If you are a teenager, you might be wondering whether anything you say to a doctor will get back to your parents. That is a fair question, and it shouldn’t stop you getting help. Here is how confidentiality works.
What confidentiality means
Confidentiality means what you tell your doctor, nurse or other health worker stays private. It isn’t shared with other people, including your parents or carers, unless you agree.
This matters because:
- Trust. You can be honest, and that helps us get things right.
- Privacy. Sensitive topics like mental health, sex, relationships, alcohol or drugs stay between you and your doctor.
- Your choice. You get a say in decisions about your own health.
Can I see a doctor on my own?
Often, yes. In Australia there is no single age when you can start making your own health decisions. A doctor looks at whether you understand what is going on: the problem, the choices, and what might happen with each one. If you do, you can usually agree to treatment yourself and expect it to stay private, even if you are under 18. This is sometimes called being a “mature minor” or “Gillick competent”.
If you come in with a parent, your doctor may ask to spend part of the appointment with just you. That is normal and gives you a chance to bring up anything you would rather say privately.
When we might have to share information
There are a few exceptions. We may need to share information if:
- you, or someone else, are at serious risk of harm
- we believe you are being abused or are at risk of abuse (doctors in WA have to report some situations by law)
- a court or the law requires it
Even then, we only share what is needed to keep people safe, and we will try to talk with you about it first.
Your records and Medicare
- Your health records are stored securely and only seen by the people involved in your care.
- From 14, your parents can’t see your Medicare claims or your My Health Record without your permission.
- From 15, you can get your own Medicare card.
You decide who else knows
Lots of young people do want a parent or another trusted adult involved, and that can really help. It is your choice. If you want, your doctor can help you work out how to start that conversation.
If you have questions about privacy, just ask. Your doctor can explain exactly what is kept private and what would happen in different situations.
The doctors at The Village Medical Practice take confidentiality seriously. Feeling safe to speak openly is how good care starts.