collect. CSHealthED does not collect: Social Security Numbers or government IDs; actual patient health information or Protected Health Information (PHI) as defined under HIPAA; financial account numbers or full payment card data; biometric data.
8.3 How We Use Your Information. We use collected information to: provide and maintain the Service; process transactions and send related communications; personalize your experience and track learning progress; send administrative emails (account confirmations, billing receipts, security alerts); send optional educational communications (you may opt out at any time); analyze usage patterns to improve the Platform; comply with legal obligations; prevent fraud and abuse.
8.4 Data Sharing. We do not sell, trade, or rent your personal information to third parties for their marketing purposes. We may share data with: (a) Service providers who assist in operating the Platform (Stripe for payments, Anthropic for AI processing, cloud infrastructure providers) under strict contractual data protection obligations; (b) Institutional administrators who have a legitimate educational interest in student performance data within their licensed program; (c) Law enforcement or courts when required by applicable law, court order, or to protect CSHealthED's rights; (d) Successors in connection with a merger, acquisition, or sale of assets, with notice to affected users.
9.1 Security Measures. CSHealthED implements industry-standard technical and organizational security measures including: HTTPS/TLS encryption for all data in transit; encrypted storage for sensitive account data; role-based access controls limiting data access to authorized personnel; regular security assessments.
9.2 Breach Notification. In the event of a data breach that materially affects your personal information, CSHealthED will notify affected users as required by applicable law, and in no event later than 72 hours after becoming aware of the breach (where GDPR or similar frameworks apply) or as required by applicable state breach notification laws.
9.3 Retention. We retain personal account data and session records for the duration of your active subscription plus 90 days following termination, after which data is permanently deleted unless a longer retention period is required by law. Anonymized, aggregated usage statistics may be retained indefinitely for product analytics.
9.4 Your Rights. Subject to applicable law, you have the right to: access and receive a copy of the personal data we hold about you; correct inaccurate data; request deletion of your data (subject to legal retention obligations); object to or restrict certain processing; data portability where technically feasible. Submit requests to support@cshealthed.com. We will respond within 30 days.
CSHealthED uses the Anthropic Claude API to power AI-generated patient scenarios, exam questions, clinical evaluations, and conversational simulation features. When you interact with AI-powered features, the text you enter (clinical statements, scenario responses, chat messages) is transmitted to Anthropic's servers for processing.
We do not transmit: your name, email address, or other personally identifiable information to the Anthropic API. Simulation inputs are contextual only (clinical scenario data, protocol references).
Anthropic's processing of API data is governed by Anthropic's privacy policy and enterprise data use policies. CSHealthED has contractual obligations with Anthropic prohibiting use of submitted data for model training purposes. For more information, visit anthropic.com/privacy.
CSHealthED acknowledges its obligations under FERPA (20 U.S.C. § 1232g; 34 CFR Part 99) when operating as a service provider to educational institutions that receive federal funding.
School Official Status. When CSHealthED is engaged by a FERPA-covered institution, CSHealthED operates as a "school official" as defined under 34 CFR § 99.31(a)(1) and processes education records solely to provide the contracted Service.
Student Rights. Students enrolled at FERPA-covered institutions retain the right to: inspect and review their education records maintained by CSHealthED; request amendment of inaccurate records; consent to certain disclosures of personally identifiable information; and file a complaint with the U.S. Department of Education.
Data Processing Agreement. Institutions seeking a formal FERPA Data Processing Agreement (DPA) should contact legal@cshealthed.com. A standard DPA is available upon request and governs the institutional use of the Platform.
Institutional Responsibility. Educational institutions remain the data controllers for their students' education records and are responsible for ensuring their use of CSHealthED complies with their own FERPA obligations, including obtaining necessary consents and maintaining appropriate data governance policies.
CSHealthED is an educational technology platform and is not a Covered Entity or Business Associate as defined under the Health Insurance Portability and Accountability Act (HIPAA), 45 CFR Parts 160 and 164.
Users must not enter actual patient information into the Platform. All scenarios are fictional simulations. Entering real patient names, dates of birth, medical record numbers, or other Protected Health Information (PHI) into the Platform is strictly prohibited. CSHealthED assumes no HIPAA liability for any PHI inadvertently submitted by users.
All content, features, and functionality of the Platform — including but not limited to the software code, user interface design, AI scenario architecture, clinical simulation logic, ECG rendering engine, assessment frameworks, PCR narrative tools, instructor dashboards, branding, and all text, graphics, and multimedia — are the exclusive intellectual property of CSHealthED, LLC and are protected by United States copyright law (17 U.S.C. § 101 et seq.), trademark law, patent law, and other applicable intellectual property laws.
License Grant. Subject to your compliance with these Terms and payment of applicable fees, CSHealthED grants you a limited, personal, non-exclusive, non-transferable, revocable license to access and use the Platform solely for your authorized educational and training purposes.
Restrictions. You may not: copy, reproduce, distribute, or create derivative works from any portion of the Platform; reverse engineer, decompile, or disassemble any software component; sell, sublicense, or transfer your access rights; use the Platform to build a competing product or service; use automated tools to scrape, crawl, or extract data from the Platform; remove any copyright, trademark, or proprietary notices.
Feedback. Any feedback, suggestions, or ideas you submit about the Platform may be used by CSHealthED without restriction, compensation, or attribution to you.
When you submit content to the Platform (custom scenarios, narrative entries, chat messages, feedback), you retain ownership of that content. However, by submitting content, you grant CSHealthED a worldwide, royalty-free, sublicensable license to use, store, process, and display that content solely to provide and improve the Service.
You represent and warrant that your content does not contain actual patient data, infringe any third-party rights, or violate applicable law. You are solely responsible for the accuracy and appropriateness of content you submit.
You agree not to use the Platform to:
CSHealthED reserves the right to immediately suspend or terminate accounts found engaging in prohibited conduct, without notice and without refund.
The Platform integrates with or links to third-party services including Stripe (payment processing), Anthropic (AI infrastructure), and cloud hosting providers. These integrations are subject to their own terms of service and privacy policies. CSHealthED is not responsible for the content, privacy practices, or reliability of third-party services. Your interactions with third parties are solely between you and that party.
Clinical Accuracy. CSHealthED strives for clinical accuracy in simulation content. However, all AI-generated scenarios, ECG interpretations, protocol evaluations, drug dosage references, and clinical guidance are for educational purposes only and may not reflect the most current evidence, local protocols, or state-specific requirements. Users must verify all clinical information against current authoritative sources before applying it in any professional context.
Not Medical Advice. Nothing on the Platform constitutes medical advice, clinical guidance, or a substitute for the professional judgment of a licensed healthcare provider. CSHealthED is not responsible for any clinical decisions made in reliance on Platform content.
No Guarantee of Exam Success. CSHealthED makes no representation or warranty that use of the Platform will result in passing any certification examination (NREMT, NBRC, or others). Practice exam questions are AI-generated approximations and do not guarantee coverage of all exam content.
WARRANTY DISCLAIMER. THE PLATFORM IS PROVIDED "AS IS" AND "AS AVAILABLE" WITHOUT WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, ACCURACY, RELIABILITY, OR NON-INFRINGEMENT. CSHEALTHED DOES NOT WARRANT THAT THE SERVICE WILL BE UNINTERRUPTED, ERROR-FREE, SECURE, OR FREE OF VIRUSES OR OTHER HARMFUL COMPONENTS.
TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, CSHEALTHED, LLC, ITS OFFICERS, DIRECTORS, EMPLOYEES, AGENTS, AND LICENSORS SHALL NOT BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, PUNITIVE, OR EXEMPLARY DAMAGES, INCLUDING WITHOUT LIMITATION DAMAGES FOR LOSS OF PROFITS, REVENUE, GOODWILL, DATA, OR BUSINESS INTERRUPTION, ARISING OUT OF OR IN CONNECTION WITH YOUR USE OF OR INABILITY TO USE THE PLATFORM, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
AGGREGATE LIABILITY CAP. IN NO EVENT SHALL CSHEALTHED'S TOTAL CUMULATIVE LIABILITY TO YOU FOR ALL CLAIMS ARISING OUT OF OR RELATING TO THESE TERMS OR YOUR USE OF THE PLATFORM EXCEED THE GREATER OF: (A) THE TOTAL AMOUNT YOU PAID TO CSHEALTHED IN THE TWELVE (12) MONTHS IMMEDIATELY PRECEDING THE EVENT GIVING RISE TO THE CLAIM; OR (B) ONE HUNDRED U.S. DOLLARS ($100.00).
You agree to indemnify, defend, and hold harmless CSHealthED, LLC and its officers, directors, employees, agents, successors, and assigns from and against any and all claims, liabilities, damages, losses, costs, and expenses (including reasonable attorneys' fees) arising out of or in connection with: (a) your use of or access to the Platform; (b) your violation of these Terms; (c) your violation of any applicable law or regulation; (d) your infringement of any third-party right; or (e) any content you submit to the Platform.
20.1 Governing Law. These Terms and any dispute arising out of or related to them or the Platform shall be governed by and construed in accordance with the laws of the Commonwealth of Kentucky, without regard to its conflict of law provisions.
20.2 Mandatory Arbitration. PLEASE READ THIS SECTION CAREFULLY. IT AFFECTS YOUR LEGAL RIGHTS. Except for small claims court matters and intellectual property disputes, any controversy or claim arising out of or relating to these Terms, the Platform, or the breach thereof shall be settled by binding arbitration administered by the American Arbitration Association ("AAA") under its Commercial Arbitration Rules. The arbitration shall take place in Louisville, Kentucky. The arbitrator's decision shall be final and binding and may be entered as a judgment in any court of competent jurisdiction.
20.3 Class Action Waiver. YOU AND CSHEALTHED AGREE THAT EACH MAY BRING CLAIMS AGAINST THE OTHER ONLY IN AN INDIVIDUAL CAPACITY AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY CLASS, CONSOLIDATED, OR REPRESENTATIVE PROCEEDING.
20.4 Informal Resolution. Before initiating any formal dispute resolution, you agree to contact CSHealthED at legal@cshealthed.com and attempt to resolve the dispute informally for a period of 30 days. This informal negotiation requirement is a precondition to arbitration or litigation.
20.5 Venue. For disputes not subject to arbitration, you consent to the exclusive jurisdiction of the state and federal courts located in Jefferson County, Kentucky.
Entire Agreement. These Terms, together with the Privacy Policy and any applicable institutional license agreement, constitute the entire agreement between you and CSHealthED regarding the Platform and supersede all prior agreements and understandings.
Severability. If any provision of these Terms is found to be unenforceable, that provision will be modified to the minimum extent necessary to make it enforceable, and the remaining provisions will continue in full force.
Waiver. CSHealthED's failure to enforce any right or provision of these Terms will not be deemed a waiver of that right or provision.
Assignment. You may not assign or transfer these Terms or your rights hereunder without CSHealthED's prior written consent. CSHealthED may assign these Terms without restriction.
Force Majeure. CSHealthED will not be liable for any failure or delay in performance due to causes beyond its reasonable control, including acts of God, natural disasters, pandemics, war, terrorism, labor disputes, internet outages, or government actions.
Notices. CSHealthED may provide notices to you by email, in-app notification, or posting to the Platform. You must provide notices to CSHealthED in writing to the contact information below.
Updates to These Terms. We reserve the right to modify these Terms at any time. We will provide at least 14 days' advance notice of material changes. Continued use of the Platform after the effective date constitutes acceptance of the updated Terms.