Inclusion Criteria:  (1)16-21 years of age  (2)female or transmale identified (i.e. have potential for pregnancy)  (3) ICD9/10 diagnostic codes corresponding with chronic illness/disability from the following CHLA subspecialty services:  rheumatology (e.g., lupus, JIA, scleroderma, etc.) hematology (sickle cell disease, thalassemia) oncology (survivors) cardiology (congenital and acquired cardiac disease, including transplant) endocrinology (Type 1/2 diabetes) neurology (epilepsy, multiple sclerosis, cerebral palsy) pulmonology (cystic fibrosis) gastroenterology (inflammatory bowel disease, liver transplant) nephrology (chronic kidney disease, kidney transplant) and  spina bifida multidisciplinary clinic  (4)Receiving ongoing care (at least one visit per year for more than one year) in one of the ten sub-specialty services targeted for the study  (5)English speaking  (6)Cognitive capacity for participation in a group discussion with other AYA, or an individual interview, about contraception  (7) Access to a phone, tablet or computer that has camera/video capabilities and willing to download the video conference platform in order to participate in the study procedures  Parent/caregiver Inclusion Criteria (parents/caregivers of minor participants)  Legal parent/caregiver of patient 16-17 years old meeting study criteria English or Spanish speaking  Exclusion Criteria:  Patients from the above sub-specialty services less than 16 years of age or greater than 21 years of age Non-English speaking Consult patients or patients who have not received ongoing care (i.e., care at least one visit per year for more than one year) from these subspecialty services Neurocognitive disability Patients with known infertility and/or history of receiving gonadotoxic therapies, for whom childbearing is known to be impossible Patients who do not have access to digital platforms necessary to participate in the study  Parent/caregiver Exclusion Criteria (parents/caregivers of minor participants)  Adult accompanying patient who is not legal parent/caregiver Non-English/non-Spanish speaking