Medico-legal form

(1) Subject to subsection (4) of this section, the medico- legal form set out in the Schedule to this Act shall be used by members of the Belize Police Department and medical Medico - legal form. 176 practitioners in the investigation and reporting of cases relating to child abuse, sexual abuse, and offences specified in Parts V, VI and VII of this Code. (2) Notwithstanding any other rule of law to the contrary, from the commencement of this section, the medico-legal form specified in the Schedule shall be received in evidence in the prosecution of any offence specified in sub-section (1). (3) The Attorney-General may repeal and replace the medico-legal form specified in the Schedule by Order published in the Gazette. (4) This section shall not derogate from or affect the application of section 36 of the Evidence Act. 177 SCHEDULE Medico-Legal Report [section 332] THIS SECTION TO BE FILLED OUT BY THE POLICE Please print or type COMPLAINTS NAME □ Male □ Female Ethnicity D.O.B AGE CR No. COMPLAINANTS ADDRESS ADDRESS (if different from complainant’s) NAME OF PARENT(S) OR RESPONSIBLE PERSON PRESENT RELATIONSHIP TO COMPLAINANT' PHONE NUMBER DATE PROBLEM(S) NOTED POLICE OFFICER PRESENT SOCIAL SERVICES PRACTITIONER PRESENT DEPT/AGENCY AND CONTACT TELEPHONE POLICE STATION AND CONTACT TELEPHONE NAME OF ISSUING OFFICER: DATE ISSUED: SIGNATURE: TIME: FORM HANDED TO: RECEIVED FROM: SIGNATURE: SIGNATURE: NAME OF RECEIVING OFFICER: RECEIVED DATE: SIGNATURE: TIME: If a sexual abuse occurred within 72 hours, the following details are important: 178 Criminal Code 2. HAS THE COMPLAINANT: 3. IS ALLEGED ASSAULT RECURRING □ Washed/bathed/showered? (REPEATED)? 1. TIME & DATE OF ALLEGED OFFENCE 1a. PLACE WHERE ALLEGEDOFFENCES OCCURRED □ Brushed teeth/rinsed mouth? □ YES □ NO □ Changed outer clothing/ If YES, explain: □ Changed outer clothing/underclothing? □ Drunk alcohol/solvent/other substance? Explain: Criminal Code 179 THIS SECTION TO BE FILLED OUT BY THE MEDICAL EXAMINER Clinical History COMPLAINANTS NAME DATE AND TIME OF MEDICAL EXAM JJCATTON OF MEDICAL EXAM 1. IF THE COMPLAINANT ADMITS BEING SEXUALLY ACTIVE: • Date complainant last participated willingly in sexual contact • Was Contraception used? □ Yes □ No (If YES, what type) 3. LENGTH OF LAST' MENSTRUAL PERIOD (IF' FEMALE) 2. MENSTRUAL HISTORY (IF FEMALE) First □ Not yet started □ Menstruating □ More than Occurrence of menstruation: 2 months □ 3-4 weeks □ More than 4 weeks □ Uncertain □ 7 days-2 weeks □ Not yet started □ Started □ Not known Age of first Last menstrual period as recalled by complainant menstruation (Questions 4 and 5 may already have been ashed of the parent(s) legal guardian(s) by the police) 4. DOES COMPLAINANT EXHIBIT' ANY PHYSICAL SYMPTOMS/SIGNS? (Check where applicable, describe where necessary) □ Painful urination □ Painful passage of bowel contents through the rectum and anus □ Blood on underwear/diaper □ Vaginal discharge (colour) □ Redness of the external genital area □ Sexually transmitted infections □ Painful genital area □ Blood on toilet paper □ Pregnancy □ Abdominal pain □ Blood on clothing □ Semen on body, specify where □ Other, specify □ Semen on body, specify where 5. HAS COMPLAINANT EXHIBITED BEHAVIOURAL SYMPTOMS? (EXPAND BELOW) □ Masturbation □ Soiling □ Secondary wetting □ Aggression/anger Initiated sexual activity on □ toys □ children □ adults Describe any other symptoms: 180 Criminal Code Physical Examination (Please check where applicable) POSITION FOR EXAMINATION □ Body on back with hips and knees flexed and thighs apart □ Standing □ Body lying face down □ Other 1. ARE BRUISES PRESENT? (illustrate on chart) □ Yes □ No 1. If yes: □ Face/head □ Neck, chest, breast □ Arms □ Legs □Abdomen, pubic area □ Back, buttocks □ Other, specify Criminal Code 181 COMPLAINANTS NAME 2. IS REDNESS OR SWELLING SEEN ? (Illustrate on chart) □ Yes □ No □ Face/head □ Neck, chest, breast □ arms □ legs □ Abdomen, pubic area □ Back, buttocks □ Other, specify 3. WOUNDS OR SCRATCHES? (Illustrate on chart) □ Yes □ No □ Limbs □ Face/head □ Neck, chest, breast □ Abdomen, pubic areas □ Back, buttocks Other, specify 4. CLOTHES STAINED WITH: □ Blood □ Debris □ Soil □ Grass □ Semen □ Other, specify 5. ARE OTHER INJURIES SEEN? (e.g. burns/bites) DETAILS (Also specify on charts) IN RELATION TO THE ANUS AND GENITALS (Females) POSITION FOR EXAMINATION □ Body on back with hips and knees flexed and thighs apart □ Standing □ Body lying face down 1. PUBIC AREA INSPECTION (Check all appropriate) □ Normal □ Bruising □ Swelling/redness □ Torn and ragged wound □ Shaven 2. OUTER LIPS OF THE VAGINAL OPENING (Check all appropriate) □ Normal □ Brushing □ Swelling/redness □ Torn and ragged wound □ Adhesions □ Other, specify 182 Criminal Code 3. SMALLER LIPS OF SKIN LOCATED DIRECTLY ON EACH SIDE OF THE VAGINAL OPENING (Check all appropriate) □ Normal □ Brushing □ Swelling/redness □ Torn and ragged wound □ Adhesions Other specify 4. CLITORIS (Check all appropriate) □ Normal □ Bruising □ Swelling/redness □ Torn and ragged wound □ Adhesion Other specify. 5. DEVELOPMENT OF HYMEN □ Infantile □ Pre initial menstruation □ Post initial menstruation 6. HYMENAL TEARS (Illustrate on chart) □ None □ Partial single tear □ Partial more than one □ Complete single □ Complete more than one 7. DESCRIBE HYMEN (Illustrate on chart) □ Fine sharp edge □ Rolled edge □ Nodular scars □ Fresh tears □ Swelling 8. OTHER TRAUMA: Criminal Code 183 COMPLAINANTS NAME 9.VAGINAL MUCOSA ACCESSIBILITY □ Not seen □ Visible after manipulation □ Gaping, easily seen □ Vaginal Examination done, □ Specify results 10. INSPECTION OF' THE AREA BENEATH THE VAGINAL OPENING, WHERE THE LABIA MINORA MEET □ Sharp, well defined □ Soft border, intact □ Poor definition □ Not intact □ Scarred □ Soft/eroded 11. EVIDENCE OF INFECTION □ None □ Bruising □ Torn and ragged wound □ Scratches □ Redness/swelling □ Other, specify 12. ANAL INSPECTION (Check where applicable) Position: □ Body on back with hips and knees flexed and thighs apart □ Standing □ Body lying face down □ Other 13. ABNORMALITIES NOTED (Check where applicable) □ Normal □ Tearing(s) in lining of anus □ Scar(s) □ Bleeding □ Excessive accumulation of fluid in tissue space □ Redness □ Laxity □ Dilation □ Warts □ Discharge □ Distorted skin folds □ Small growths of tissue on skins surface □ Congestion of anus due to escape of blood flow □ Funnelling □ Other, specify 14. IF DILATED, CHECK ABOVE. DID THIS OCCUR IN LESS THAN 1 MINUTE? □ YES □ NO IF YES, TO WHAT EXTENT? □ 1-5 MM □ 5-10 MM □ 10-15 MM □ 15-20 MM 15. REC TAL EXAMINATION (Check where applicable) □ Confirm laxity □ Empty rectum □ Considered undesirable □ Stool in rectum □ Stool visible during dilation 184 Criminal Code IN RELATION TO THE ANUS AND GENITALS (Males) 1. PENILE INSPECTION (Check where applicable) □ Normal □ Build up of excess fluid □ Bruising □ Traumatized skin caused by scratching or rubbing □ Tiny broken capillary blood vessels □ Torn and ragged wound □ Discharge □ Other specify □ Tenderness □ Bites □ Redness 2. SCRO TAL INSPEC TION (Check all applicable) □ Normal □ Build up of excess fluid □ Bruising □ Traumatized skin caused by scratching or rubbing □ Tiny broken capillary blood vessels □ Torn and ragged wound □ Discharge □ Other specify □ Tenderness □ Bites □ Redness 3. ANAL INSPEC TION (Check all applicable) Position: □ Body on back with hips and knees flexed and thighs apart □ Standing □ Body lying face down □ Other 4. ABNORMALITIES NOTED (Check where applicable) □ Normal □ Tear(s) in the lining or the anus □ Scar(s) □ Bleeding □ Excessive accumulation of fluid in tissue space □ Redness □ Discharge □ Dilation □ Laxity □ Warts □ Distorted skin folds □ Small growths of tissue on skins surface □ Congestion of the anus to obstruction of blood □ Funnelling □ Other, specify 5. IF DILATED, CHECK ABOVE DID THIS OCCUR IN LESS THAN 1 MINUTE? □ YES □ NO IF YES, TO WHAT EXTENT? □ 1-5 MM □ 5-10 MM □ 10-15 MM □ 15-20 MM 6. RECTAL EXAMINATION (Check where applicable) □ Confirm laxity □ Empty rectum □ Considered undesirable □ Stool in rectum □ Stool visible during dilation Criminal Code 185 GRAPHIC DESCRIPTION OF INJURY(IES) (INFANT) 186 Criminal Code GRAPHIC DESCRIPTION INJURY (IES) (FEMALE) Criminal Code 187 GRAPHIC DESCRIPTION OF INJURY (IES) (MALE) 188 Criminal Code GRAPHIC DESCRIPTION OF INJURY(IES) (VAGINA) Criminal Code 189 SUMMARY REPORT COMPLAINANT’S NAME General inspection (cleanliness/blood/staining/etc.) _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ General injuries (bruises/torn and ragged wounds/scratches/etc.) _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ Genital examination (classification of injury optional) _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ Anal examination _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ 190 Criminal Code COMPLAINANT’S NAME General summary of findings _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ HARM WOUNDING GRIEVOUS HARM MAIM (See reverse side for definitions) Declaration: This report of the physical examination is true to the best of my knowledge and belief, and I file it knowing that it is tendered in evidence and that I may be liable to prosecution if I have stated in it, anything which I either know to be false, or do not believe to be true. Date of examination ________________________ Preparation Date of report____________________ Name of Examining Physician_________________ Signature __________________________________ Criminal Code 191 Definitions of Harm (CAP. 84 § 92 of the Criminal Code 1. ‘Harm’ means any bodily hurt, disease or disorder, whether permanent or temporary. 2. ‘Grievous harm’ means any harm which amounts to a maiming or dangerous harm. 3. ‘Dangerous harm’ is defined as which serious or permanently injures health, or which is likely to injure health or which extends to permanent disfigurement or to any permanent or serious injury to any external or internal organ, member or sense. 4. ‘Dangerous harm’ means harm endangering life. 5. ‘Maim’ means the destruction or permanent disabling of any external or internal organ, member or sense. 6. ‘Wound’ means any incision or puncture that divides or pierces any exterior, membrane of the body, and any membrane is exterior for the purposes of this definition, which can be touched without dividing or piercing any other membrane.