Well-documented medical records must be maintained by the physician and should include the following information:
• Name of the injured person.
• Location of the injured person.
• Extent and character of the person’s injuries.
• Identity of the person the injured person alleges inflicted the wounds, other injuries, assault, or abusive conduct upon the injured person.
• Description of the abusive event or description of the major complaints in the injured person’s own words, whenever possible.
• Medical and relevant social history of the injured person.
• Map of the location of the injuries on the victim’s body documented at the time of the health care service.
• A copy of the law enforcement reporting form.