Notice of Privacy Practices

Who this notice applies to

This Notice of Privacy Practices (“Notice”) describes the privacy practices of Vegas Visiting Physicians Associates DBA NuThera, operating as NuThera, a HIPAA-covered health care provider. It applies to all clinicians, staff, and personnel of NuThera at both of our locations (5765 S. Rainbow Blvd., Suite 111, Las Vegas, NV 89118, and 3880 W. Ann Rd., Suite 130, North Las Vegas, NV 89031) and to all of your protected health information (“PHI”) created or maintained by NuThera. This Notice is provided in accordance with 45 CFR 164.520.

How we may use and disclose your health information

We are permitted by law to use and disclose your PHI for the following purposes without your written authorization. Where applicable, examples are provided.

Treatment

We use and disclose PHI to provide, coordinate, and manage your health care. For example: your clinician may share your medical history with a specialist to whom you are referred; our physical therapy team may review your imaging to inform your rehabilitation plan; and your treating physician may share information with a District Medical Advisor when required by the U.S. Department of Labor for a federal workers’ compensation claim.

Payment

We use and disclose PHI to obtain payment for services provided. For example: we may share information with your health plan, OWCP, or a personal-injury attorney handling your claim so that our services can be billed and paid. We may also verify insurance coverage and eligibility before your appointment.

Health care operations

We use and disclose PHI to run our practice — quality assessment, credentialing, training, compliance audits, business planning, legal services, insurance activities, and general practice administration. Where reasonably possible, we use de-identified information for these purposes.

Other uses and disclosures permitted without your authorization

Federal and state law permit or require certain other uses and disclosures of PHI without your authorization, including:

• Appointment reminders and information about treatment alternatives or health-related benefits and services that may interest you.
• To your family, friends, or others involved in your care — only information directly relevant to their involvement, and only if you have not objected.
• Public health activities — reporting to public health authorities as authorized by law (e.g., disease surveillance, adverse events, product safety).
• Victims of abuse, neglect, or domestic violence — reporting as required or authorized by Nevada or federal law.
• Health oversight activities — audits, investigations, inspections, and licensure by health-oversight agencies.
• Judicial and administrative proceedings — response to court orders, subpoenas, and lawful discovery requests.
• Law enforcement — as required by law, in response to a lawful request, or to identify or locate a suspect, witness, or missing person.
• Coroners, medical examiners, and funeral directors — for identification, cause-of-death determinations, and related functions.
• Organ and tissue donation — to organizations involved in procurement, banking, or transplantation.
• Research — only where an Institutional Review Board has approved a waiver of authorization, or the study uses only de-identified data.
• Serious threat to health or safety — to prevent or lessen a serious and imminent threat to a person or the public.
• Specialized government functions — military, national security, and correctional-institution circumstances as permitted by law.
• Workers’ compensation— to comply with laws governing federal workers’ compensation (OWCP/FECA, DEEOIC, longshore) and state workers’ compensation programs.
• Required by law — any use or disclosure that is required by federal, state, or local law.

Uses and disclosures that require your written authorization

Other uses and disclosures of PHI not described above require your written authorization. In particular, we will obtain your written authorization before:

• Using or disclosing psychotherapy notes (with narrow exceptions).
• Using or disclosing PHI for marketing purposes.
• Selling PHI in a way that would constitute a sale under 45 CFR 164.501.
• Any other use or disclosure not permitted by law.

You may revoke your written authorization at any time, in writing, except to the extent that we have already relied on it.

Your rights regarding your health information

You have the following rights with respect to your PHI:

Right to inspect and copy

You have the right to inspect and obtain a copy of your PHI in a designated record set, subject to limited exceptions. We will provide a copy in the form and format you request if it is readily producible, or in a mutually agreed-upon alternative form. We may charge a reasonable, cost-based fee. Requests should be submitted in writing to our Privacy Officer.

Right to amend

If you believe your PHI is incorrect or incomplete, you may request an amendment. We may deny the request in certain circumstances (e.g., the information was not created by us or is already accurate and complete). If we deny your request, we will provide a written explanation and information about further rights.

Right to an accounting of disclosures

You have the right to request a list of certain disclosures of your PHI made by us in the six years prior to your request, excluding disclosures for treatment, payment, health-care operations, and certain other exceptions specified in 45 CFR 164.528. The first accounting in any 12-month period is free; we may charge a reasonable fee for additional accountings.

Right to request restrictions

You have the right to request that we restrict how we use or disclose your PHI for treatment, payment, or health-care operations. We are not required to agree to your request, except that we will agree to a restriction on disclosures to a health plan for payment or health-care operations if you (or someone on your behalf) has paid for the item or service out of pocket in full and you request the restriction.

Right to confidential communications

You have the right to ask that we communicate with you in a specific way (e.g., by phone at home only, or by mail to an alternate address). We will accommodate reasonable requests submitted in writing.

Right to a paper copy of this notice

You have the right to a paper copy of this Notice, even if you have agreed to receive it electronically. Ask any member of our front-desk staff, or contact our Privacy Officer.

Right to be notified of a breach

You have the right to be notified in the event of a breach of unsecured PHI as required by 45 CFR 164.400–414.

Our responsibilities

• We are required by law to maintain the privacy and security of your PHI.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this Notice and give you a copy on request.
• We will not use or share your information other than as described here unless you tell us we can in writing. You may revoke that written authorization at any time.
• We reserve the right to change this Notice. The revised Notice will apply to all PHI we maintain. Copies of the revised Notice will be posted at our clinics and on this page.

How to file a complaint

If you believe your privacy rights have been violated, you may file a complaint with us and/or with the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR). We will not retaliate against you for filing a complaint.

Contact us

For questions about this Notice, to request a paper copy, to exercise any of your rights, or to file a complaint:

Note on email: standard email is not a secure channel for protected health information. For requests that contain sensitive medical details, please contact us by phone or mail using the information above.

Related notices

This Notice describes how we handle your protected health information under HIPAA. If you are looking for information about how our website collects information — including cookies, analytics, and web-form submissions — please see our website Privacy Policy.

Effective date: January 1, 2023. Last updated: July 9, 2026.