You are required by N.C. state law to report all suspicions of abuse (neglect, physical/sexual abuse). If you suspect that a child is being abused, neglected, or if you think a child may have died from mistreatment – you are required by law to report all information to your local Law Enforcement. The Department of Social Services (DSS) and law enforcement agencies are the primary referring parties for Child Medical Exams (CME).