Sexual Assault Medical Forensic Examination (SAFE) Information
What is a SAFE exam?
A sexual assault medical forensic examination (SAFE) is an examination conducted by a clinician on a patient who has experienced sexual assault. Ideally the clinician has specialized education and clinical experience in their medical evaluation and collection of samples for the sexual assault evidence collection kit. The examination includes the following:
- Obtaining the medical forensic history;
- A comprehensive examination;
- Coordinating treatment of injuries;
- Documentation of the complete examination; and
- Collection of samples for the sexual assault evidence collection kit; information, treatment, and referrals for STIs, pregnancy prevention, suicidal ideation, alcohol and substance abuse, and other nonacute medical concerns.
The examination also includes follow-up as needed to provide additional healing, treatment, or collection of evidence. Advocates may also be present as part of this examination to support the patient through the process and provide follow-up resources. Some communities may refer to the exam as a SAFE examination. (Review national protocol documents linked below).
SAFE training standards and protocols
The Department of Justice has published protocols and training standards designed to ensure survivors can access high-quality medical forensic care:
- A National Protocol for Sexual Assault Medical Forensic Examinations
- National Training Standards for Sexual Assault Medical Forensic Examinations
- Recommendations for Administrators of Prisons, Jails, and Community Confinement Facilities for Adapting the U.S. Department of Justice's 'A National Protocol for Sexual Assault Medical Forensic Examinations, Adults/Adolescents
- A National Protocol for Sexual Abuse Medical Forensic Examinations - Pediatric
- A National Protocol for Intimate Partner Violence Medical Forensic Examinations
SAFE/SANE federal funding opportunities and resources
Current and aspiring sexual assault forensic examiners are invited to explore these federal funding opportunities and other federally funded resources*:
From Department of Justice
From Department of Health and Human Services
If there are other funding opportunities or resources that should be listed here, please email us.
*This information is current as of 4/01/2025
Note:
- State sexual assault and/or domestic violence coalitions may be able to provide information about SAFE programs, availability of advocates at those locations, and SAFE training opportunities in their state or territory.
- This webpage was created in response to 34 U.S.C. § 40723(d), which mandates a website containing information on access to sexual assault forensic examinations. This page is not routinely updated and is not meant as a tool for survivors seeking medical forensic care. If you are a survivor seeking assistance, please reach out to the National Sexual Assault Hotline via Live Chat or call 1-800-656 HOPE (4673) to be connected to a local rape crisis center.