In Phoenix we use a deidentified screen so we get a number. IF it is higher then 7 we know there was some abuse and we then need to document that we know there is abuse and that we asked if it had all been reported. Most has already been reported - there are some that we are the initial report. It hasn't been a barrier for us. Important point though - every state and sometimes even county is different so you would want to talk to a lawyer and get guidance for your area.