diff --git a/scripts/delete_all_invalid_pointers.py b/scripts/delete_all_invalid_pointers.py
new file mode 100644
index 000000000..738b2a59b
--- /dev/null
+++ b/scripts/delete_all_invalid_pointers.py
@@ -0,0 +1,150 @@
+from datetime import datetime, timedelta, timezone
+from typing import Any
+
+import boto3
+import fire
+
+from nrlf.consumer.fhir.r4.model import DocumentReference
+from nrlf.core.logger import logger
+from nrlf.core.validators import DocumentReferenceValidator
+
+dynamodb = boto3.client("dynamodb")
+paginator = dynamodb.get_paginator("scan")
+resource = boto3.resource("dynamodb")
+
+logger.setLevel("ERROR")
+
+
+def _validate_document(document: str):
+    docref = DocumentReference.model_validate_json(document)
+
+    validator = DocumentReferenceValidator()
+    result = validator.validate(data=docref)
+
+    if not result.is_valid:
+        raise RuntimeError("Failed to validate document: " + str(result.issues))
+
+
+def _find_invalid_pointers(table_name: str) -> dict[str, Any]:
+    print(f"Finding invalid pointers to delete in table {table_name}....")
+
+    params: dict[str, Any] = {
+        "TableName": table_name,
+        "PaginationConfig": {"PageSize": 50},
+    }
+
+    invalid_pointers = []
+    total_scanned_count = 0
+
+    start_time = datetime.now(tz=timezone.utc)
+
+    for page in paginator.paginate(**params):
+        for item in page["Items"]:
+            pointer_id = item.get("id", {}).get("S")
+            document = item.get("document", {}).get("S", "")
+            try:
+                _validate_document(document)
+            except Exception as exc:
+                invalid_pointers.append((pointer_id, exc))
+
+        total_scanned_count += page["ScannedCount"]
+
+        if total_scanned_count % 1000 == 0:
+            print(".", end="", flush=True)
+
+        if total_scanned_count % 100000 == 0:
+            print(f"scanned={total_scanned_count} invalid={len(invalid_pointers)}")
+
+    end_time = datetime.now(tz=timezone.utc)
+
+    print(f" Done. Found {len(invalid_pointers)} invalid pointers")
+
+    if len(invalid_pointers) > 0:
+        print("Writing invalid pointers IDs to file ./invalid_pointers.txt ...")
+        with open("invalid_pointers.txt", "w") as f:
+            for _id, err in invalid_pointers:
+                f.write(f"{_id}: {err}\n")
+
+    return {
+        "invalid_pointers": invalid_pointers,
+        "scanned_count": total_scanned_count,
+        "find-took-secs": timedelta.total_seconds(end_time - start_time),
+    }
+
+
+def _delete_pointers(table_name: str, pointers_to_delete: list[str]) -> dict[str, Any]:
+    """
+    Delete the provided pointers from the given table.
+    """
+    start_time = datetime.now(tz=timezone.utc)
+
+    print("Deleting invalid pointers...")
+    pointers_deleted = 0
+    failed_to_delete = 0
+
+    for _batch_id in range(0, len(pointers_to_delete), 25):
+        batch = [
+            {
+                "DeleteRequest": {
+                    "Key": {
+                        "pk": {"S": f"D#{pointer_id}"},
+                        "sk": {"S": f"D#{pointer_id}"},
+                    }
+                }
+            }
+            for pointer_id in pointers_to_delete[_batch_id : _batch_id + 25]
+        ]
+
+        result = dynamodb.batch_write_item(RequestItems={table_name: batch})
+
+        unprocessed_items = len(result.get("UnprocessedItems", []))
+        pointers_deleted += 25 - unprocessed_items
+        failed_to_delete += unprocessed_items
+        if pointers_deleted % 1000 == 0:
+            print(".", end="", flush=True)
+
+    end_time = datetime.now(tz=timezone.utc)
+
+    print(" Done")
+    return {
+        "pointers_to_delete": len(pointers_to_delete),
+        "deleted_pointers": pointers_deleted,
+        "failed_deletes": failed_to_delete,
+        "deletes-took-secs": timedelta.total_seconds(end_time - start_time),
+    }
+
+
+def _find_and_delete_invalid_pointers(table_name: str) -> dict[str, float | int]:
+    """
+    Find and delete any pointers in the given table that are invalid based on the FHIR model and NRLF validators.
+    Parameters:
+    - table_name: The name of the pointers table to find and delete pointer from.
+    """
+    find_result = _find_invalid_pointers(table_name)
+
+    if len(find_result["invalid_pointers"]) == 0:
+        return {
+            "invalid_pointers": 0,
+            "scanned_count": find_result["scanned_count"],
+            "find-took-secs": find_result["find-took-secs"],
+        }
+
+    confirmation_input = input(
+        "Would you like to delete all the invalid pointers? (yes/no): "
+    )
+    if confirmation_input != "yes":
+        print("Invalid pointers NOT deleted.")
+        find_result.pop("invalid_pointers")
+        return find_result
+
+    pointers_to_delete = [_id for _id, _ in find_result["invalid_pointers"]]
+
+    delete_result = _delete_pointers(table_name, pointers_to_delete)
+
+    find_result.pop("invalid_pointers")
+
+    return {**find_result, **delete_result}
+
+
+if __name__ == "__main__":
+    fire.Fire(_find_and_delete_invalid_pointers)