I was trying to find information on what you should do if a patient doesn't want her violent boyfriend to know she's getting an abortion. She wants all communications sent to her post ofice box and to phone her only at work.What should the doctor do. and would the advice be different if she says that not doing this will endanger her.

I believe the doctor must follow the patient's instructions. A boyfriend has no claim on her, nor can he legally access any of her medical records.

If she is underage, a parent might need to be included, but if she is over 18, there are clinics and county offices that are there to help in any situation. If she were to go there or to any doctor's office, her records will be strictly confidential. She would have to sign a release in order to have any of her records shown to anyone. She would not even have to include the name of the would be father. In any situation, the doctor would comminicate with her however she had requested. If she can only get calls at work, she would just give them that number, if she only needed to get info through the mail, they can do that as well.

When faced with a situation where a patient does not want their violent boyfriend to know about their abortion, it is crucial for the doctor to prioritize the patient's safety and confidentiality.

Here's what the doctor should do:

1. Create a safe environment: Ensure the patient feels comfortable and safe during their visit. Offer a private space where they can openly discuss their concerns.

2. Provide empathetic support: Show understanding and compassion for the patient's situation. Let them know that their well-being is the top priority.

3. Explain confidentiality: Reassure the patient that their medical information is protected by doctor-patient confidentiality. Inform them that you are bound by ethical and legal obligations not to disclose their personal details without their consent.

4. Assess the potential danger: If the patient states that not keeping their abortion a secret will endanger them, take their concerns seriously. Assess the level of threat and determine if immediate assistance is necessary.

5. Provide resources and referrals: Offer information about local support services, helplines, or counseling centers that specialize in assisting individuals in abusive relationships. Ensure they are aware of the help available to them.

6. Document everything: It's critical to keep comprehensive and accurate records of the patient's discussions, concerns, and requests. This documentation can be vital in the future, should legal intervention or protection be required.

Remember, the priority is the patient's safety and well-being. If the patient is in immediate danger or expresses an urgent need for protection, it may be necessary to involve appropriate authorities or support services to ensure their safety.

It is important to note that the advice may vary depending on the specific legal and ethical obligations in the jurisdiction where the doctor practices. It's essential for the doctor to familiarize themselves with local laws and regulations regarding patient confidentiality and mandatory reporting in cases of domestic violence or abuse.