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, icepick, 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-greenyellow)
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, patients 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