Altered medical record

A surgeon was defending a medical malpractice suit and produced three pages of patient medical records in support of his case that he had cautioned the plaintiff patient as to the risks associated with a proposed medical procedure.  The warning appeared on page 2 of the notes. 

Our forensic document examiners analysed the file notes using various photo-analytical techniques and found that what appeared as page number 3 had originally read "2" as shown in the images above.  This and other evidence was supportive of the plaintiff's case that the page now numbered 2 was inserted after production of the page now numbered 3.