Note: Complete and sign this form (with your parents if younger than 18) before your appointment 2025

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Your parents can help guide you in seeking medical care, however, as an adult you have the right and responsibility for your medical care. This means that you may now seek medical care without your parents consent and call for your own appointments as needed.
Generally, a parent or guardian of a minor child is regarded as what the HIPAA Privacy Rule calls the personal representative of the minor child. Per the HIPAA Privacy Rule, a personal representative is authorized to exercise the HIPAA rights of the individual whom he or she represents, on that persons behalf.
Youre covered by HIPAA after you turn 18. At that point, you need to give written permission for people to see your medical records even your parents. Medical records can be confusing for people who arent trained to read them.
This may be a good document to have if you want to continue to stay in the loop about your childs medical needs. Thanks to the HIPAA, most people dont have to share their medical records or information. That includes most American children after they turn 18, even if theyre on your health plan.
If the other parent is being difficult or refuses to consent to the issuance of a passport and such documents do not exist, one can still file a petition in family court and request sole legal custody of the child or permission to obtain a passport on behalf of the child without the consent of the other parent.
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