diff --git a/care/facility/api/serializers/patient_consultation.py b/care/facility/api/serializers/patient_consultation.py
index bc86b8515e..726facf027 100644
--- a/care/facility/api/serializers/patient_consultation.py
+++ b/care/facility/api/serializers/patient_consultation.py
@@ -106,6 +106,8 @@ class PatientConsultationSerializer(serializers.ModelSerializer):
         read_only=True
     )
 
+    medico_legal_case = serializers.BooleanField(default=False, required=False)
+
     def get_discharge_prescription(self, consultation):
         return Prescription.objects.filter(
             consultation=consultation,
@@ -153,9 +155,14 @@ def update(self, instance, validated_data):
         instance.last_edited_by = self.context["request"].user
 
         if instance.discharge_date:
-            raise ValidationError(
-                {"consultation": ["Discharged Consultation data cannot be updated"]}
-            )
+            if "medico_legal_case" not in validated_data:
+                raise ValidationError(
+                    {"consultation": ["Discharged Consultation data cannot be updated"]}
+                )
+            else:
+                instance.medico_legal_case = validated_data.pop("medico_legal_case")
+                instance.save()
+                return instance
 
         if instance.suggestion == SuggestionChoices.OP:
             instance.discharge_date = localtime(now())
diff --git a/care/facility/api/viewsets/patient.py b/care/facility/api/viewsets/patient.py
index 0a502dc06a..2fe2e08954 100644
--- a/care/facility/api/viewsets/patient.py
+++ b/care/facility/api/viewsets/patient.py
@@ -149,6 +149,9 @@ def filter_by_category(self, queryset, name, value):
     last_consultation_admitted_bed_type_list = MultiSelectFilter(
         method="filter_by_bed_type",
     )
+    last_consultation_medico_legal_case = filters.BooleanFilter(
+        field_name="last_consultation__medico_legal_case"
+    )
 
     def filter_by_bed_type(self, queryset, name, value):
         if not value:
diff --git a/care/facility/migrations/0390_patientconsultation_medico_legal_case.py b/care/facility/migrations/0390_patientconsultation_medico_legal_case.py
new file mode 100644
index 0000000000..1e90f034ba
--- /dev/null
+++ b/care/facility/migrations/0390_patientconsultation_medico_legal_case.py
@@ -0,0 +1,17 @@
+# Generated by Django 4.2.6 on 2023-10-11 06:31
+
+from django.db import migrations, models
+
+
+class Migration(migrations.Migration):
+    dependencies = [
+        ("facility", "0389_merge_20231005_2247"),
+    ]
+
+    operations = [
+        migrations.AddField(
+            model_name="patientconsultation",
+            name="medico_legal_case",
+            field=models.BooleanField(default=False),
+        ),
+    ]
diff --git a/care/facility/models/patient_consultation.py b/care/facility/models/patient_consultation.py
index c43f6fd5da..6707e967a5 100644
--- a/care/facility/models/patient_consultation.py
+++ b/care/facility/models/patient_consultation.py
@@ -143,6 +143,8 @@ class PatientConsultation(PatientBaseModel, PatientRelatedPermissionMixin):
         related_name="patient_assigned_to",
     )
 
+    medico_legal_case = models.BooleanField(default=False)
+
     deprecated_verified_by = models.TextField(default="", null=True, blank=True)
     verified_by = models.ForeignKey(
         User, on_delete=models.SET_NULL, null=True, blank=True
diff --git a/care/facility/tests/test_patient_consultation_api.py b/care/facility/tests/test_patient_consultation_api.py
index 4330ebb170..2ca154bfe5 100644
--- a/care/facility/tests/test_patient_consultation_api.py
+++ b/care/facility/tests/test_patient_consultation_api.py
@@ -256,3 +256,54 @@ def test_referred_to_external_valid_value(self):
             referred_to_external=referred_to_external,
         )
         self.assertEqual(res.status_code, status.HTTP_200_OK)
+
+    def test_medico_legal_case(self):
+        consultation = self.create_admission_consultation(
+            medico_legal_case=True,
+        )
+        url = self.get_url(consultation)
+
+        data = self.client.get(url)
+        self.assertEqual(data.status_code, status.HTTP_200_OK)
+        self.assertEqual(data.data["medico_legal_case"], True)
+
+        # Test Patch
+        response = self.update_consultation(consultation, medico_legal_case=False)
+        self.assertEqual(response.status_code, status.HTTP_200_OK)
+        self.assertEqual(response.data["medico_legal_case"], False)
+
+        # Test Patch after discharge
+        response = self.discharge(
+            consultation,
+            discharge_reason="REC",
+            discharge_date="2023-07-01T12:00:00Z",
+            discharge_notes="Discharged with valid referred_to_external",
+            medico_legal_case=False,
+        )
+        self.assertEqual(response.status_code, status.HTTP_200_OK)
+
+        data = self.client.get(url)
+        self.assertEqual(data.status_code, status.HTTP_200_OK)
+        self.assertEqual(data.data["medico_legal_case"], False)
+
+        response = self.update_consultation(consultation, medico_legal_case=True)
+        self.assertEqual(response.status_code, status.HTTP_200_OK)
+        self.assertEqual(response.data["medico_legal_case"], True)
+
+    def test_update_consultation_after_discharge(self):
+        consultation = self.create_admission_consultation(
+            suggestion="A",
+            admission_date=make_aware(datetime.datetime(2020, 4, 1, 15, 30, 00)),
+        )
+        res = self.discharge(
+            consultation,
+            discharge_reason="REC",
+            discharge_date="2020-04-02T15:30:00Z",
+            discharge_notes="Discharge as recovered after admission before future",
+        )
+        self.assertEqual(res.status_code, status.HTTP_200_OK)
+
+        res = self.update_consultation(
+            consultation, symptoms=[1, 2], category="MILD", suggestion="A"
+        )
+        self.assertEqual(res.status_code, status.HTTP_400_BAD_REQUEST)