TERMS AND CONDITIONS
Product: nxtDMD
Provider: NxtStep IT Solutions
Effective Date: September 28, 2026
Last Updated: September 28, 2026
These Terms and Conditions ("Terms") constitute a legal agreement between NxtStep IT Solutions ("NxtStep," "Company," "we," "us," or "our") and the dental clinic, dental practice, dentist, organization, or other entity subscribing to or using nxtDMD ("Customer," "Clinic," "you," or "your").
nxtDMD is a cloud-based dental practice management platform that provides tools for patient management, appointments, dental records, dental imaging, X-rays, 3D files, billing, online payments, communications, and related practice-management functions.
By creating an account, accepting these Terms electronically, subscribing to nxtDMD, or using any part of the Service, you agree to these Terms.
1. DEFINITIONS
For purposes of these Terms:
- "nxtDMD" means the software platform, website, applications, APIs, features, and related services provided by NxtStep IT Solutions.
- "Customer Data" means information, records, files, documents, images, patient information, appointment information, billing information, and other information submitted, uploaded, entered, or generated by the Customer or its Authorized Users through nxtDMD.
- "Patient Data" means personal information relating to patients that is processed through nxtDMD.
- "Authorized User" means an individual authorized by the Customer to access nxtDMD.
- "Subscription" means the paid or trial subscription selected by the Customer.
- "Service" means nxtDMD and related services provided by NxtStep IT Solutions.
2. DESCRIPTION OF nxtDMD
Depending on the Customer's subscription, nxtDMD may provide:
- Patient management and electronic dental records
- Dental charts and odontograms
- Treatment planning
- Clinical notes
- Appointment scheduling
- Online appointment requests
- Patient reminders and notifications
- Dental photographs
- X-rays and radiographic files
- 3D dental scans and digital dental models
- Supported files such as DICOM, STL, OBJ, PLY, JPG, PNG, PDF, or other formats
- Document storage
- Billing and invoicing
- Online patient payments
- Payment transaction records
- Staff and user management
- Reports and analytics
- Inventory management
- Third-party integrations
- Other features made available by NxtStep from time to time
Features may vary depending on the Customer's subscription plan.
nxtDMD is a software platform and does not itself provide dental diagnosis, treatment, medical advice, or other professional healthcare services.
3. ELIGIBILITY AND AUTHORITY
The Customer represents that:
- It is legally capable of entering into this agreement;
- The person accepting these Terms has authority to bind the Customer, where applicable;
- Information supplied during registration is accurate;
- nxtDMD will be used only for lawful purposes; and
- The Customer will comply with applicable Philippine laws and regulations.
4. CUSTOMER ACCOUNT
The Customer must provide accurate and current account information.
The Customer is responsible for:
- Protecting account credentials;
- Maintaining appropriate password security;
- Managing Authorized Users;
- Assigning appropriate access permissions;
- Reviewing user access periodically;
- Removing unauthorized or inactive users; and
- Reporting suspected unauthorized access to NxtStep promptly.
The Customer shall not share individual login credentials where individual user accounts are available.
5. AUTHORIZED USERS
The Customer may provide access to dentists, dental hygienists, dental assistants, receptionists, administrators, accountants, managers, and other authorized personnel.
The Customer is responsible for ensuring that Authorized Users:
- Access only information necessary for their role;
- Maintain confidentiality;
- Do not share credentials;
- Do not download or disclose Patient Data without authorization;
- Follow applicable privacy and security policies; and
- Comply with these Terms.
6. SUBSCRIPTION
nxtDMD is provided on a subscription basis.
The selected plan may specify limits relating to:
- Number of users;
- Number of branches;
- Number of patients;
- Storage;
- Imaging storage;
- 3D-file storage;
- Online appointment volume;
- Transactions;
- Features; and
- Support.
The applicable pricing page, quotation, order form, or subscription agreement forms part of these Terms.
7. FEES AND PAYMENT
Subscription fees are payable according to the Customer's selected plan.
Unless otherwise agreed:
- Fees are billed in advance;
- Subscriptions may automatically renew;
- Applicable taxes may apply;
- Third-party payment-processing fees may apply;
- Failed payments may result in suspension after reasonable notice; and
- Refunds are subject to the applicable refund policy and applicable law.
NxtStep may change subscription prices by providing reasonable advance notice before the change applies to a renewal period.
8. ONLINE PATIENT PAYMENTS
nxtDMD may allow Clinics to accept online payments from patients.
Online payment transactions may be processed by third-party payment providers.
The Clinic remains responsible for:
- The accuracy of charges;
- Invoices;
- Discounts;
- Refunds;
- Cancellation policies;
- Treatment fees; and
- Communication with patients concerning payments.
NxtStep does not guarantee that a payment transaction will be approved, completed, settled, or refunded.
Where technically and commercially appropriate, payment-card information will be handled by the applicable payment processor rather than stored directly by nxtDMD.
NxtStep does not intentionally store complete card numbers or card security codes unless expressly disclosed and supported by appropriate security and compliance controls.
Third-party payment providers may have their own terms and privacy policies.
9. ONLINE APPOINTMENTS
nxtDMD may provide online appointment booking or appointment-request functionality.
Unless the Clinic's configuration expressly provides otherwise, submission of an online appointment request does not constitute a confirmed appointment.
The Clinic is responsible for:
- Maintaining its availability;
- Setting appointment rules;
- Confirming appointments;
- Managing cancellations;
- Rescheduling appointments;
- Communicating appointment changes; and
- Processing information collected through online booking lawfully.
NxtStep is not responsible for the Clinic's failure to honor, confirm, or manage an appointment.
10. CUSTOMER DATA
The Customer retains ownership of Customer Data.
The Customer grants NxtStep a limited right to process Customer Data as reasonably necessary to provide, secure, maintain, support, and improve nxtDMD in accordance with these Terms and the applicable Data Processing Agreement.
Customer Data may include:
- Patient names;
- Contact information;
- Demographic information;
- Dental history;
- Medical history;
- Treatment records;
- Dental charts;
- Clinical notes;
- Dental photographs;
- X-rays;
- Radiographs;
- CBCT or similar imaging;
- 3D scans;
- STL, OBJ, PLY, DICOM, or other supported files;
- Appointment information;
- Billing information;
- Payment transaction information;
- Insurance information; and
- Other patient-related information.
11. HEALTH AND SENSITIVE PERSONAL INFORMATION
The parties acknowledge that dental records, medical history, X-rays, dental images, 3D scans, and other health-related information may constitute sensitive personal information under Philippine law.
The Customer is responsible for determining the appropriate lawful basis and purpose for processing Patient Data.
NxtStep shall process Patient Data as necessary to provide nxtDMD and in accordance with the applicable Data Processing Agreement.
12. DATA PRIVACY
The parties shall comply with applicable Philippine privacy laws, including Republic Act No. 10173, the Data Privacy Act of 2012, its implementing rules and regulations, and applicable National Privacy Commission issuances.
The Customer shall provide patients with appropriate privacy notices and obtain consent where consent is the applicable lawful basis.
The Customer shall remain responsible for determining:
- What Patient Data is collected;
- Why it is collected;
- The lawful basis for processing;
- Retention requirements;
- Authorized recipients; and
- Applicable data-subject procedures.
13. DENTAL IMAGES, X-RAYS AND 3D FILES
The Customer may upload dental photographs, X-rays, radiographs, CBCT images, 3D scans, digital models, and other dental files supported by nxtDMD.
The Customer is responsible for ensuring that:
- Files are associated with the correct patient;
- Users have appropriate access;
- Files are accurate and complete;
- Clinical professionals review information before relying upon it;
- Files are retained according to applicable requirements; and
- Appropriate backup/export procedures are maintained.
NxtStep does not independently verify the identity of the patient associated with an uploaded file or the clinical accuracy of the file.
14. CLINICAL RESPONSIBILITY
nxtDMD does not provide dental diagnosis or treatment.
Dentists and other licensed healthcare professionals remain responsible for:
- Diagnosis;
- Interpretation of X-rays;
- Interpretation of dental images;
- Interpretation of 3D scans;
- Treatment planning;
- Clinical notes;
- Treatment decisions;
- Patient communication; and
- Patient care.
NxtStep does not guarantee clinical outcomes.
15. SECURITY MEASURES AND SAFEGUARDS
NxtStep shall maintain reasonable organizational, physical, and technical safeguards appropriate to the nature and risks of processing Customer Data.
Security measures may include:
- Authentication;
- Role-based access controls;
- Encryption in transit;
- Encryption or equivalent protection for stored data;
- Access logging;
- Backup procedures;
- Monitoring;
- Security testing;
- Vulnerability management;
- Incident-response procedures; and
- Confidentiality obligations for personnel.
No online system can guarantee absolute security.
16. CYBERSECURITY, HACKING AND UNAUTHORIZED ACCESS
NxtStep shall use reasonable and proportionate technical and organizational safeguards designed to reduce the risk of unauthorized access, hacking, malware, data theft, alteration, disclosure, or destruction of Customer Data. No safeguard can eliminate every risk, and NxtStep does not warrant that the Service will be immune from every cyberattack or security incident.
Where appropriate to the Service and its technical environment, safeguards may include secure authentication and password controls; multi-factor authentication for privileged or administrative accounts; role-based and least-privilege access; separation of clinic accounts and data; encryption in transit and appropriate protection of stored data; secure software-development and change-management practices; timely security updates and vulnerability remediation; rate limiting and protections against common web attacks; monitoring and access logs; malware and file-upload controls; backup and recovery procedures; and periodic security reviews or testing.
The safeguards described in this section are risk-based measures and are not a representation that every listed control is active in every deployment or subscription. NxtStep shall not describe a control as implemented unless it has been deployed and maintained in the relevant environment.
17. CUSTOMER SECURITY OBLIGATIONS AND PROHIBITED CONDUCT
The Customer shall promptly notify NxtStep of suspected hacking, compromised credentials, unauthorized disclosure, unusual account activity, or other security concerns. The Customer shall preserve relevant information and reasonably cooperate with investigation and containment.
The Customer shall take reasonable steps to protect its own devices, email accounts, networks, credentials, and Authorized Users. The Customer shall promptly remove access for departing or unauthorized personnel, use available security features, avoid sharing credentials, and not upload malicious files or attempt to bypass security controls.
The Customer shall not conduct or authorize penetration testing, vulnerability scanning, scraping, denial-of-service testing, or other security testing against nxtDMD without NxtStep's prior written authorization, except to the extent such restriction is prohibited by applicable law.
18. SECURITY INCIDENTS AND PERSONAL DATA BREACHES
NxtStep shall maintain procedures for identifying, investigating, containing, and responding to security incidents.
If NxtStep becomes aware of a suspected or confirmed security incident that may materially affect Customer Data, NxtStep shall take reasonable steps to assess, contain, investigate, and mitigate the incident. If a personal data breach affecting Customer Data is confirmed, NxtStep shall notify the Customer without undue delay, subject to applicable law and legitimate security or investigative requirements. The notice shall include information reasonably available at the time and may be supplemented as the investigation progresses.
The Parties shall reasonably cooperate in determining whether regulatory or data-subject notification is required. The Customer remains responsible for its legal obligations as the applicable Personal Information Controller.
A cyberattack by itself does not automatically establish that NxtStep is liable or that NxtStep is free from liability. The parties shall reasonably cooperate to establish the cause, limit further harm, preserve relevant evidence, and meet applicable legal and regulatory obligations.
To the extent permitted by applicable law, NxtStep shall not be responsible for an incident to the extent it was caused by compromised Customer or Authorized User credentials, the Customer's devices or systems, unauthorized actions of the Customer's personnel, the Customer's failure to follow reasonable security instructions, or a third-party service or event outside NxtStep's reasonable control, provided that this clause does not exclude responsibility for NxtStep's own breach of these Terms, negligence, wilful misconduct, or other liability that cannot legally be excluded.
Responsibility for a security incident, loss, corruption, unauthorized disclosure, or unauthorized access shall be assessed according to the facts, the applicable law, and the extent to which the incident was caused or contributed to by a party's acts or omissions, including any breach of these Terms or failure to perform its applicable security obligations.
19. SUBPROCESSORS
NxtStep may engage third-party providers to support nxtDMD, including providers of:
- Cloud hosting;
- Database services;
- File and image storage;
- X-ray and 3D storage;
- Payment processing;
- Email;
- SMS;
- Authentication;
- Security;
- Monitoring;
- Analytics; and
- Customer support.
NxtStep shall require relevant subprocessors to implement appropriate privacy and security obligations consistent with their role.
20. INTERNATIONAL DATA PROCESSING
Certain infrastructure or service providers used by NxtStep may store or process data outside the Philippines.
Where applicable, NxtStep shall implement appropriate safeguards required by applicable law and contractual arrangements.
21. DATA RETENTION
NxtStep shall retain Customer Data for as long as reasonably necessary to provide the Service and fulfill applicable contractual, legal, security, accounting, and legitimate business requirements.
The Clinic remains responsible for determining appropriate retention periods for patient records.
22. DATA EXPORT
During an active subscription, the Customer may export available Customer Data using available nxtDMD functionality.
Depending on technical capabilities, exports may include:
- Patient records;
- Appointment records;
- Billing records;
- Images;
- X-rays;
- Documents; and
- Other Customer Data.
Large imaging and 3D datasets may be subject to technical limitations, storage limitations, or additional export procedures.
23. INTELLECTUAL PROPERTY
NxtStep owns or licenses all intellectual property relating to nxtDMD, including its:
- Software;
- Source code;
- Interface;
- Design;
- Documentation;
- Workflows;
- Trademarks;
- Branding; and
- Underlying technology.
The Customer receives only a limited, non-exclusive, non-transferable right to use nxtDMD during its active subscription.
24. ACCEPTABLE USE
The Customer shall not:
- Access information without authorization;
- Attempt to bypass security controls;
- Introduce malware;
- Interfere with the Service;
- Reverse engineer nxtDMD except where legally permitted;
- Resell nxtDMD without authorization;
- Use nxtDMD for unlawful purposes;
- Upload content that unlawfully infringes third-party rights; or
- Permit unauthorized access to Patient Data.
25. SERVICE AVAILABILITY
NxtStep will use commercially reasonable efforts to maintain availability of nxtDMD.
Service interruptions may occur because of maintenance, infrastructure failures, internet outages, third-party services, security incidents, natural disasters, or other circumstances beyond NxtStep's reasonable control.
Any separate Service Level Agreement shall govern specific availability commitments.
26. BACKUPS
NxtStep may maintain backups for disaster recovery and business continuity.
Backups do not constitute a guarantee that every file or record can always be restored.
The Customer should maintain appropriate exports or other copies where required for clinical, regulatory, legal, or business purposes.
27. SUSPENSION
NxtStep may temporarily suspend access where reasonably necessary to:
- Protect the Service;
- Address a security threat;
- Prevent unlawful activity;
- Address serious abuse;
- Comply with law; or
- Address materially overdue fees.
Where reasonably practicable, NxtStep shall provide notice.
28. TERMINATION
Either party may terminate the subscription according to the applicable subscription agreement.
NxtStep may terminate or suspend the account for material breach, unlawful use, serious security risk, or prolonged non-payment, subject to applicable law.
29. POST-TERMINATION DATA
Following termination, the Customer may retrieve available Customer Data during the applicable export period.
After that period, NxtStep may delete Customer Data subject to legal retention requirements, backup cycles, and other applicable obligations.
30. DISCLAIMER OF WARRANTIES
To the maximum extent permitted by law, nxtDMD is provided on an "as is" and "as available" basis.
NxtStep does not guarantee that nxtDMD will:
- Operate continuously;
- Be completely error-free;
- Meet every Customer requirement;
- Prevent every cybersecurity incident;
- Preserve every file indefinitely; or
- Produce any particular business or clinical outcome.
31. LIMITATION OF LIABILITY
To the maximum extent permitted by applicable law, NxtStep shall not be liable for indirect, incidental, special, consequential, or punitive damages, including loss of profits, revenue, goodwill, business opportunities, or data.
Subject to applicable law, NxtStep's aggregate liability shall not exceed the subscription fees actually paid by the Customer during the twelve (12) months preceding the event giving rise to the claim.
Nothing in these Terms excludes liability that cannot legally be excluded under Philippine law.
32. CUSTOMER INDEMNIFICATION
To the extent permitted by law, the Customer shall indemnify NxtStep against third-party claims arising from:
- Unlawful use of nxtDMD;
- Unauthorized processing of Patient Data by the Customer;
- Failure to provide legally required notices;
- Failure to obtain required consent where applicable;
- Clinical decisions;
- Treatment decisions;
- Content uploaded by the Customer; or
- Breach of these Terms by the Customer.
33. CHANGES TO nxtDMD
NxtStep may modify, improve, add, or remove features from nxtDMD.
If a material change substantially reduces the core functionality of a paid subscription, NxtStep shall provide reasonable notice where practicable.
34. CHANGES TO THESE TERMS
NxtStep may update these Terms from time to time.
Material changes may be communicated through nxtDMD, email, or another reasonable method.
Continued use after the effective date of revised Terms constitutes acceptance to the extent permitted by law.
35. GOVERNING LAW
These Terms shall be governed by the laws of the Republic of the Philippines.
Subject to applicable law, disputes shall be brought before the appropriate courts.
36. CONTACT INFORMATION
NxtStep IT Solutions
Product: nxtDMD
Email: contact@nxtdmd.com / contact@nxtstepitsolutions.com
Website: nxtdmd.com / nxtstepitsolutions.com