Effective Date: April 2, 2026
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Your Information. Your Rights. Our Responsibilities.
Simple Dental is committed to protecting the privacy of your protected health information, also called PHI. We create and maintain records about the care and services you receive so we can provide quality care, receive payment, operate our practice, and comply with legal requirements.
Practice Contact
- Simple Dental
- 204 S Jones Blvd
- Las Vegas, NV 89107
- Phone: (702) 302-4787
- Privacy Contact: To be confirmed
- Email: To be confirmed
Your Rights
You have the right to:
- Get a copy of your dental and billing records, with limited exceptions allowed by law.
- Ask us to correct your dental or billing records if you believe they are incomplete or incorrect.
- Request confidential communications, such as asking us to contact you at a different phone number, mailing address, or in a specific way.
- Ask us to limit certain uses or disclosures of your information. We are not required to agree to every request, but we will consider each request carefully.
- Ask us not to share information with your health plan if you paid for an item or service in full out of pocket, unless the disclosure is required by law.
- Receive a list of certain disclosures we made of your information, as allowed by law.
- Get a paper copy of this notice at any time, even if you agreed to receive it electronically.
- Choose someone to act for you, if that person has legal authority to do so.
- File a complaint if you believe your privacy rights have been violated.
To exercise any of these rights, contact Simple Dental using the contact information above.
Your Choices
For certain situations, you may tell us your preferences about how we share your information. For example, you may ask us to:
- Share information with family members, friends, or others involved in your care or payment for your care.
- Contact you using specific methods for appointment reminders, billing, or follow-up communications.
If you are not able to tell us your preference, we may share information if we believe it is in your best interest, consistent with applicable law.
We will not use or disclose your information for marketing purposes or sell your information unless you give us written permission, if such permission is required by law.
Our Uses and Disclosures
We may use and disclose your health information in the following ways:
Treatment
We may use your information to provide, coordinate, or manage your dental care and related services. We may share your information with other health care professionals involved in your treatment.
Payment
We may use and disclose your information to bill and collect payment for the care and services you receive. This may include billing you, your insurance company, or another responsible party.
Health Care Operations
We may use and disclose your information to run our practice, improve patient care, manage staff performance, conduct quality review activities, maintain records, and carry out other administrative functions.
Appointment Reminders and Care Communications
We may contact you with appointment reminders, treatment follow-up information, or information about treatment alternatives or services that may be relevant to your care.
Individuals Involved in Your Care
We may disclose information to a family member, friend, or other person involved in your care or payment for your care when appropriate, unless you object.
As Required or Permitted by Law
We may use or disclose your information when required or permitted by federal or state law, including in the following circumstances:
- To comply with public health reporting obligations.
- To report suspected abuse, neglect, or domestic violence when required or permitted by law.
- For health oversight activities, audits, inspections, or investigations.
- For law enforcement purposes or in response to a court order, subpoena, or other lawful process.
- For workers’ compensation claims, as permitted by law.
- To prevent or reduce a serious threat to health or safety.
- For government functions when authorized by law.
- To the U.S. Department of Health and Human Services if it investigates or reviews our HIPAA compliance.
Our Responsibilities
Simple Dental is required by law to:
- Maintain the privacy and security of your protected health information.
- Provide you with this notice of our legal duties and privacy practices.
- Follow the terms of the notice currently in effect.
- Notify you if a breach occurs that may have compromised the privacy or security of your information, when notification is required by law.
We will not use or disclose your information in a way that is materially different from what is described in this notice unless we are allowed or required to do so by law, or you authorize us in writing.
Changes to This Notice
We may change this notice at any time. Any updated notice will apply to all information we maintain. The current version will be posted on our website and available in our office.
Questions or Complaints
If you have questions about this notice or believe your privacy rights have been violated, you may contact Simple Dental using the information listed above.
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights:
- Online: https://www.hhs.gov/hipaa/filing-a-complaint/index.html
- Phone: 1-877-696-6775
Simple Dental will not retaliate against you for filing a complaint.
