Samples and Examples

Sample Policies and Letters

• TALK: Toolkit for Adolescent Care (University of Minnesota Center for Healthy Youth Development)
  • Helping Your Teen Navigate Healthcare – Tips for Parents (University of Minnesota Center for Healthy Youth Development)
  • Sample Letter to Adolescents (University of Minnesota Center for Healthy Youth Development)
  • Sample Letter to Parents (University of Minnesota Center for Healthy Youth Development)

Sample Handouts

• Adolescent Confidentiality – A Quick Guide for Providers Serving Youth (PDF)
• Supporting Your Teen’s Confidential Health Care: A Guide for Parents and Guardians (PDF)
• Your Health Care Privacy – A Guide for Teens Under 18 (PDF)
• Teens, Privacy and Health – Health Care Rights Poster (PDF)

Clinic Workflow Examples

• A Teen-Friendly Reproductive Health Visit (Centers for Disease Control)
• Adolescent privacy and the EHR (Contemporary Pediatrics)
• Confident Teen Clinic Workflow (Texas A&M)
• Example Confidentiality Workflow (Adolescent Health Initiative)

Back to the Confidentiality Roadmap Page