Standardization in tools and documentation of child abuse and intimate partner violence have proven helpful in completely documenting injuries and suspected abuse among these populations. Similar tools do not yet exist for older adults and elder abuse. The purpose of this project was to 1) use insights from experts to develop a tool to assist with documentation when an older person has an injury. When one injury is noted, a head-to-toe exam to look for other injuries is warranted. Photograph physical findings if possible. In a case of suspected sexual abuse, follow the appropriate protocols.