# The Family Proceedings (Amendment) Rules (Northern Ireland) 2003, Paragraph 2


The Applicant
(If there is more than one applicant, a report on each applicant should be supplied covering all the matters listed below.)
A (i) name, date of birth, sex, weight and height;
(ii) a family health history, covering the parents, the brothers and sisters and the children of the applicant, with details of any serious physical or mental illness and inherited and congenital disease;
(iii) marital history, including (if applicable) reasons for inability to have children;
(iv) past health history, including details of any serious physical or mental illness, disability, accident, hospital admission or attendance at an out-patient department, and in each case any treatment given;
(v) obstetric history (if applicable);
(vi) details of any present illness, including treatment and prognosis;
(vii) a full medical examination;
(viii) details of any daily consumption of alcohol, tobacco and habit-forming drugs;
(ix) any other relevant information which might assist the medical adviser; and
(x) the name and address of any doctor(s) who might be able to provide further information about any of the above matters.
B The signature, name, address and qualifications of the medical practitioner who prepared the report, and the date of the report and of the examination carried out.

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Source: https://www.legislation.gov.uk/nisr/2003/75/schedule/3/part/II/crossheading/rule-4a155b/paragraph/2 (the official version)
Page: https://openlegislation.uk/family-proceedings-amendment-rules-northern-ireland-2003/schedule-3/part-II/crossheading-rule-4a155b/paragraph-2
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.