Prescription/treatment quaqmire

This is an interesting case because it was a telecon during my rotation. The provider had seen a 16 y/o Hispanic female patient in March and completed PAP, pelvic and cultures. Patient had positive GC culture. Provider called patient, notified her of results and ordered antibiotics for her to pick up at the MTF pharmacy. Provider keeps a personal log to ensure patients pick up prescriptions when positive cultures involved. Patient never picked up rx so she called her and found that patient had lost her ID card and unable to get on base or pick up her medications. Provider asked patient if she was still having sex and patient stated she was but her boyfriend had been treated. Provider discussed with patient that both required treatment at the same time otherwise the infection could reoccur in treated partner. Patient then asked for civilian prescription to be called into network pharmacy. Provider did so but patient called back stating the pharmacy never received order. Provider called CVS and pharmacist stated they had order and it was good. She had to leave multiple telephone messages before patient called back and stated the pharmacist told her the order was not active. Provider put patient, pharmacist and herself on conference call eventually because patient kept calling clinic stating there was no active prescription at the place she requested. Provider thought that this case was now resolved. Patient then called clinic a few weeks later stating her father has her insurance card and she cannot get it from him. She did not want to tell him why she needed it. Provider directed patient to contact her local health dept to obtain free or low cost treatment if she was unable to get on base or use her insurance card or cash at local pharmacy to pick up her medications. Patient stated she would contact the local health dept. Two weeks later patient called again to say she got a new military ID card and wanted to make sure the antibiotic prescription at the MTF was still available/active because her mother would drive her to the clinic. The patient had still not picked up the prescription at the MTF by the time my clinical rotation was complete.

In this instance could the provider have contacted her parents? Called the front gate to sponsor her on base? I do not know if she had a driver’s license/car and I am not sure if she lived in DC, VA or MD or the distance she had to travel to get to MTF. The metro station is a few miles away from this location. I never looked up her address so unsure what state law applies to the situation. It boggled my mind that so many hours and effort had been expended and the patient had still not received treatment by mid-June after a diagnosis in March.