This form has been designed by Prof Ian Wall for use by Forensic Physicians (also known as Forensic Medical Officers in N. Ireland) and Healthcare Professionals. The form is provided to assist Forensic Physicians and Healthcare Professionals in determining whether a person is fit to detain and interview. The form is to be regarded as an aide-mémoire and it is therefore not necessary for all parts of the form to be completed. On completion, this form is the personal property of the examining doctor/Healthcare Professional.
Following advice from a Consultant Adolescent Psychiatrist, some amendments have been made to the pro forma. The minor revisions include expanding the occupation field to include whether a person is at school or college and whether the visit/examination was requested by a parent or Appropriate Adult.