I think in OliviaC situation the sharing of information among professionals operating out of the same clinic is not necessarily a breach of confidentiality. My GP and neurologist work out of the same medical group but are actually located in different buildings and have different office and nursing staffs. I have one medical chart that is sent back and forth between the two physicians. When I first realized this I did not like it at all. However today I saw my GP for a general check in, It was nice to know he was interested and taking responsibility for making sure I was getting complete and coordinated health care. He even politely made a general inquiry about my therapy and if I felt like I was getting what I needed. Luckily my therapy is done elsewhere :-)

I think OliviaC's case highlights a disadvantage of a clinic arrangement where physician's and therapists work in the same office. Nothing is private in that situation.