Stanford School of Medicine
Domestic Abuse

Official State OES
(Office of Emergency Services)
Domestic Abuse Report Forms

In 2004 two new official forms to choose from were devised by the Office of Emergency Services to report domestic abuse to law enforcement.

Form OES-920 Suspicious Injury Report
Form OES-920 Instructions

  • Single page, lists state law required data with small size empty space to detail injuries (you can attach additional pages). 
  • It is helpful to describe location, depth, direction, character and appearance of each injury. 
  • Other details, such as general demeanor, areas of tenderness, disheveled appearance, broken fingernails or jewelry, and torn clothing are also useful.

Form OES-502 Domestic Violence Medical/Evidentiary Exam Form
Form OES-502 Instructions

  • Eight page extensive forensic report with detailed body maps and evidence collection documentation.

For the average healthcare practitioner, a compromise between the extremes of these two forms might be:

  • fill out the one page OES-920 and attach a page with a simple body map to detail injuries
  • fill out parts of the more extensive OES-502

 

 

Santa Clara County
See also section on Documenting, to complete the medical record.

At Stanford, forms filled out for law enforcement need to be captured on a HIPAA tracking form.

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