In this section
This proforma is intended to enable you to complete a full and legible record of your consultation and a medical report.
You can print a blank copy and complete by hand, or fill in the form online. Just click in each field and type to complete.
Use plain English, not medical terminology.
Be clear about your opinion as to the cause of injury.
You may also wish to incorporate diagrams.
Make 2 extra copies of your report (one for Hospital Record and one for yourself).
Proforma for suspected Child Abuse Consultation