The Trinidad and Tobago Intimate Partner Violence and Sexual Violence Health Care Form

The Trinidad and Tobago Intimate Partner Violence and Sexual Violence Health Care Form is designed to be filled out by a health care worker after a patient has disclosed that they have been subjected to intimate partner violence or sexual violence. It is available for completion on paper or electronically as a module of the Perinatal Information System, SIP-Plus. The variables in the form conform with the history-taking, assessment, and documentation protocols included in the National Clinical and Policy Guidelines on Intimate Partner Violence and Sexual Violence. The use of the form enables the generation of data to monitor and evaluate the quality of health care for survivors, and thus to strengthen health care.