Minor Patient Consent FAQ's
Can my minor child be seen if they are accompanied by another adult?
Yes. For all appointments a Parental Delegation Form or a signed letter granting authority must be on file. For all minor patients, a Health History Form must also be completed. For Physical Therapy and Dental appointments, a signed treatment plan must be on file.
Are adolescents eligible for private visits?
Yes adolescents may have a confidential visit for:
- Reproductive Health Issues (including pregnancy testing, family planning, prenatal care or diagnosis and treatment of sexually transmitted diseases);
- Substance Abuse;
- and/or adolescents over 12 years old may be seen for Mental Health Issues.
Can my minor child attend a visit unaccompanied?
- Minors 12 – 18 years old who have established care with Valley-Wide Health Systems are eligible to attend a visit unaccompanied if the following conditions are met.
- An Unaccompanied Minor Form is complete on file.
- Current Health History is on file.
- A parent is available by phone. If the parent cannot be contacted by phone, the visit may be cancelled.
- A parent or guardian must sign informed consent for services requiring informed consent such as invasive procedures. Medication administration and vaccines must also be authorized by the parent prior to them being administered.
