The CAL EMA 2-900, please contact California Clinical Forensic Medical Training Center at: (916) 930-3080 or www.ccfmtc.org This form is also available on the following website: www.calema.ca.gov CALEMA 2-900 Medical Report: Suspected Child Physical Abuse and Neglect Examination REQUIRED USE OF STANDARD STATE FORM: Penal Code § 11171 established the use of a standard form to record findings from examinations performed for suspected child physical abuse and neglect. This form is intended to fa.

How it works
  • Open form

    Open form follow the instructions

  • Easily sign form

    Easily sign the form with your finger

  • Share form

    Send filled & signed form or save

How to fill out the CA CALEMA 2-900 online

The CA CALEMA 2-900 form is a critical document used for reporting suspected child physical abuse and neglect. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to fill out the CA CALEMA 2-900 effectively.

  1. Press the ‘Get Form’ button to acquire the document and open it in the online editor.
  2. Begin by entering general information about the examination facility, including the name and address. If available, you may attach a facility patient label or registration face sheet instead of handwriting this information.
  3. Input relevant details such as the date and time of the exam, patient's name, telephone number, street address, city, county, state, and zip code.
  4. Record the patient's age, date of birth, gender, and ethnicity. You should also note if an interpreter was used, and if so, document the language and the provider of interpreting services.
  5. For caregiver information, fill in the caregiver's name, gender, address, and phone numbers. Repeat this step for any additional caregivers.
  6. List any siblings of the child examined, including their names, gender, age, and date of birth.
  7. Follow the mandatory reporting instructions by marking appropriate boxes about previous reports made to law enforcement or child protective services, along with contact details of the reporting individual.
  8. Document patient consent and authorization for examination as necessary. Remember that parental consent is not required for suspected child abuse cases.
  9. Complete the patient history section, detailing the person providing the history, their relationship to the patient, and the accompanying person's information.
  10. Fill out the past medical history and review of systems, ensuring thorough documentation of any relevant medical conditions or historical factors.
  11. Perform a general physical examination and record all findings accurately. Notate any abnormalities while providing detailed descriptions of all relevant injuries.
  12. Document evidence collected and maintain precise notes on all samples taken, ensuring adherence to local policy for evidence handling.
  13. Complete the required summary and interpretation of findings, sign the report, and ensure it is dated and includes the examiner’s qualifications.
  14. Once all sections of the form are complete, you can save the changes, download your document, print it for physical records, or share it as required.

Complete your CA CALEMA 2-900 form online today to ensure thorough documentation of suspected child abuse and neglect.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

Forms | California Governor's Office of Emergency...

2-900 Medical Report, Suspected Child Physical Abuse and Neglect Examination (Print...

Learn more
Course Outline

Jun 26, 2023 — CAL OES 2-502 ? Domestic Violence Examination (Rev. 2001). 2. CAL OES...

Learn more
Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down process here.

Get CA CALEMA 2-900