An adolescent office visit that supports confidentiality

In consultation with	The clinician should
Patient and parent(s) or guardian(s)	Outline structure of visit Obtain general medical and family history Discuss confidentiality
Patient	Obtain health history, including risk-taking behaviors Address patient concerns Provide health guidance Address billing issues
Parent	Address parental concerns Provide guidance about adolescent development
Patient*	Perform physical examination, as indicated
Patient	Summarize findings and recommendations Determine parental involvement Determine method of notification of laboratory results
Patient and parent(s) or guardian(s)	Summarize findings and recommendations, as appropriate Address billing issues

* Parent may be present at patient's discretion. Some states require parental permission to examine the patient alone.

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