Confidential Care for Minor Patients

Introduction to this self-study CME activity


In general, physicians support confidential care for adolescent patients, but have knowledge gaps around Michigan’s minor consent laws. Confidential care may also be difficult to provide in a busy ambulatory care setting with parents present. This self-study activity is designed to help physicians and health center staff understand and apply the laws and best practices in the provision of confidential care to adolescents.

Adolescents cite confidentiality as one of the key determinants in their use of healthcare. This self-study module is designed to address this critical factor in caring for adolescents. It should take approximately 30 minutes to complete, and there is no fee to participate. 


For providers and staff to understand and apply Michigan’s legal protections and legal limitations for minor adolescent patients seeking confidential health care. This includes being able to:

  • Identify healthcare issues for which a minor patient can seek treatment without the consent or knowledge of his or her parent/guardian.
  • Recognize the legal limits of this confidential care and explain when minor confidentiality can and will be broken.
  • Advise minor patients seeking confidential care that if they are using their parent/guardian insurance to pay for the services than an explanation of benefits (EOB) may be sent to their parent/guardian's from the insurance company disclosing the care received.
  • Foster a patient care environment where minor patients can seek care confidentially when needed, while encouraging open communciations between patients and parents/guardians.


This self-study activity is appropriate for providers and health center staff that work with adolescent patients.


Team Leaders

  • Margaret Riley, MD
    Family Medicine

Team Members

  • Jenni Lane
    Adolescent Health Initiative

Author Disclosures

None of the authors have financial relationships with commercial companies whose products are discussed in this CME activity.

Other Acknowledgements

  • Adolescent Health Initiative Steering Committee for their guidance and editing of the content of this activity.

CME Accreditation and Credit Designation

The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Michigan Medical School designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This CME activity was released in December 2014, with credit available through November 2017.  The activity was reviewed for currency of content in November 2017 and availablility fo credit extended through November 2020. Continuation of credit from that date depends on a thorough review of the content currency and accuracy.  

Method of Participation

  1. View or read the educational content provided in the links found on the next page.
  2. Complete the on-line learning assessment test with a score of 70% or higher.  After you initially take the test, the test will be immediately electronically scored. 
    If fewer than 70% of the questions are answered correctly, the questions that were not answered correctly will be noted in red.  Review the CME content related to those topics and retake the test.
    If 70% or more of the questions are answered correctly, the correct and incorrect answers for all questions will be shown along with explanations of the basis for the correct answer.  The link to register and receive credit is shown at the end of the items and explanations. 
  3. Complete the electronic credit request and activity evaluation.  An electronic certificate of participation will be provided immediately.
  4. Print the certificate of participation for your personal records.