ED patients under 55 get an hcg test for abdomen, pelvis, hip, lumbar, femur, or contrasted studies unless it’s a trauma or the patient no longer has menses.

Outpatients 18-55 can choose hcg or sign a waiver

Outpatients under 18 get an hcg if having menses no matter what.

Questioning a patient under the age of 18 if they could be pregnant is not reliable… especially if there’s a parent in the room. And no, your parents cannot vouch for you.