A young girl, Jane, walks into your pharmacy. She appears incredibly uncomfortable and hesitantly asks for the 'morning after pill'.
She tells you that she is buying the medication for her sister, Cindy. Jane explains that Cindy is in a dangerous home environment and subject to domestic violence from her husband. Cindy does not want to have children with her husband but is too afraid to ask for emergency contraception herself in case her husband finds out.
As you speak to Jane, you discover Jane is only 13 years old and is unable to answer questions regarding Cindy’s medical history or current medications. Jane also refuses to provide Cindy’s surname and home address. While serving her, you get the sense that Jane’s story may not be entirely truthful, and that the medication might actually be for herself. You observe that she is shaking and in a lot of distress.
Jane insists that her sister does not wish to be contacted and does not want to get the police involved. You consider your duty of care to the presenting person, Jane, and her sister, Cindy, however you are also aware that it conflicts with legal and professional standards to dispense this medication to a minor without a prescription and a full and accurate history.