Writing a good medical report Writing a good medical report Selected text from: Abstract The preparation of a medico-legal report is an exercise in communication between the doctors and the legal system. A proper request and informed consent are essential prior to commencing report preparation. A structured format incorporating elements of background information, medical history, physical examination, specimens obtained, treatment provided and opinion is suggested.
Making a statement Making a statement If you are the victim or witness of a crime, the police will ask you to make a detailed statement about what happened.
Victims of crime often provide important evidence that help police charge the accused person and prevent them from committing the crime again. Legally, you do not have to make a statement or answer questions, but it will help police to investigate the crime. Tell the police, in your own words, everything that you remember about what happened.
Sometimes the questions police must ask may be difficult or embarrassing to answer. Try not to leave anything out, even if you don't think it is important.
When you report the crime, you may be in shock and might not be able to remember everything that happened. If you remember something days or weeks later, write it down. Contact the police and tell them, no matter how small it is.
It could be important to the case. How your statement is used The police keep a record of your statement. If the case goes to court, a copy of your statement is given to the accused person's lawyer.
Later, if you are asked to give evidenceyou will be given a copy of your statement to refresh your memory.I have to write a report or statement. Is it for the Coroner, a Serious Untoward Incident investigation, a police or GMC investigation?
Make sure you have a copy of the relevant clinical records and any other documents that you will need to . Statements for your employer or agency. If your employer or agency asks you for a statement, ask them to put their request in writing so that you know exactly what you are being asked to write about.
Release of privileged medical information in a medico-legal report without valid consent is unethical and may be illegal. In situations where a medico-legal report is requested but consent is withheld, the requesting agency may apply for a court order for release of the material.
The statement is a method of communicating medical information to a lay person and so medical terms should be explained in a way that is . Write out your statement before speaking to the judge. Reading a statement can become very emotional, and it is easy to lose track of what you are saying.
Having a written copy will help you cover all of the points that you want to convey. Writing a good medical report. Writing a good medical report. Selected text from: Who should write the report, The request should be accompanied by a signed statement of consent completed by the patient or legal guardian, allowing release of .