Adolescent Health Provider Survey The Putnam County Department of Health is assessing the needs for Adolescent Health in our community and would appreciate you taking the time to answer a few questions. Step 1 of 4 25% Do you see patients between the ages of 13-19 years old?YesNo Are you familiar with adolescent confidentiality laws including confidential billing codes for teens?YesNo Do you believe that adolescent patients should have the opportunity to a private visit (without parent) with their provider, to discuss confidential information about numerous adolescent issues (ex: sexual health) in a safe environment?YesNoWhy not?Are you currently providing confidential and private (without parent) adolescent visits for your 13-19 year old patients?YesNoIf you are not providing confidential private sessions with your adolescent patients, would you and/or staff be open to receiving information on how to address Adolescent Sexual Health issues?YesNoWho should the Putnam County Department of Health contact? Please list their name and phone number or email address.Does your exam include a discussion of the following topics? Please indicate Yes or No.Mental HealthViolenceSexual HealthTobacco UseSubstance UseAlcohol UseObesityGeneral NutritionExercise Do you feel comfortable discussing sexual health and activities with your adolescent patients?YesNoDo you discuss birth control options with every adolescent patient?YesNoWhat types of birth control do you discuss? Intrauterine Contraception Hormonal Methods Barrier Methods Fertility Awareness Methods
