By Robert W. Blum (Eds.)
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Extra info for Adolescent Health Care. Clinical Issues
46. What kinds of things do you and your family argue about the most? Figure 1 (continued) 38 47. Do you feel you are physically mistreated (hit or beaten) by a member of your family? 48. Is this something you would like to talk about with someone at the clinic? yes E. PAST HEALTH HISTORY 49. Have you ever: a. Stayed overnight in the hospital? no yes For what? b. Had an operation or abortion? no yes What kind? c. Had any serious injuries (concussions, broken bones, etc)? What kind? yes no no When?
L. v. Parham. (1976). 412 F. Supp. D. ). Minnesota Statute. (1971). Department of Health, Chap ter 544, Sec. 347. Parham v. J. R. (1979). 99 S. Ct. 2493. Planned Parenthood v. Danforth. (1966). S. 52. Rowe v. Wade. (1973). S. 113. Snyder v. Massachusetts. (1934). S. 97, 105. Spaulding, W. J. (1979). University of Richmond Law Review 13, 695-741. Wald, P. (1978). A speech presented at the University of Minnesota School of Public Health. Watts, W. W. (1979). Southern California Law Review. 52, 1869-1915.
When were you born_ month 7. If it is necessary to contact you about an appointment or tests, may we: Call you? yes no (if yes, no message will be left unless you wish us t o : leave message) Write you? yes day year no 8. In case of an emergency, w h o m should we call? Name 9. Is this clinic the main place you go for health care? Phone yes no 10. What other places do you go for health care or counselling? This is very important because it may be necessary to check records at other places to find out about diseases you have had, medicines or tests that have been done in the past.