
Privacy Practices
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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.
I. Who We Are
This Notice of Privacy Practices (“Notice”) describes the privacy practices of Anchor MD, LLC and its affiliates, including certain affiliated professional entities, their physicians, health care practitioners, and other personnel (collectively, “Anchor MD,” “we,” “us,” or “our”) who provide you with healthcare services. Anchor MD, LLC is a Wyoming limited liability company. The term "Providers" refers to the licensed healthcare providers and their affiliated professional entities that utilize the Anchor MD platform
II. Our Privacy Obligations
We are required by law to maintain the privacy of your health information (“Protected Health Information” or “PHI”) and to provide you with this Notice of our legal duties and privacy practices with respect to your PHI. We are also obligated to notify you following a Breach of unsecured PHI. When we use or disclose your PHI, we are required to abide by the terms of this Notice (or other notice in effect at the time of the use or disclosure).
III. Permissible Uses and Disclosures Without Your Written Authorization
In certain situations, which we describe in Section IV below, we must obtain your written authorization in order to use and/or disclose your PHI. We do not need any type of authorization, however, for the following uses and disclosures:
A. Uses and Disclosures For Treatment, Payment and Health Care Operations.
We may use and disclose PHI, but not your “Highly Confidential Information” (defined in Section IV.B below), in order to treat you, obtain payment for services provided to you, and conduct our “Healthcare Operations” as detailed below:
- Treatment: To provide, coordinate, or help manage your healthcare and related services through our Providers.
- Payment: To facilitate payment for services provided to you.
- Health Care Operations: For our internal administration, planning, quality improvement, and other operational activities.
B. Other Uses and Disclosures:
- To Relatives, Friends, Caregivers: If you agree, do not object, or in emergencies if in your best interest.
- Public Health Activities: As required by law (e.g., reporting diseases, child abuse).
- Victims of Abuse, Neglect, Domestic Violence: To authorized government authorities.
- Health Oversight Activities: To agencies for audits, investigations, licensure.
- Judicial/Administrative Proceedings: In response to legal orders or lawful process.
- Law Enforcement: As required or permitted by law.
- Decedents: To coroners, medical examiners, funeral directors.
- Research: If an Institutional Review Board or Privacy Board approves a waiver of authorization.
- To Avert Serious Threat to Health/Safety: To prevent or lessen a serious threat.
- Specialized Government Functions: For military, national security, etc..
- Workers’ Compensation: To comply with workers' compensation laws.
- As Required By Law: When mandated by federal, state, or local law.
- Business Associates: To third-party service providers who perform functions on our behalf and are contractually obligated to protect your PHI and other Providers we use.
- Appointment Reminders & Health-Related Information: To contact you about appointments or health-related benefits/services that may interest you.
- Data Breach Notification: To notify you of a breach of unsecured PHI.
IV. Uses and Disclosures Requiring Your Written Authorization
A. When Authorization Is Required
Except as described elsewhere in this Notice, Anchor MD will use or disclose your protected health information (“PHI”) only with your written authorization (“Authorization”). Written authorization is mandatory for:
- Marketing communications not permitted by HIPAA (i.e., any communication for which Anchor MD receives direct or indirect payment from a third party);
- Any disclosure that constitutes the “sale” of PHI; and
- Any other use or disclosure not otherwise allowed by law (for example, releasing your PHI to a life-insurance carrier or to opposing counsel in litigation).
B. Uses and Disclosures of Your Highly Confidential Information.
Federal and state law give extra protection to certain categories of information (“Highly Confidential Information”), including PHI that relates to:
- Mental-health or developmental-disability services;
- Substance-use disorder treatment;
- HIV/AIDS testing, diagnosis, or treatment;
- Sexually transmitted diseases;
- Genetic testing;
- Child abuse or neglect;
- Abuse of a vulnerable adult; or
- Sexual assault.
Anchor MD will not use or disclose Highly Confidential Information for any purpose not expressly permitted by law without your written Authorization.
C. Revocation of Your Authorization.
You may revoke an Authorization at any time, except to the extent we have already relied on it, by sending a written revocation to our Privacy Officer (see “Contact Information”). A revocation form is available on request.
V. Your Rights Regarding Your Protected Health Information
A. For Further Information and Complaints.
If you would like more information about your privacy rights, if you are concerned that we have violated your privacy rights, or if you disagree with a decision that we made about access to your PHI, you may contact us directly. You may also file written complaints with the Director, Office for Civil Rights of the U.S. Department of Health and Human Services. Upon request, the Compliance and we will provide you with the correct contact information for the Director. We will not retaliate against you if you file a complaint with us or the Director.
B. Right to Request Additional Restrictions.
You have the right to request a restriction on the uses and disclosures of your PHI (1) for treatment, payment, and health care operations purposes, and (2) to individuals (such as a family member, other relative, close personal friend or any other person identified by you) involved in your care or with payment related to your care. For example, you have the right to request that we not disclose your PHI to a health plan for payment or healthcare operations purposes, if that PHI pertains solely to a health care item or service for which we have been involved and which has been paid out of pocket in full. Unless otherwise required by law, we are required to comply with your request for this type of restriction. For all other requests for restrictions on use and disclosures of your PHI, we are not required to agree to your request, but will attempt to accommodate reasonable requests when appropriate. If you wish to request additional restrictions, please obtain a request form from, and return the form to us at the address provided below. We will subsequently respond to your request with a written response.
C. Right to Receive Confidential Communications.
We will accommodate reasonable written requests for you to receive your PHI by alternative means of communication or at alternative locations.
D. Right to Inspect and Copy Your Health Information.
You may request access to your medical record file and billing records maintained by us in order to inspect and request copies of the records. Under limited circumstances, we may deny you access to a portion of your records. If you would like to access your records, please submit a written request to us (see Section IX, "Contact Information"). If you request copies, we will charge you a cost-based fee that includes (1) labor for copying the PHI; (2) supplies for creating the paper copy or electronic media if you request an electronic copy on portable media; (3) our postage costs, if you request that we mail the copies to you; and (4) if you agree in advance, the cost of preparing an explanation or summary of the PHI.
E. Right to Request to Amend Your Records.
You have the right to request that we amend PHI maintained in your medical record file or billing records. If you desire to amend your records, please obtain an Amendment Request Form from the us and submit the completed form to us (see Section IX, "Contact Information"). We will comply with your request unless we believe that the information that would be amended is accurate and complete or other special circumstances apply.
F. Right to Receive An Accounting of Disclosures.
Upon request, you may obtain an accounting of certain disclosures of your PHI made by us during any period of time prior to the date of your request provided such period does not exceed six years. If you request an accounting more than once during a twelve (12) month period, we will charge you a reasonable fee for additional accountings of disclosure and will inform you in advance of any fee to provide you with an opportunity to withdraw or modify the request.
G. Right to Receive A Copy of this Notice.
Upon request, you may obtain a copy of this Notice, either by email or in paper format. Please submit your request to us (see Section IX, "Contact Information").
VI. Effective Date
This Notice is effective on May 23, 2025.
VII. Right to Change Terms of this Notice.
We may change the terms of this Notice at any time. If we change this Notice, we may make the new notice terms effective for all Protected Health Information that we maintain, including any information created or received prior to issuing the new notice. If we change this Notice, we will post the new notice on our website (www.takeanchor.com). You also may obtain any new notice by contacting our us at the address below.
VIII. State-Specific and International Privacy Rights
- California Residents: Your medical information is protected by California's Confidentiality of Medical Information Act (CMIA). We comply with CMIA. For rights regarding "personal information" (that is not PHI or medical information) under the California Consumer Privacy Act (CCPA)/California Privacy Rights Act (CPRA), please refer to the Anchor MD Privacy Policy.
- Florida Residents: The Florida Information Protection Act (FIPA) requires us to implement reasonable security for your personal information (including PHI) and specific data breach notification procedures. Anchor MD is committed to complying with these requirements.
IX. Contact Information
Anchor MD, LLC
30 N Gould St
Sheridan WY 82801
Email: care@takeanchor.com
Phone: +1 (888) 629-2608