Healthcare, most notably mental health care, is among the most personal services rendered in our society; yet to deliver this care, many personnel must have access to intimate patient information. In order to receive appropriate care, patients must feel free to reveal personal information. In return, the healthcare provider must treat patient information confidentially and protect its security. With the need for improved collaboration with pediatrics and other specialists, maintaining confidentiality is becoming more difficult. While information technology can improve the quality of care through the instant retrieval and exchange of medical information by a greater number of people who can contribute to the care and treatment of a patient, it also can increase the risk of unauthorized use, access, and disclosure of confidential patient information. The need to protect patient confidentiality is imposed by state laws and the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) and as recently amended under the Health Information Technology for Economic and Clinical Health Act (the “HITECH Act”). This Member Forum explores the unique aspects of confidentiality with respect to child psychiatric records. The AACAP Task force on Health Information Technology shares a draft policy on confidentiality with attendees for feedback. We want to hear from the membership about your concerns over the new delivery of healthcare services and protecting patient confidentiality.