When a 15 year old enters my practice, as mentioned earlier, he/she gets the confidentiality rights of an adult, and both the patient and parent need to agree. It is also the deal my wife and I made with our 14 year old's doctor.. I do not know how I would handle a patient who starts as a baby and ages; clearly a 3 year old's parents need to know everything. I'd like to hear more. Do you FP guys set an arbitrary age, follow some state law invariably, have a chat with the patient and parents when you think the time has come to treat him/her more as an adult, "wing it", or what?