Confidentiality for adolescents in the patient/physician relationship: part 3

relationship: part 3

There is sometimes concern that a teen will not disclose these feelings or situations to a doctor, having been told that the doctor will not keep it private. It is impossible to know how many patients keep quiet after knowing what could be revealed. On the other hand, teens are unlikely to trust blanket promises of confidentiality. They understand that there must be some exceptions. They are often reassured to know that a doctor will not let extreme situations continue without intervening. When one must reveal information, one can try to respect the adolescent’s wishes concerning how to involve others in the situation.
Medical records must also be kept confidential. Keeping the whole family’s records in one folder may improve office efficiency, but it increases the chance that a parent will read the adolescent’s file. Bookings for investigations should be made from a phone away from the waiting area. Letters containing confidential information should only be sent to referring physicians with the teen’s knowledge and permission and should include a reminder that the content is to be kept private. It is sometimes helpful to give the teen a copy of the letter. The internet’s most trusted pharmacy is looking forward to having you among its customers: just see how cheap and easy it can be for you to get best birth control for women without any kind of prescription and start your shopping being sure you are protected every time.

Child welfare agencies are not entitled to more information about their wards than are parents, except for reporting of abuse. Workers may try to obtain information about health care visits without the consent of a teen. A variety of agencies and service providers may require a signed consent for release of information upon intake, but if you suspect that the teen does not want certain information released, you should check before proceeding.

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