The **Bexar County Medical Examiner's Office (BCMEO)** is a pioneering forensic institution that investigates deaths occurring in Bexar County, Texas, and provides autopsy services to surrounding counties.[1][3] As the **first Medical Examiner's Office in Texas**, established following the Texas Medical Examiner Act on May 6, 1955, the BCMEO set the standard for modern death investigation in the state.[3][4] The office's primary mission is to determine the **cause and manner of death** for individuals who die suddenly, violently, or unexpectedly.[1][5] Its investigative process includes scene investigations, witness interviews, medical record reviews, physical examinations, and laboratory testing.[5] The organization operates through **six specialized sections**: Medical Examiner, Administration, Investigative, Autopsy/Morgue, Toxicology, and Office Services.[3] A key achievement distinguishing the BCMEO is its **Toxicology Section**, which holds accreditation from the American Board of Forensic Toxicology—one of only approximately 30 such institutions in the United States and Canada.[3] All Medical Examiners are licensed Texas physicians certified in Forensic Pathology by the American Board of Pathology.[2] The office maintains accreditation from the National Association of Medical Examiners and operates an ACGME-accredited fellowship program.[4] Located on the University of Texas Health Science Center campus in San Antonio since 1993, the BCMEO occupies a modern 52,000-square-foot facility.[4][6] Beyond serving Bexar County's rapidly growing population, the office provides **fee-for-service forensic autopsy services** to smaller, predominately rural counties in South and Central