delivered the opinion of the court.
Staff Sergeant Harvey A. Gardinier II was charged with two specifications of taking indecent liberties with a female under sixteen years of age with intent to gratify his sexual desires and two specifications of committing indecent acts upon the body of the same child, in violation of Article 134, Uniform Code of Military Justice (UCMJ), 10 U.S.C. § 934 (2000). Gardinier entered pleas of not guilty and was tried by a military judge sitting alone as a general court-martial. He was found guilty of one specification of taking indecent liberties and one specification of committing indecent acts and not guilty of the other two specifications. Gardinier was sentenced to a bad-conduct discharge, confinement for three years, and reduction to the grade of Private E-l. The convening authority approved the sentence and the United States Army Court of Criminal Appeals affirmed the findings of guilty and the sentence. United States v. Gardinier, 63 M.J. 531, 547 (A.Ct.Crim.App.2006).
General Background
In December 2001, Gardinier’s five-year-old daughter, KG, told her mother that Gardinier had touched her inappropriately. Her mother immediately took KG to Evans Army Community Hospital in Ft. Carson, Colorado, where a medical examination was conducted. The allegations were also reported to the El Paso County (Colorado) sheriffs office and the El Paso County Department of Human Services. On January 2, 2002, personnel from those agencies conducted a joint interview of KG, which was videotaped. That interview was immediately followed by a fo*62rensic medical examination by a sexual assault nurse examiner.
On January 3, 2002, Gardinier was interviewed by a sheriffs department detective and then separately by an Army Criminal Investigation Division (CID) agent. The CID agent did not advise Gardinier of his rights under Article 31(b), UCMJ, 10 U.S.C. § 831(b) (2000). Both interviews were videotaped and Gardinier provided a written statement at the request of the CID agent. On January 7, the CID agent advised Gardinier of his Article 31, UCMJ, rights. Gardinier waived his rights and provided another statement.
At trial the military judge admitted the videotape of the January 3 CID interview and both the January 3 and January 7 statements. He also admitted the “Forensic Medical Examination” form completed by the sexual assault nurse examiner and allowed her to testify as to what KG told her during the examination. Further, the military judge determined that KG was not available to testify at trial and admitted the videotape of KG’s interview with the El Paso law enforcement and human services officials. All of this evidence was admitted over defense objection.
We granted review of three issues: (1) whether the military judge erred by admitting statements that Gardinier made to the CID agent where no Article 31(b), UCMJ, rights were given; (2) whether statements that KG made to the sexual assault nurse examiner were testimonial under Crawford v. Washington, 541 U.S. 36, 124 S.Ct. 1354, 158 L.Ed.2d 177 (2004); and (3) whether the Army Court of Criminal Appeals erred in determining that the admission of the victim’s videotaped statement was harmless beyond a reasonable doubt.1
As we determine that the January 3 videotape of the CID interview, Gardinier’s January 3 statement to the CID agent and KG’s statements to the sexual assault nurse examiner were admitted in error, we remand the ease to the Army Court of Criminal Appeals for further consideration.
Admissibility of the January 3 Statement and Videotape
A military investigator who interviews a suspect must provide that suspect with the statutorily required rights warnings under Article 31(b), UCMJ. With few exceptions, statements obtained in violation of this Article may not be received in evidence against an accused in a trial by court-martial. Article 31(d), UCMJ; United States v. Ruiz, 54 M.J. 138, 140 (C.A.A.F.2000); Military Rule of Evidence (M.R.E.) 304; M.R.E. 305. We granted review of this issue to determine whether the military judge abused his discretion by admitting statements from Gardinier in violation of Article 31(d), UCMJ. We find that the January 3 statement and the videotape of the CID interview were admitted in error. The January 7 statement was properly admitted.
Background
A detective from the sheriffs office called Gardinier in for questioning on January 3, 2002, and notified a CID agent, Special Agent Phillips about the interview. Gardinier appeared voluntarily and was told he was not under arrest and free to leave at any time. The sheriffs detective advised Gardinier of his rights under Miranda v. Arizona, 384 U.S. 436, 86 S.Ct. 1602, 16 L.Ed.2d 694 (1966), which he waived. Later in the interview and before he voluntarily took a computer voice stress test, Gardinier was once again given and waived his Miranda rights.
Phillips watched the interview from behind a one-way mirror. At its conclusion, the sheriffs detective consulted with Phillips who asked to interview Gardinier. The sheriffs detective brought Phillips into the interview room and left. Phillips introduced himself as a CID agent and conducted the interview without advising Gardinier of his Article 31(b), UCMJ, rights. He also asked Gardini*63er to provide a written statement, which he did. Both the civilian and military interviews were videotaped.
On January 7, 2002, Phillips called Gardinier to the CID office, advised him of his Article 31(b), UCMJ, rights and told him that another statement was necessary because he may not have been properly warned on January 3. Gardinier waived his Article 31(b), UCMJ, rights and provided another statement.
At trial, Gardinier moved to suppress the January 3 statement, the videotape of the January 3 interviews and the January 7 statement. The military judge denied the motion. While he found that Phillips should have advised Gardinier of his rights under Article 31(b), UCMJ, the failure was “harmless error or not prejudicial to the substantial rights of the accused and had no effect on the decisions that he made.” In light of the Miranda warnings given by the civilian detective, the military judge concluded that Gardinier was “in substance, advised of all of his rights.” On appeal, the Court of Criminal Appeals found that the rights warnings and notice regarding the nature of the accusations that Gardinier received from the sheriffs detective satisfied the requirements of Article 31(b), UCMJ. Gardinier, 63 M.J. at 534-35 n. 3.
Discussion
Rights advisements are required in both the civilian and military communities “‘to avoid impairment of the constitutional guarantee against compulsory self incrimination.’” United States v. Harvey, 37 M.J. 140, 143 (C.M.A.1993) (quoting United States v. Gibson, 3 C.M.A. 746, 752, 14 C.M.R. 164, 170 (1954)); United States v. Rogers, 47 M.J. 135, 136 (C.A.A.F.1997). In the civilian community, rights advisements are required by the 1966 United States Supreme Court decision Miranda v. Arizona. The corresponding requirement in the military community is found in Article 31(b),2 UCMJ, which has essentially been in this form since its inception in 19503:
No person subject to this chapter may ... interrogate, or request any statement from an accused or a person suspected of an offense without first informing him of the nature of the accusation and advising him that he does not have to make any statement regarding the offense of which he is accused or suspected and that any statement made by him may be used as evidence against him in a trial by court-martial.
We have previously recognized that a rights advisement has particular significance in the military context: “‘Because of the effect of superior rank or official position upon one subject to military law, the mere asking of a question under certain circumstances is the equivalent of a command.’ ” Harvey, 37 M.J. at 143 (quoting Gibson, 3 C.M.A. at 752, 14 C.M.R. at 170). “ ‘Conditioned to obey, a serviceperson asked for a statement about an offense may feel himself to be under a special obligation to make such a statement.’” Id. at 143 (quoting United States v. Armstrong, 9 M.J. 374, 378 (C.M.A.1980)).
We have also recognized that Congress enacted Article 31(d), UCMJ, as a “strict enforcement mechanism to implement the rights’ warning requirements” of Article 31(b), UCMJ. United States v. Swift, 53 M.J. 439, 448 (C.A.A.F.2000). Article 31(d) provides that “[n]o statement obtained from any person in violation of this article, or through the use of coercion, unlawful influence, or unlawful inducement may be received in evidence against him in a trial by court-martial.” In addition, M.R.E. 305(a) and (c) provide that statements obtained without a proper rights warning are defined as “involuntary” and excluded from evidence by operation of M.R.E. 304(a).4
*64The military judge found that the sheriffs office was not conducting a joint investigation with the military at the time the civilian detective gave the rights advisement under Miranda. The military judge further determined that Phillips should have given Gardinier a rights advisement under Article 31(b), UCMJ.
In light of these determinations, the January 3 statement and videotape of the CID interview should have been excluded under Article 31(d), UCMJ, M.R.E. 304(a), and M.R.E. 305(a) and (c), and the military judge’s failure to do so was legal error.
Where an earlier statement was “involuntary” only because the accused had not been properly warned of his Article 31(b), UCMJ, rights, the voluntariness of the second statement is determined by the totality of the circumstances. See United States v. Brisbane, 63 M.J. 106, 114 (C.A.A.F.2006) (quotation and citation omitted). The earlier unwarned statement is a factor in this total picture, but it does not presumptively taint the subsequent statement. Id. If a “cleansing warning” has been given — where the accused is advised that a previous statement cannot be used against him — that statement should be taken into consideration. Id. If a cleansing statement is not given, however, its absence is not fatal to a finding of voluntariness. Id.
While we have found that the military judge made a legal error in admitting the January 3 statement and videotape, we are bound by his factual findings concerning the circumstances of the interviews if they were not clearly erroneous. See United States v. Burris, 21 M.J. 140, 144 (C.M.A.1985). In reviewing those circumstances we note that when the CID agent conducted his first interview on January 3, he did so in a professional, noncoercive manner. Just before this interview, Gardinier received two Miranda warnings during his questioning by civilian authorities, which he waived without hesitation. The military judge found that “[a]t all times [Gardinier] was free to exercise his own judgment and to make choices without improper or illegal influence from any law enforcement authority.”
When he was called back to the CID office on January 7, the CID agent gave Gardinier his Article 31(b), UCMJ, rights and told him that another statement was needed because he may not have been properly warned of his rights on January 3. Gardinier waived his Article 31, UCMJ, rights, just as he had previously waived his Miranda rights. While the CID agent did not specifically inform Gardinier that the January 3 statement might not be admissible against him, the written rights advisement did state, “[y]our prior statement you provided on 3 Jan 02, was given with [what] may not have been a proper rights advisement. Now that a proper rights advisement has been provided, are you willing to provide an additional statement?” Gardinier wrote the word “yes” by this statement followed by his initials, indicating that he had read it and thus also had an opportunity to ask questions regarding its meaning.
There is no suggestion that either the January 3 or the January 7 interview was a coercive event, nor do Gardinier’s relative age and maturity level raise concerns about the statement’s voluntariness. Under the totality of the circumstances surrounding both the January 3 and January 7 statements, we conclude that Gardinier’s decision to make a second statement on January 7, 2002, was made voluntarily following a proper Article 31(b), UCMJ, rights advisement and was therefore admissible.
KG’s Statements to the Sexual Assault Nurse
The Confrontation Clause bars the admission of testimonial statements of a witness who did not appear at trial unless the witness was unavailable to testify and the defendant had a prior opportunity for cross-examination. Crawford, 541 U.S. at 53-54, 124 S.Ct. 1354. We granted review of this issue to determine whether statements that KG made to the sexual assault nurse examiner were testimonial hearsay. We hold that these statements were testimonial and their admission into evidence at the court-martial was error.
*65 Background
After KG reported to her mother that her father touched her inappropriately, KG’s mother took her to the Evans Army Community Hospital for examination. A few days later, the sheriffs department and the human services department conducted a joint interview of KG. Immediately following that interview KG was examined by Ms. Valerie A. Sievers, a sexual assault nurse examiner (SANE). Ms. Sievers, who also described herself as a clinical forensic specialist, conducted a forensic medical examination of KG and completed a report entitled “Forensic Medical Examination Form.” This form included a section on patient history in which Ms. Sievers documented statements that KG made about Gardinier’s conduct.
At trial, the complete form was admitted into evidence as was Ms. Sievers’ testimony about KG’s statements. The Government called Ms. Sievers to testify as an expert in the area of sexual assault nursing and examination. During her testimony, trial counsel moved for admission of Ms. Sievers’ complete report under the business records exception to the hearsay rule, M.R.E. 803(6). Defense counsel’s objection on authentication grounds was overruled. Defense counsel later objected to Ms. Sievers’ testimony about KG’s statements on hearsay grounds. Trial counsel argued that the testimony was “off of her document, which [was] already admitted into evidence” and that it fell “under the medical rules exception.” Defense counsel’s objection was overruled and the testimony was allowed.
Discussion
Whether these statements are inadmissible hearsay under Crawford is a question of law that we review de novo. United States v. Rankin, 64 M.J. 348, 351 (C.A.A.F.2007). Without articulating a comprehensive definition of “testimonial” in Crawford, the Supreme Court “set forth ‘[v]arious formulations’ of the core class of ‘testimonial’ statements.” Davis v. Washington, 547 U.S. 813, 126 S.Ct. 2266, 2273, 165 L.Ed.2d 224 (2006). We recognize that these formulations should not be viewed as an exhaustive list of testimonial statements. Id. (noting that the Court found it unnecessary to endorse any of the formulations because “some statements qualify under any definition”). Nevertheless, one of these formulations, i.e., “statements that were made under circumstances which would lead an objective witness reasonably to believe that the statement would be available for use at a later trial” offers a useful baseline to begin analysis of the testimonial quality of the statements at issue in this case. Crawford, 541 U.S. at 51-52, 124 S.Ct. 1354.
In Rankin, we identified several factors that could be considered when distinguishing between testimonial and nontestimonial hearsay under these circumstances. 64 M.J. at 352. Those factors include: (1) was the statement elicited by or made in response to law enforcement or prosecutorial inquiry?; (2) did the statement involve more than a routine and objective cataloging of unambiguous factual matters?; and (3) was the primary purpose for making, or eliciting, the statement the production of evidence with an eye toward trial? Id. (C.A.A.F.2007) (citation and quotation omitted). In undertaking this factors approach, our goal is an objective look at the totality of the circumstances surrounding the statement to determine if the statement was made or elicited to preserve past facts for a criminal trial. Cf Davis, 126 S.Ct. at 2273-74, 126 S.Ct. 2266 (distinguishing between testimonial and non-testimonial statements made in the course of police interrogation by determining whether the circumstances objectively indicate that the primary purpose is to prove past events potentially relevant to later criminal prosecution).
In applying this approach to the statements that Ms. Sievers elicited from KG, we consider the first and third factors together because they are related in this factual context.5 We determine that on bal*66anee the evidence tips towards a conclusion that the statements were elicited in response to law enforcement inquiry with the primary purpose of producing evidence with an eye toward trial.
Ms. Sievers is a coordinator for the Colorado SANE Program and also conducts sexual assault examinations at the Children’s Advocacy Center. It was in this capacity that she examined KG. Ms. Sievers testified that she elicited a patient history from KG “to determine diagnosis and treatment,” and she completed the “treatment” section on the medical form referring KG to Evans Army Community Hospital for follow-up care. However, Ms. Sievers also testified that she sees children at the Children’s Advocacy Center to conduct forensic evaluations and detailed genital examinations.6 Although there is a “treatment” section on the form, the form itself is entitled a “Forensic Medical Examination Form” rather than simply a medical exam form and Ms. Sievers referred to the report as “the medical legal record.” We also note that one of questions Ms. Sievers asked KG was: “Can you tell me what you talked about with Ken the policeman?” This question reflects more of a law enforcement purpose and less of a medical treatment purpose.
In addition, the Government concedes that the sheriffs office was involved in arranging the examination; the consent form for the examination stated that the medical report would be provided to law enforcement; the report was sent to the sheriffs office; the sheriffs office was billed for the forensic medical exam; and the forensic medical examination form was introduced by the Government at Gardinier’s court-martial after the Government established that Ms. Sievers has testified as an expert in the area of SANE examinations over fifty times and qualified her as an expert in this area.
We recognize that the referral of an alleged victim to a medical professional by law enforcement or trial counsel does not always establish that the statements at issue were made in response to a law enforcement or prosecution inquiry or elicited with an eye toward prosecution. Cf. United States v. Rodriguez-Rivera, 63 M.J. 372, 381 (C.A.A.F.2006). Here, however, the evidence indicates that Ms. Sievers, who specialized in conducting forensic medical examinations, performed a forensic medical exam on KG at the behest of law enforcement with the forensic needs of law enforcement and prosecution in mind. Under the totality of the circumstances presented here, KG’s statements to Ms. Sievers are testimonial and were admitted in error.
The Court of Criminal Appeals’ Article 66(c), UCMJ, Review and Consideration of Prejudice Under New Evidentiary Landscape
The Court of Criminal Appeals concluded that the military judge abused his discretion in finding that KG was legally unavailable to testify within the meaning of M.R.E. 804(a). 63 M.J. at 540. The lower court found that the subsequent admission of KG’s videotaped interview with the civilian authorities violated Gardinier’s Sixth Amendment right to confrontation. Id. at 543-44. However, in considering the other evidence admitted at trial, the lower court ultimately concluded that the erroneous admission of the videotape was harmless beyond a reasonable doubt. Id. at 545.
We have determined that the following evidence was admitted in error: (1) Gardinier’s January 3, 2002 statement; (2) the January 3 videotape of the CID interview with Gardinier; and (3) the statements KG made to Ms. Sievers during the sexual assault examination. These determinations change the evidentiary landscape that was before the Court of Criminal Appeals when it conducted its initial review.
In light of this changed evidentiary landscape, it is appropriate that we return the case to the Court of Criminal Appeals to conduct an Article 66(c), UCMJ, 10 U.S.C. § 866(c) (2000), factual sufficiency review and also to consider whether the erroneous ad*67mission of KG’s videotaped interview with the civilian authorities was harmless beyond a reasonable doubt. In addition, the admission of Gardinier’s January 3, 2002, statement, the admission of the videotape of Gardinier’s interview with the CID agent, and the admission of KG’s statements to Ms. Sievers were errors of constitutional magnitude. See Crawford, 541 U.S. at 61, 124 S.Ct. 1354; Brisbane, 63 M.J. at 116 (reviewing Article 31(b), UCMJ, error under standard of harmless beyond a reasonable doubt). Therefore, the Court of Criminal Appeals should also consider whether those errors were harmless beyond a reasonable doubt.
Decision
The decision of the United States Army Court of Criminal Appeals is set aside. The record of trial is returned to the Judge Advocate General of the Army for remand to the Court of Criminal Appeals for further review consistent with this opinion.
. We heard oral argument in this case at Duquesne University School of Law, Pittsburgh, Pennsylvania, as part of the court's "Project Outreach.” See United States v. Mahoney, 58 M.J. 346, 347 n. 1 (C.A.A.F.2003). This practice was developed as part of a public awareness program to demonstrate the operation of a federal court of appeals and the military justice system.
. Article 31(b), UCMJ, rights differ slightly from Miranda rights. See United States v. Rogers, 47 M.J. 135, 137 (C.A.A.F.1997) (outlining the differences between the rights warnings under Article 31(b), UCMJ, and under Miranda).
. See Act of May 5, 1950, ch. 169, 64 Stat. 107, 118 (Article 31). In 1956, the word "may” was substituted for the word "shall." Act of Aug. 10, 1956, ch. 1041, 70A Stat. 48.
. M.R.E. 304(b) notes some exceptions to complete evidentiary exclusion. This case does not involve any of these exceptions.
. As to the second factor, we have no difficulty concluding that Ms. Sievers' documentation of KG’s allegations of sexual abuse is more than a routine and objective cataloging of unambiguous factual matters. See United States v. Magyari, 63 M.J. 123, 126-27 (C.A.A.F.2006) (holding that *66data entries by lab technicians fit into this category).
. "Forensic” is defined as "[u]sed in or suitable to courts of law or public debate." Black’s Law Dictionary 676 (8th ed.2004).