Similarly to TDFs, in PDFs legal provisions on carrying out a medical examination every time a person is taken outside the PDF for purposes of investigation and for participating in trial hearings and then taken back are disregarded. Thus, no medical examination was carried out with respect to 71.2% of detainees upon their return to the institution. More than half of all respondents (52.5%) reported that no medical examination was carried out upon placement in a reception centre. Signs of torture Diagram 34. Medical examination upon placement in reception centres In reception centres, in all cases medical examination upon admission is carried out by a doctor and a medical assistant of the institution. 109 The monitoring study has revealed the absence of one standard and approved medical examination form for registering bodily injuries and the state of health among detainees upon placement in closed institutions under internal affairs bodies and the SSEP. In most cases, registration of bodily injuries is carried out by mid-level medical workers whose reports do not always contain full and professional information reflecting the actual state of health and circumstances under which a certain injury was procured. In the personal files of detainees there are no final reports following medical examinations. As required by an investigator, a standard medical examination form is filled in to detect alcohol or drug consumption. It can thus be concluded that the existing medical examination practice is not compliant with necessary requirements in this area for purposes of effectively documenting cases of torture and ill treatment. With a view to improve the current situation, in 2012 a group of non-governmental organizations together with doctors from PDFs under the SSEP (supported by the OSCE Centre in Bishkek) developed a Standard Medical Examination Form. This form is meant to improve the work of medical personnel in closed institutions as regards effective documentation of cases of torture and ill treatment in accordance with the UN Istanbul Protocol. In September and October 2012 the standard form was tested in two pre-trial detention facilities: PDF No. 21 and PDF No. 25. At the time of writing representatives from the Ministry of Health have joined the project team working to adapt and introduce the medical form in closed psychiatric and psycho-neurological institutions. 109 Letter of the Chief Department for Public Safety under theMoI, Ref. No. 11/671, of 25 April 2012. 72