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Describes the development of a client‐held health record designed to appeal to young people aged 11 to 16‐plus. Explains that this evolved from the concept of the parent‐held child health record, arising from the author’s conviction that the emphasis of the parent‐focused record should shift to one focused on the child or young person by the start of secondary school. Summarizes the development of the Health Fax by the school nursing service in Optimum Health Services, London. Outlines the results of the initial evaluation, which found that pupils were enthusiastic about having their own health record, and which also emphasized the need to have a record that would evolve both in content and design as the young person develops. Stresses that the information supplied as inserts for the Health Fax needs to complement appropriate health education, rather than acting as a substitute for it.

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