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 of Privacy Practices ("Notice") describes how we may use and disclose your protected health information ("PHI") and how you can access it. We are required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to maintain the privacy of your PHI, provide you with this Notice, and follow the terms of the Notice currently in effect.

Florida law also protects the confidentiality of communications between a licensed mental health counselor and a patient, with limited exceptions. This Notice summarizes the most common ways we use and disclose PHI and explains your rights.

1. How We May Use and Disclose Your PHI (Without Written Authorization)

A. Treatment

We may use and disclose your PHI for treatment purposes. For example, we may use your information to provide psychotherapy services and, when appropriate, to coordinate care with other health care providers.

B. Payment

We may use and disclose your PHI for payment activities. Examples include billing you (or the person responsible for your payment), collecting payment, or responding to a request you make for documentation (such as a superbill) to seek reimbursement.

C. Health Care Operations

We may use and disclose your PHI for health care operations, which include the business activities needed to run the practice, such as quality assessment, auditing, and improving documentation and services.

D. Appointment Reminders and Care-Related Communications

We may use your PHI to contact you (for example, by phone, mail, or secure electronic message) to remind you of an appointment or to provide information about treatment options or other health-related services that may be of interest to you.

E. People Involved in Your Care

With your agreement, or when permitted by law, we may share limited information with a family member, close friend, or another person you identify who is involved in your care or payment for your care.

F. Disclosures Required or Permitted by Law

We may use or disclose PHI without your authorization when required by law, or as permitted by HIPAA, including for:

• Public health activities (for example, reporting as authorized by law).

• Health oversight activities (for example, audits, investigations, inspections, and licensing).

• Judicial and administrative proceedings (for example, in response to a court order, and in certain circumstances in response to a subpoena).

• Law enforcement purposes, as required or permitted by law.

• Coroners, medical examiners, and funeral directors.

• Organ and tissue donation and transplantation.

• Workers' compensation and similar programs.

G. Abuse, Neglect, or Exploitation Reporting (Florida Law)

Florida law requires reporting in certain situations. For example, we may be required to report known or suspected:

• Child abuse, abandonment, neglect, or sexual abuse.

• Abuse, neglect, or exploitation of a vulnerable adult (including elderly adults).

H. Serious Threat to Health or Safety (Including Florida Threat Disclosures)

We may use or disclose PHI when necessary to reduce or prevent a serious and imminent threat to your health and safety or the health and safety of another person or the public. Under Florida law, if a patient communicates a specific threat to cause serious bodily injury or death to an identified or readily available person and we make a clinical judgment that the patient has the apparent intent and ability to imminently or immediately carry out the threat, we may communicate the information to the potential victim and must disclose the threat to the extent necessary to a law enforcement agency.

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I. Business Associates

We may share PHI with third parties that help us operate the practice (for example, electronic health record or billing support) when required safeguards are in place. These parties are called business associates and are required to protect the privacy and security of your PHI.

2. Uses and Disclosures That Require Your Written Authorization

Any other uses and disclosures not described above will be made only with your written authorization, unless otherwise permitted or required by law. You may revoke an authorization in writing at any time, except to the extent that we have already taken action relying on the authorization.

Psychotherapy notes (if maintained) generally require your written authorization for use or disclosure, except in limited situations permitted by law.

Marketing, sale of PHI, and certain other disclosures require your written authorization.

Additional federal protections may apply to certain substance use disorder treatment records that we receive from programs subject to 42 CFR Part 2. If applicable, we will comply with those stricter requirements.

3. Your Rights Regarding Your PHI

You have the following rights, which you may exercise by submitting a written request to our Privacy Officer at the address listed below:

• Right to request restrictions on certain uses and disclosures of your PHI. We are not required to agree to most requests. However, if you pay in full out-of-pocket for a service and you ask us not to share information about that service with your health plan for payment or health care operations, we must honor that request unless a disclosure is required by law.

• Right to request confidential communications (for example, at an alternative location or by an alternative method).

• Right to access, inspect, and obtain a copy of your PHI (paper or electronic), with limited exceptions.

• Right to request an amendment to your PHI if you believe it is incorrect or incomplete.

• Right to receive an accounting of certain disclosures of your PHI (outside of treatment, payment, and health care operations), as provided by law.

• Right to receive a paper copy of this Notice at any time, even if you agreed to receive it electronically.

• Right to be notified following a breach of unsecured PHI.

• Right to appoint a personal representative (someone legally authorized to act on your behalf) to exercise your rights.

• To exercise any of these rights, please contact our Privacy Officer. We will respond to your request as required by law.

4. Our Responsibilities

We are required by law to maintain the privacy of your PHI and to provide you with this Notice of our legal duties and privacy practices.

We will follow the duties and privacy practices described in this Notice and will notify you if a breach occurs that may have compromised the privacy or security of your information.

We will not use or share your PHI other than as described in this Notice unless you tell us we may do so in writing (or unless otherwise permitted or required by law).

5. Changes to This Notice

We reserve the right to change the terms of this Notice and to make the new Notice effective for all PHI that we maintain. A current copy of this Notice is available upon request.

Privacy Officer: Dr. Livia Perez

Miami Holistic Therapy and Trauma Resolution, Inc.
12555 Orange Drive, Suite 225, Davie, FL 33330
Phone: (786) 602-5259                                                   

Revised: January 17, 2026