Support For Survivors

More About Forensic Medical Exams

⚠️ Content Warning: This guide references traumatic experiences and responses.

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Forensic Medical Exams – What to Expect

Forensic medical exams are examinations of a survivor’s body after a sexual assault. They include the gathering of physical evidence, such as DNA, photographs, and clothing that can then be used in a criminal legal case as evidence of a crime. In cases of sexual assault, these exams can be accompained by a advocate (who is a confidential survivor-centered support person), and the process should be explained to you by the medical professional. There is also treatment for STIs and HIV available.

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Forensic Medical Exams

The term rape kit refers to a container that usually includes a checklist, materials, and instructions, along with envelopes and containers to package any specimens collected during a sexual assault forensic examination.

  • You have control over whether you participate in an exam. You should not be pressured to do the exam or not do the exam.
  • You have the ability to stop or pause the exam.
  • You have the right in most states for an advocate or support person to be present.
  • You can ask for an anonymous exam which will preserve your evidence why you decide whether or not to formally report abuse.
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Seeking Support During An Exam


You can connect with a local rape crisis center who learn about the laws and processes in your state. Or you can consult with a lawyer who may have understanding of the exam process and the evidence collection impacts on your case. It may be supportive and informative to have a victim/survivor advocate available to discuss the particular laws and procedures in your state or country

  • If you like, ask for a confidential advocate that is available to be with you.
  • You can usually bring a support person to the exam.
  • For children going though this process, child forensic examiners and interviewers with specialized expertise supporting children should be utilized.
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What to Expect During An Exam


A rape kit may also be referred to as a Sexual Assault Forensic Evidence Kit (SAFE Kit or Rape Kit). The exam includes evidence collection from your body, including swabs of the gential area, evidence from under fingernails, collection of clothing, photographs, and taking blood samples.
The contents of the kit vary by state and jurisdiction and may include:

  • Bags and paper sheets for evidence collection
  • Comb
  • Documentation forms
  • Envelopes
  • Instructions
  • Materials for blood samples
  • Swabs
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Your Control of the Process


The steps here outline the general process for the exam. Remember, you can stop, pause, or skip a step at any time during the examination. It is entirely your choice.

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Health professionals complete the exam


Not every hospital or health facility has someone on staff that is specially trained to perform a sexual assault forensic examination and interact with recent survivors of sexual assault. When you call the National Sexual Assault Hotline at 800.656.HOPE (4673) you will be directed to a facility that is prepared to give you the care you need. The people who can perform the exam are usually called:

  • Sexual Assault Nurse Examiners (SANEs) — registered nurses who receive specialized education and fulfill clinical requirements to perform the exam
  • Sexual Assault Forensic Examiners (SAFEs) and Sexual Assault Examiners (SAEs) — other healthcare professionals who have been instructed and trained to complete the exam

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