Confidentiality & Privacy: Protecting Your Health Information

Your medical records are protected under the Health Insurance Portability and Accountability Act (HIPAA) and state privacy laws. As a teen, you have rights to keep certain health information private, even from parents.

Confidentiality encourages teens to seek care without fear of judgment or exposure, especially for sensitive issues like sexual health or mental health.

Your Privacy Rights

  • Confidential services: Treatments you consent to (e.g., STI testing, contraception) are usually private, even from parents.
  • Medical records: Doctors cannot share your records without your permission, except in specific cases (e.g., abuse reporting).
  • Billing concerns: Be aware that insurance statements sent to parents may reveal services. Ask providers about confidential billing options.
  • Mandatory reporting: Providers must report suspected abuse, neglect, or threats to harm yourself or others.
  • State variations: Privacy laws differ by state. Some states give teens more control over their records at age 14 or 16.

Always ask your healthcare provider about their confidentiality policies before discussing sensitive issues.

Reproductive Health: Your Rights to Care

Teens have specific rights to access reproductive health services, including contraception, STI testing, and pregnancy-related care. These rights vary by state but are designed to ensure you can protect your health.

Access to reproductive healthcare is critical for teens, and many states allow you to seek these services confidentially to encourage safe practices.

Your Reproductive Health Rights

  • Contraception: Most states allow teens to access birth control (e.g., condoms, pills) without parental consent.
  • STI testing/treatment: You can usually consent to STI testing and treatment starting at age 12 or 13.
  • Pregnancy care: Prenatal care and pregnancy testing are often available without parental permission.
  • Abortion: Abortion laws vary widely. Some states require parental notification or consent, while others allow teens to consent independently.
  • Confidentiality: Reproductive health services are typically confidential, but check with your provider.

Contact a local Planned Parenthood, health clinic, or legal aid organization for state-specific information and confidential care options.

Mental Health Care: Seeking Support

Mental health is just as important as physical health, and many states allow teens to seek therapy or counseling without parental consent. These laws help you get support when you need it most.

Seeking mental health care can be intimidating, but your rights ensure you can access help confidentially and safely.

Your Mental Health Rights

  • Outpatient counseling: Some states allow teens (often 12 or older) to consent to therapy without parental approval.
  • Inpatient care: Consent for hospitalization or residential treatment usually requires parental permission, except in emergencies.
  • Confidentiality: Therapy sessions are typically private, but therapists must report risks of harm to yourself or others.
  • School resources: School counselors can provide support, but their confidentiality rules may differ from private therapists.
  • Crisis support: You can call crisis hotlines (e.g., 988 Suicide & Crisis Lifeline) anonymously for immediate help.

If you’re struggling, reach out to a trusted adult, school counselor, or mental health provider. You don’t have to face challenges alone.

Emergency Treatment: Immediate Care Without Delay

In emergencies, healthcare providers can treat you without parental consent to ensure your safety and health. This ensures you receive timely care when time is critical.

Understanding your rights to emergency treatment can help you feel confident seeking help in urgent situations.

What Counts as an Emergency

  • Life-threatening conditions: Heart attacks, severe injuries, or unconsciousness.
  • Serious injuries: Broken bones, severe bleeding, or burns requiring immediate care.
  • Mental health crises: Situations where you pose a risk to yourself or others.
  • Acute illnesses: Severe allergic reactions, infections, or breathing difficulties.

Your Rights in Emergencies

  • Immediate treatment: Doctors can provide care without parental consent in life-threatening situations.
  • Confidentiality: Emergency care may be confidential, but parents are often notified afterward.
  • Consent after stabilization: Parental consent may be required for non-emergency follow-up care.
  • State laws: Check your state’s rules on emergency care for minors.

Vaccinations: Your Right to Stay Protected

Some states allow teens to consent to vaccinations independently, empowering you to protect your health against preventable diseases.

Vaccinations are critical for your health and community safety. Knowing your rights ensures you can stay up to date on immunizations.

Vaccination Rights

  • Independent consent: Some states allow teens (often 14 or older) to consent to vaccines like HPV, flu, or COVID-19.
  • School requirements: Schools may require certain vaccines, but you may consent independently in some cases.
  • Confidentiality: Vaccination records may be private, but insurance billing could notify parents.
  • Public health clinics: Many offer free or low-cost vaccines for teens without parental consent.

How to Get Vaccinated

  • Visit a public health clinic or pharmacy for vaccine access.
  • Ask about your state’s minor consent laws for vaccinations.
  • Request confidential billing to avoid parental notification.
  • Check school or community vaccine programs for free options.