You can get a free pregnancy test at a clinic especially for teens. You can get sexual health services at a clinic without your parents' permission or knowledge. Services are confidential, free or very low-cost, and open to all. You will be helped regardless of your immigration status.As of January 1, 2015, New York City Health Department clinics will adopt new health insurance and billing practices in order to comply with State law and Medicaid rules. If you are 19 or older, STD clinic staff will ask for your health insurance information or a sliding scale fee based on your income and family size. If you do not have health insurance or cannot pay the fee, you can still get services. Your visit remains confidential.