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NE Pediatric Pre-Pubertal Forensic Medical Examination free printable template

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PEDIATRIC (PREPUBERTAL) FORENSIC MEDICAL EXAMINATION FORM ACUTE 72 HOURS Initial to indicate copies are made and distributed. COPY ORIGINALCrime Lab (place in kit) Law Enforcement (place in envelope
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How to fill out NE Pediatric (Pre-Pubertal) Forensic Medical Examination Form

01
Begin by filling out the child's basic information, including name, age, date of birth, and gender.
02
Note the date and time of the examination.
03
Collect information on the guardian or parent accompanying the child, including their name and contact information.
04
Document the reason for the examination, including any specific concerns or allegations.
05
Ensure consent is obtained from a legal guardian for the examination.
06
Proceed with a thorough physical examination, documenting any injuries or abnormalities.
07
Record the medical history related to the child's health and previous examinations.
08
Complete any necessary diagnostic tests or lab work as indicated.
09
Provide recommendations for follow-up care or referrals if necessary.
10
Double-check to ensure all sections of the form are completed and accurate before submission.

Who needs NE Pediatric (Pre-Pubertal) Forensic Medical Examination Form?

01
Children who may be victims of abuse or neglect.
02
Children involved in legal investigations requiring medical examination.
03
Parents or guardians seeking clarity on a child’s medical condition related to forensic issues.
04
Social workers or law enforcement professionals facilitating investigations involving children.
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The NE Pediatric (Pre-Pubertal) Forensic Medical Examination Form is a standardized document used by medical professionals to record findings during a forensic medical examination of pre-pubertal children, typically in cases of suspected abuse or neglect.
The form is typically filed by healthcare providers, such as pediatricians or forensic examiners, who conduct examinations on pre-pubertal children in cases of suspected abuse or in collaboration with legal and child protective services.
To fill out the form, the medical professional must provide detailed information about the child, including demographics, medical history, findings from the physical exam, any injuries noted, and observations relevant to the forensic investigation.
The purpose of the form is to document medical evaluations comprehensively for legal proceedings, to support investigations into allegations of abuse, and to ensure that the child's health and welfare are addressed.
The form must report the child's personal details (such as name and age), details of the alleged incident, medical history, results of the physical examination, description of any injuries, and any pertinent observations that could aid in the investigation.
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