Can SANE exam records be admitted as evidence if the victim doesn't testify?

Q: Can SANE exam records be admitted as evidence if the victim doesn't testify?

Christopher Michael Green v. The State of Texas: In high-conflict custody or termination cases, practitioners can leverage forensic 'paper trails'—like SANE or medical records—to prove a history of violence or bad character, even if the victims of those acts are unavailable or unwilling to testify in court.

This question has been addressed in 1 Texas court opinion:

Christopher Michael Green v. The State of Texas

COA05 — February 5, 2026

In Green v. State, the Dallas Court of Appeals examined whether a trial court erred by admitting SANE (Sexual Assault Nurse Examiner) records of an unavailable victim during a criminal punishment phase. The defendant argued that admitting graphic forensic evidence without the victim's testimony was unfairly prejudicial under Rule 403 because he could not cross-examine the witness. The court analyzed the records' high probative value regarding the defendant's character and pattern of behavior, especially since the forensic evidence was linked to the defendant via DNA. The court held that the trial court did not abuse its discretion, ruling that forensic medical records are admissible to show a pattern of conduct even without live testimony from the victim.

Litigation Takeaway

“In high-conflict custody or termination cases, practitioners can leverage forensic 'paper trails'—like SANE or medical records—to prove a history of violence or bad character, even if the victims of those acts are unavailable or unwilling to testify in court.”