Frequently Asked Questions about the SAFE Program for Patients

• A general physical exam to check for injuries. 
• A compassionate, comprehensive medical forensic exam with evidence collection. 
• Testing for sexually transmitted infections (STIs) and medications to help reduce the risk of STI’s, HIV and to help prevent pregnancy.
• The exam may include toxicology testing (urine and/or blood) for substances that you may have taken, or that were given to you without your knowledge/consent related to your sexual assault. 

A Sexual Assault Forensic Examiner (SAFE) is a registered nurse or an advanced practice provider with specialized training to perform the medical forensic exam with evidence collection. The medical forensic exam may be completed by a SAFE or your emergency department medical provider. 

An advocate can provide in-person support while you are in the emergency room, during your exam. Advocates are trained in supporting patients during the medical forensic exam process and the criminal justice system. Advocates can provide you with information, resources, and referrals to services that can best support you after you leave the emergency department. 

• The medical forensic exam is a detailed head-to-toe exam to look for and document any injuries or physical evidence that may be found on your body after an assault. The evidence can be used as part of an investigation if you have reported to the police.
• Evidence can be collected even if you are unsure about filing a police report.
• The examiner will explain every step of the exam.
• You can accept or decline any portion of the exam at any time.
• You will be asked questions about what happened to guide the evidence collection.

• The evidence is transported to the RI Department of Health Forensic lab, where it will be analyzed if you have reported to the police.
• If you have not reported to the police, the evidence will be stored for up to 10 years. It will not be analyzed until a police report is made.

• You should not receive a bill for the care you received related to the sexual assault in the emergency department.
• You may be eligible for reimbursement for additional costs related to the assault through the Victim Compensation program run by the Rhode Island General Treasurer’s Office, if you have filed a police report and complete a Victims Compensation application.
• The SAFE or hospital staff can provide you with this application.