Form

Give evidence of injuries consistent with domestic violence

Adapt this example letter to provide information about medical injuries or harm consistent with domestic violence.

• From: Legal Aid Agency
• Published: 26 April 2014
• Last updated: 25 April 2016 — See all updates

Applies to England and Wales

Documents

Confirm evidence of injuries consistent with domestic violence (example letter)

MS Word Document, 13 KB

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Details

If you’re a doctor, dentist, nurse, midwife, practitioner psychologist or health visitor, you can adapt this letter to give evidence of diagnosing injuries or conditions consistent with domestic violence.

You can also sign this letter if you’re a health professional and have access to relevant medical records but did not make the diagnosis yourself.

You need to give evidence when victims of domestic violence apply for legal aid.

Referrals

Adapt this example letter to respond to requests for information about referrals to specialist domestic violence support services.

Domestic violence support services

If you work for a domestic violence support service, use this letter to confirm a referral from health professionals.

 Social services

If you work for social services dealing with domestic violence or child abuse, use this letter to confirm completion of a domestic violence assessment.

Published 26 April 2014
Last updated 25 April 2016 + show all updates

1. 25 April 2016

   Sample letter updated.

2. 26 April 2014

   First published.