Age of Consent

Washington State's general age of majority for health care is 18. However, a minor can get services without parental consent in some cases. See the "Minor Consent in Washington State" table, which follows. 

For more information or to get a release form, please call the Community Health Plan customer service team at 1-800-440-1561 toll free or email customercare@chpw.org. If you are hearing or speech impaired, please call TTY 1-866-816-2479 toll free or local 206-613-8875.

Minor Consent in Washington State*

Service

Need Only Minor Consent?

Need Parent or Guardian Consent?

Need to Notify Parent or Guardian?

Notes & Source

Emergency medical services

Yes

No

No

If parent's consent is not readily available, need for consent is satisfied and minor can get the services.

Non-emergency medical services

No, unless Mature Minor Doctrine applies. (See Notes & Source.)

Yes, unless minor meets Mature Minor Doctrine.

No

If it is not a medical emergency or one of the other services listed in this table, minors may give consent under the Mature Minor Doctrine. They must understand what might happen as a result of a medical procedure.

To decide if a patient is a mature minor, providers look at the minor's:

  • Age
  • Intelligence
  • Maturity
  • Training
  • Experience
  • Economic independence
  • Conduct as an adult
  • Freedom from control of parents

Immuni­zations

No, unless Mature Minor Doctrine applies.

Yes, unless minor meets Mature Minor Doctrine.

No

Minors may get immunizations without parental consent under the Mature Minor Doctrine. (See the Non-Emergency Medical Services Notes & Source column.)

Sexually transmitted disease testing & treatment (including HIV)

Yes, if 14 or older

No

No

Some agencies, such as Public Health – Seattle & King County, test or treat people of any age because their mission is to prevent or control the spread of disease.

Birth control services

Yes (at any age)

No

No

Minors may get or refuse birth control services at any age without consent.

Abortion & abortion-related services

Yes

No

No

Minors also do not need the consent of the father of the child.

Prenatal care services

Yes (at any age)

No

No

 

Outpatient mental health treatment

Yes, if 13 or older

No

No

The parents are not notified without minor consent.

Inpatient mental health treatment

Yes, if 13 or older

No

Yes

No consent needed to get the services, but parents must be notified.

Outpatient substance abuse treatment

Yes, if 13 or older

No

See Source and Notes.

Provider will inform parents that minor is getting this treatment within 7 business days if:

  • The minor gives written consent, or
  • The provider decides that minor cannot make a rational choice to get the treatment.

Inpatient substance abuse treatment

No, unless minor is Child In Need of Services (CHINS).

Yes, unless CHINS

Yes, unless CHINS

  • Minors 13 or older may get this treatment without consent if DSHS decides minor is a "child in need of services."
  • If school district staff refers a child to inpatient chemical dependency services, they must notify the parents within 48 hours.
  • If parental consent is needed, then parents must be notified.

* This table is adapted from the resource provided by Northwest Justice Project .