Purpose With the rise of Electronic Health Record (EHR) adoption in the United States, healthcare organizations have implemented patient portal functionality to fulfill government regulations and promote the “meaningful use” of EHRs. Some institutions enable both patients and caregivers to read outpatient clinician progress notes through this secure patient portal. The concept of shared access can pose significant challenges regarding maintaining privacy and confidentiality for the adolescent patient. Our academic pediatric institution has enabled a ‘Confidential’ note type which allows outpatient clinic providers to disable note access in the patient portal for patients and …