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Understanding Minor Consent and Confidentiality in Health Care in Oregon, December 2023

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The Oregon Health Authority (OHA) Reproductive Health (RH) Program and Adolescent & School Health (ASH) Program are pleased to share the new “Understanding Minor Consent and Confidentiality in Health Care in Oregon." This document, an updated version of the 2016 document “Minor Rights: Access and Consent to Health Care," summarizes state statutes, federal laws and regulations related to minor consent and confidentiality in health care settings. Topics include consent for specific health care services, confidentiality and privacy, and disclosure and information sharing.

This resource is geared toward providers in clinical settings, however parents/guardians, youth workers, and minors may use this document as a reference for understanding and maximizing minor confidentiality and privacy as it relates to health care.

This document is available in Spanish, Traditional Chinese, Simplified Chinese, Russian, and Vietnamese.

Questions? Please contact the Adolescent & School Health Program adolescent.program@odhsoha.oregon.gov or Reproductive Health Program rh.program@odhsoha.oregon.gov.





The Adolescent Health Snapshot

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The Adolescent Health Snapshot is designed to give a picture of the current health and wellbeing of Oregon youth, and to highlight different subpopulations of youth by demographic category. Data from the 2020 Oregon Student Health Survey was used to examine a variety of indicators related to mental health, school climate & connectedness, substance use and the physical, mental and economic effects of COVID-19 on Oregon adolescents. These slides present data related to all these topics for Oregon 6th, 8th and 11th graders by gender identity, sexual orientation and location (urban/rural/frontier). The slides also showcase some of the youth engagement efforts happening across Oregon to amplify youth voices in program and policy design and implementation.

Questions about the Snapshot slides can be directed to the Adolescent & School Health Program at adolescent.program@odhsoha.oregon.gov.

The Adolescent Well Visit

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Comparison of the Adolescent Well Care Visit and Pre-participation Physical Evaluation was created through a partnership between the Oregon Health Authority and the Oregon School Activities Association to help organizations understand the differences between the Adolescent Well Care Visit (AWV) and the Pre-participation Physical Evaluation (PPE), also known as a “sports physical.” These organizations include Oregon’s school districts, schools, athletic departments, school-based health centers, adolescent primary care providers, private insurers and coordinated care organizations. The AWV and PPE serve student athletes in different ways:

  • The AWV has a stronger sense of development and overall health and well-being.
  • The PPE has focused screening for medical conditions or injuries (primarily cardiovascular and musculoskeletal, respectively) which may be worsened by athletic activity (a sample PPE form has been included on pages 9-11).

This publication emphasizes that schools and providers should encourage student athletes to complete both evaluations as recommended. There is enough overlap between the two methods that a health care provider could complete both assessments at the same time. The document provides points of comparison to maximize coordination in parental involvement, the health information sought during a pre-visit questionnaire, and the physical exam. It shares recommendations for providers on modifying an AWV or PPE to include elements of both. This coordination will help limit a student’s absence from school and sports, and will ensure exams cover all aspects of a student’s health during an Adolescent Well Care visit or sports physical.