Next Level Dental Studio
Effective Date: June 1, 2025

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND
DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

Our Duties

Next Level Dental Studio is required by law to maintain the privacy of your protected health
information (PHI), provide this notice of our legal duties and privacy practices, and follow the terms
currently in effect.

Uses and Disclosures

We may use and disclose your PHI for treatment, payment, and healthcare operations. We may
also disclose information when required by law, for public health activities, or for other permitted
purposes.

Nevada Privacy Protections

We follow Nevada privacy laws (including NRS 629). When Nevada law provides greater protection
than HIPAA, we follow Nevada law.

Substance Use Disorder Records
Certain records related to substance use disorder treatment may be protected by additional federal
confidentiality laws (42 CFR Part 2). We will obtain appropriate consent where required.

Your Rights

You have the right to:
• Access and obtain a copy of your records
• Request corrections
• Request confidential communications
• File a complaint without retaliation

Privacy Officer

Maria Guzman
Phone: 702-570-0234
Email: hello@nextleveldentalhenderson.com

You may also file a complaint with the U.S. Department of Health & Human Services Office for Civil
Rights.

We reserve the right to change this notice and will make the new notice available upon request and
on our website.