Thank you all for your replies. I got good information from them. But to clear up a few possible misunderstandings... The patient just made a statement and said "Oh I didn't know you were his wife, we all thought he was gay by the way he walked." Well at that point the front office worker told her husband on the phone the girls name and that she said that she thought he was gay. I am worried and angry because it seems that everytime a patient comes to the office if they work at the plant, she has to run her mouth and tell her husband the name of the person who came in. It is not important if the patient asks for an excuse. The point is that if I go to an office I don't care who that nurse/receptionist knows or how well they know them or me, I don't want them telling that other person I was there. That is where we are protected by "HIPPA" . I am not trying to say that hippa has something to do with the comment made about the guy being gay. They should have something to do with her always telling him information that patients rely on us to be confidential. I understand that it needs to be handled in the proper chain of command, but when you have the office manager being best friends with the person you are complaining about that will probably end up making it hard on me and nothing in the end happening to the one that is running her mouth. Any other information or advice would be greatly appreciated.