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Family Independence Agreement

Link: https://health.choc.org/handout/family-independence-agreement/

Published: June 30, 2023
Last updated: June 30, 2023

Adolescent to Adult Bridge Program (A2B)

As a young adult, you want to be more independent. Parents, you may
worry that your teen isn’t ready to take care of their health by themselves.
This communication agreement is a way to get everyone on the same page
and set boundaries everyone is comfortable with.

Teen

I promise to:

_______________________________

_______________________________

_______________________________

Signature:

_______________________________

Example promises for teens

  • Remember to take my medicine on
    schedule
  • Wear a medical alert bracelet at all
    times
  • Make healthy decisions when out
    with my friends

Parent

I promise to:

_______________________________

_______________________________

_______________________________

Signature:

_______________________________

Example promises for parents

  • Only check in about taking your
    medicine once a day
  • Let you tell your friends about your
    condition
  • Not overact or get mad when you tell me the truth

The guidance on this page has been clinically reviewed by CHOC pediatric experts.

The contents of this webpage, including text, graphics, audio files, and videos (“Materials”), are for your general information only. The Materials are not intended to substitute qualified professional or medical advice, diagnoses, or treatments. CHOC does not recommend or endorse any specific tests, physicians, products, procedures, or other information that may be mentioned on or linked to this webpage. Always call your physician or another qualified health provider if you have any questions or problems. If you think you may have a medical emergency, call your doctor, go to the nearest emergency department, or call 911.

For more health information for your family visit health.choc.org

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