SUNSHINE HAVEN THERAPY, PLLC
Notice of Privacy Practices – Effective 6/26/2026
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.
This Notice is issued by Sunshine Haven Therapy, PLLC (the Practice). It applies to Clients who receive services directly from the Practice on a private-pay basis. If you receive services billed through the Practice’s insurance platform, you will instead receive, and be governed by, Headway’s separate Notice of Privacy Practices.
The Practice is required by law to maintain the privacy of your Protected Health Information (“PHI”), to provide you this Notice of its legal duties and privacy practices, to notify you following a breach of unsecured PHI, and to abide by the terms of the Notice currently in effect.
HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
Treatment. We use your PHI to provide and coordinate your care. Disclosures to other providers for your treatment are made only with your written authorization, except as law permits.
Payment. If the Practice serves you on a private-pay basis, the Practice bills you directly and does not submit claims to your insurer. Upon your request, the Practice will provide you a detailed statement (a “superbill”) that you may submit to your insurer on your own initiative; the Practice does not guarantee reimbursement.
If your services are billed to your health insurance through Headway, your health insurance plan may request access to portions of your medical record for purposes such as verifying services provided, determining medical necessity, processing claims, or conducting audits, as permitted by law.
DISCLOSURES WE MAY MAKE WITHOUT YOUR AUTHORIZATION
Consistent with applicable law, we may use or disclose PHI without your authorization in limited circumstances, including: in response to a valid court order or a subpoena of which you have been properly notified and have not timely objected; to a health-oversight agency acting within its authority; to defend the Practice in a complaint or legal proceeding you bring against it; in connection with a workers’ compensation claim; to our business associates under written agreements that protect your information; and to prevent or lessen a serious and imminent threat to the health or safety of you or others.
MANDATORY REPORTING — STATE-SPECIFIC
As a licensed clinician, the Practice’s clinician is a mandatory reporter. The applicable reporting obligation depends on the state in which you are located when services are provided:
North Carolina. Suspected abuse, neglect, or dependency of a child is reported to the county department of social services where the child resides or is found, and suspected abuse, neglect, or exploitation of a disabled or older adult is likewise reported to the county department of social services.
Florida. Suspected abuse, neglect, or exploitation of a child or vulnerable adult is reported to the Florida Abuse Hotline.
CONFIDENTIALITY OF COMMUNICATIONS
Communications between a client and a licensed clinical social worker are protected by law. [Drafting note: the prior Notice referred to “psychologist-patient privilege.” The clinician is a Licensed Clinical Social Worker; the correct privileges are the North Carolina social worker–client privilege and the Florida psychotherapist-patient privilege. Confirm citations — e.g., N.C. Gen. Stat. § 8-53.7; Fla. Stat. § 90.503 — before use.] We will limit any permitted or required disclosure to the minimum necessary.
YOUR RIGHTS
To inspect and obtain a copy of your PHI, subject to limited exceptions and reasonable cost-based fees;
To request an amendment of your PHI (we may deny the request in certain circumstances and will explain why within the time the law allows);
To an accounting of certain disclosures;
To request restrictions on certain uses and disclosures (we are generally not required to agree, except that we must honor a request to restrict disclosure to a health plan for payment or operations where you have paid in full out of pocket);
To request confidential communications by alternative means or at alternative locations;
To choose someone to act for you through a valid legal authority;
To a paper copy of this Notice on request; and
To file a complaint, as described below, without retaliation.
ELECTRONIC COMMUNICATION AND TEXT MESSAGING
Email and text messages carry inherent privacy and security risks. The Practice uses such channels only for administrative purposes (for example, scheduling). If you opt in to text messages, you may opt out at any time by replying STOP, or reply HELP for assistance.
COMPLAINTS
If you believe your privacy rights have been violated, you may contact the Practice at Sunshine Haven Therapy, PLLC, 2125 Biscayne Blvd., Ste. 204 #8822, Miami, FL 33137, (786) 490-5951. You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, and with the applicable state authority — the North Carolina or Florida department of health, as applicable. You will not be retaliated against for filing a complaint.
The Practice reserves the right to change this Notice and to make the revised Notice effective for PHI it already maintains. The current Notice will be posted at www.sunshinehaventherapy.com.
Acknowledgment of Receipt. I acknowledge that I have received and had the opportunity to review the Practice’s Notice of Privacy Practices.