Important notice in California, beginning January 1, 2024:

Pursuant to CA Assembly Bill (AB) 1278, physicians are required to provide a notice to their patients regarding the Open Payments database (Database), which is managed by the U.S. Centers for Medicare & Medicaid Services, or CMS.

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.

Terms of Service and Conditions of Use

Medical Disclaimer

Information on this website is provided “as is” for general information only. It is not intended as medical advice and should not be relied upon as a substitute for consultations with qualified healthcare professionals.

Description of Services

Vanguard Specialty Imaging, Inc. (“VSI”) provides Internet users access to an extensive amount of resources, including, but not limited to, public and password protected forums, health and medical content, online research and communication tool and links to other TOS related websites. You assume all risks involved.

User Agreement

Terms of Use

The domain “” is an informational based website with interactive user capabilities offered by Vanguard Specialty Imaging. Any references to “us”, “we”, “our” refer to Vanguard Specialty Imaging. You agree to be bound by the terms and conditions set forth in this User Agreement. VSI reserves the right to change these terms and conditions at any time, without written or posted notice to you. Use of the website constitutes your acceptance of all of the following terms and conditions, in their most current version (not a cached version frequently available through website search engines). Vanguard Specialty Imaging currently offers information in English only. It is the responsibility of the viewer to obtain reliable translations.

Website Content

Our website,, is a medical based website which may include graphic medical photographs, drawings, prerecorded or live videos or any other medical based media on any page within our website. VSI makes no representation that materials on our “website” are appropriate for all viewers or available for use in other locations, and accessing them from territories where their contents are illegal is prohibited. Those who choose to access this website from other locations do so on their own initiative and are responsible for compliance with all laws governing Internet use.

Termination of Use

You agree that VSI, in it is sole discretion and without prior notice, may terminate and/or bar your use of this public service, message boards, blogs or chat rooms without limitation if we believe that you have violated or acted inconsistently with this user agreement or for any matter which VSI views as unacceptable. Further, you agree that VSI shall not be liable to you or any third-party for any termination of your access to our message boards, blogs and chat rooms. This termination agreement includes ALL message boards, chat rooms, and web blogs managed by VSI.

By submitting communications or content to any part of this website where such content would be viewable by the public (e.g. posting on a public forum/feature me pages, public chat or other public communication), you agree that such submission is non-confidential for all purposes. Any submission to this website will be deemed and remain the property of VSI. This does not, however, refer to communication sent to us via any “contact form” unless permission is deemed previously granted in writing.

Disclaimer of Warranty

VSI makes no warranties of any kind regarding this website including but not limited to any warranty of accuracy, completeness, currency, reliability, or any other warranties. VSI makes no warranties of any kind assuring our server web host, or our “website” to be free of viruses, hackers or other harmful elements currently known or hereafter. VSI makes no warranties regarding advertisers published on our “website.” All products purchased through advertisers remain under the advertisers’ legal liability for their product(s). VSI makes no warranties on any product published through our advertisers and shall not be liable to you or any third party for any liability associated with any of our advertisers, their policies, products and affiliations.

Limitation of Liability

You agree that you will hold harmless VSI and its officers, directors, employees, and volunteers from all claims arising out of use of our “website.” This also includes your inability to access this website or links provided. In no event will VSI or the contributors of information to this website be liable to you and/or any third party for any decision made or action taken by you, your physician, your attorney, your family member in reliance on such information displayed on our website, for any consequential, special or similar damages.


You acknowledge that the opinions and recommendations contained in our “website” are not necessarily those of VSI or endorsed by VSI. VSI provides links on our “website” to other websites which are not under the control of VSI. These links are provided for convenience of reference only and are not intended as an endorsement by VSI of any website, website content, business or owners of linked sites. You should review every website you visit for their respective terms of service and privacy policy.

Usage of Content

Unless otherwise indicated, all original VSI information contained on this website, such as text, graphics, logos, button icons and images are copywritten by and proprietary to VSI and may not be copied, reproduced, transmitted, displayed, performed, distributed, sublicensed, altered or otherwise used in whole or in part in any manner without prior written consent. All links provided remain under the copyrights of original owners. Links provided are previously publicly offered through the World Wide Web and are added to our library as a complimentary service to Internet users. In addition, all TOS related websites that have been embedded have been preauthorized by website owners and are under the direct control of the original authors with all corresponding copyrights, trademarks, and registered trademarks remaining within their control. These websites are provided as a reference tool and in no way represent any form of endorsement of any website, website content, owners or their affiliated sponsors. VSI does not control, in any way, the information placed on these embedded sites and we are not responsible for any form of interaction between user and website. To contact these embedded sites you must use the contact guidelines outlines in each website.

Privacy Notice

Privacy Policy

This notice explains our privacy policy.  By visiting the NeoVista website at, you accept the practices described in this Privacy Notice.

Keeping your private information “private” is something NeoVista takes very seriously.  We collect personally identifiable information only when the individual knowingly and willingly submits this data to any portion of our website with interactive capabilities.  These pages are available to the viewing public at any time.  By participating in any of the NeoVista interactive capabilities, you agree that any information you submit to any of these forums or any other areas of our website is available for public view.  This does not, however, include specific questions submitted via our “contact us” form and professional password protected pages.

NeoVista does collect general website traffic information which includes but is not limited to:  time and date of access, pages accessed, search engine used, external website site traffic, continent, country, state, and city, time and day information.  This information is collected and stored externally for the purpose of improving strategic TOS information available to the public and improving general website information.  If you access our website using your personal website, this information is included in our website traffic statistics.  We cannot control this.  We suggest that if you do not want your personal website address stored in our traffic data, you should access our website from another website/location.

Your health-related information is privileged and confidential and is between you and your physician(s).  NeoVista may collect health-related information that is not personally identifiable through generic surveys and polls.  Survey questions are generic and recorded for statistical purposes only.  NeoVista may retain your email address when you submit survey or poll information, when you consent to receiving newsletters or other notices, and when you fill out and send a form requesting information or submitting information. We do not sell, transfer, distribute or reveal email information to any third party external to VSI unless specifically requested to do so by the person submitting that information to us.  We do NOT respond to inquiries that include health related personal information with specific and personally applicable medical information, and we do not offer specific and personally applicable medical advice over the phone, in person, by mail, or by online inquiries.  Any personally identifiable information you knowingly and intentionally submit to any public forum within our website is not subject to our privacy policy and you assume all risks involved with disclosing personal and health related information for public view.

Linked sites and advertisers may record the usual website traffic patterns and purchase information.  Personally identifiable information may be collected from any linked sourced, advertiser or retailer for the purpose of conducting a financial transaction or other purposes identified in their respective privacy policies.  NeoVista does not record specific financial information regarding purchases made through our advertisers.

We occasionally hire other companies to provide services on our behalf.  We may provide only generic information to those companies and prohibit them from using even this generic information for any other purpose.  We do NOT transfer our mailing list to other organizations.  You always have the option of opting out of our mailing list service by contacting us directly through our website or by phone.

NeoVista makes no warranties, guarantees, or representations that our website is invulnerable to all security breaks, that the use of our website is protected from viruses, security threats, or other vulnerabilities, or that your information will always be secure.

Our privacy policies apply only to your use of NeoVista’s website.  Our site contains links to other sites of Thoracic Outlet Syndrome interest.  We do not disclose personably identifiable information to those operating linked sites and we are not responsible for their privacy practices.  You should read the privacy policies of each site you visit to determine what information that site may be collecting about you.

This privacy statement is updated periodically to reflect policy change and business growth and publicly available on our main page dropdown list.  It applies only to our online practices and does not encompass other areas of the organization.  We reserve the right to change this policy at any time and will post to our website any revisions made.  You agree to review the Privacy Policies each time you use our website so that you are aware of any modifications.  By accessing or using the website, you agree to be bound by all of the terms and conditions of our Privacy Policy as posted at the time of your access or use.  If you have any questions about our policy, you may send us an email at [email protected].