In our office, I have started to scan in all the HIPPA forms completed by the patient. It is filed with the non-medical so it doesn't need to be signed off. I title it HIPPA FORM so that it will stand out. Any time we receive a call, we check this to confirm the patients wishes. If there is a change, the patient completes a new HIPPA form and the chart is updated. Most of our patients are adults. We have a few minors. Since we are family practice, we have not had any issues with minors requesting birth-control. I believe most in this area go to planned parenthood or an obgyn.