however in the case of a minor(depending on the age of consent in the state in question) should have a "in loco parentis" appointed by local authority to discuss inteligently with the chid what is going on. This person could be loosely associated or a member of clinic staff so the kid is clearly informed. A simple "each office that treats children will have an appointed, knowledgable person who will discuss frankly the cause and results of disease and tratment. Such a person shall keep a written log of when they met the child and for how long. " dont want to keep notes, they can be subpoena'd
thanx,
bill