As such, this should be no different than any other teenage wellness exam and because most of these kids you'll be signing the forms are teenagers, that means you need to include a thorough history and physical, you need attention to the past medical history, attention to the history of present illness, and a HEADSS assessment, which means teenager with no parent and nobody else in the exam room, with emphasis on the fact that there is confidentiality unless you say you are going to hurt yourself or hurt somebody else, or somebody's hurting you. 