THE MEDICAL CERTIFICATE or the MEDICOLEGAL REPORT Atty. Antonio D. Rebosa,MD,BSCrim

Medical certificates/medicolegal report/insurance forms/birth certificates/death certificates/SSS or GSIS forms, etc.

The Medical Certificate Personal circumstances Date I hereby certify that _____ was personally seen and examined by the undersigned last (…from)______ because of ____________. Clinical Impression is ____________.I have prescribed ______ and advised patient to rest for _________days/weeks. This medical certicate is issued for _______ purpose only and not intended for medicolegal/court use. (sgd)

THE MEDICOLEGAL REPORT

“… the patient is not your friend and the accused is not your enemy…”

DOCUMENTATION MEDICAL CERIFICATE/MEDICO-LEGAL REPORT Personal circumstances… name, age, civil status, sex, address, occupation Inpatient/outpatient/ER/clinic

ALLEGED place, date, time of infliction Nature(?) Date and time of examination ( important in the determination whether injuries are compatible/consistent with the date and time of infliction)

GENERAL SURVEY Vital signs Level of consciousness and coherence Degree of ambulation General appearance

INJURIES NATURE SHAPE MEASUREMENT ANATOMICAL LOCATION

NATURE OF INJURIES LACERATED/AVULSED WOUND … caused by contact with BLUNT object e.g. fist blows, vehicle bumpers, baseball bat, lead pipes,etc.

Lacerated wound

Sutured lacerated wounds

Self inflicted incised wounds

PUNCTURED WOUND …caused by sharp-pointed instrument/object (e.g. needle, ice-pick, nail, pin etc.)

STAB WOUND …caused by object/instrument with sharp point and sharp edge - single/double bladed

Stab wound

INCISED (SLICED/CUT) WOUND …caused by sharp edged instrument or object (e.g. blade, knife, scalpel, etc.)

HACKING WOUND …a large incised wound ( e.g. ax, bolo, samurai, etc)

CONTUSION/BRUISE (pasa) extravasation of blood into the surrounding tissues because of damage to blood vessels shape, color ( blue-brown-green-yellow) Ecchymosis, petechiae

HEMATOMA (Blood Cyst/tumor/ bukol) …extravasation of blood in a newly formed cavity Contusion hematoma, periorbital hematoma

ABRASIONS …contact with rough surface, friction, graze, scratch -linear -multi linear -confluent

GUNSHOT WOUNDS Point of entry vs. point of exit Products of combustion tattooing/smudging/singeeing Contusion collar

CONCLUSION Barring any complications or injuries not clinically apparent at the time of examination, patient’s injuries shall require medical attendance or shall incapacitate the patient from performing his habitual work for a period of not less than _______ days but not more than ________ days.

REMARKS Pertinent and relevant findings and results of the diagnostic tests done Therapeutic/ surgical procedures performed

KNOWINGLY ISSUING A FALSE MEDICAL CERTIFICATE IS A CRIME!!!

Falsification of public/private documents Fraud Perjury Simulation of Birth

MARAMING SALAMAT PO!!! Atty. Antonio D. Rebosa,MD,BSCrim Castro Rebosa Rebosa Law Office