If the minor has the authority to consent to treatment (check your state’s laws) and insists on confidentiality, then the minor is generally (but not always) financially responsible for the cost of the treatment. Be sure to check state laws regarding financial responsibility of minors. Frequently, the minor will be covered for care under a parent’s healthcare insurance. However, if a minor requests that the services (e.g., birth control, pregnancy, etc.) be paid by a parent’s healthcare policy, the minor must be advised, in advance, that the parent will be informed of the care and treatment because the insurance provider will send a copy of the bill to the parent regarding the service provided. Document your conversation with the minor patient.