All patient medical information is confidential, whether in paper or electronic records. Patient consent is required to release information, and access is limited to medical staff with a need to know. All employees accessing electronic records must sign an annual confidentiality agreement outlining penalties for unauthorized disclosure and are assigned unique logins. Computer terminals must not be left unattended while online, and screens should be shielded to protect confidential data from others. Printouts must be shredded after use.