DoDD 6495.01, January 23, 2012
Change 5, 11/10/2021 4
Form 2911, “DoD Sexual Assault Medical Forensic Examination Report” and accompanying
instructions. The victim shall be advised that even if a SAFE is declined, the victim is
encouraged (but not mandated) to receive medical care, psychological care, and victim advocacy.
(1) Sexual assault patients shall be given priority, and shall be treated as emergency
cases. A sexual assault victim needs immediate medical intervention to prevent loss of life or
suffering resulting from physical injuries (internal or external), sexually transmitted infections,
pregnancy, and psychological distress. Individuals disclosing a recent sexual assault shall, with
their consent, be quickly transported to the exam site, promptly evaluated, treated for serious
injuries, and then, with the patient’s consent, undergo a SAFE, pursuant to “Victim Centered
Care” of Reference (h) and refer to DD Form 2911 and accompanying instructions.
(2) Sexual assault patients shall be treated as emergency cases, regardless of whether
physical injuries are evident. Patients’ needs shall be assessed for immediate medical or mental
health intervention pursuant to “Victim Centered Care,” and “Triage and Intake” of Reference
(h). Sexual assault victims shall be treated uniformly, consistent with “Victim Centered Care” of
Reference (h) and DD Form 2911 and accompanying instructions, regardless of their behavior
because when severely traumatized, sexual assault patients may appear to be calm, indifferent,
submissive, jocular, angry, emotionally distraught, or even uncooperative or hostile towards
those who are trying to help.
k. Service members and their dependents who are 18 years of age or older covered by this
Directive (see subparagraph 2a.(4) and Reference (c)) who are sexually assaulted have two
reporting options: Unrestricted or Restricted Reporting. Unrestricted Reporting of sexual
assault is favored by the DoD. See Volume 1 of Reference (c) for additional information on the
DoD sexual assault reporting options and exceptions as they apply to Restricted Reporting.
Consult DoDD 5400.11 (Reference (i)) and DoD 6025.18-R (Reference (j)) for protections of
personally identifiable information solicited, collected, maintained, accessed, used, disclosed,
and disposed during the treatment and reporting processes. The two reporting options are as
follows:
(1) Unrestricted Reporting allows an eligible person who is sexually assaulted to access
healthcare and counseling and request an official investigation of the allegation using existing
reporting channels (e.g., chain of command, law enforcement, healthcare personnel, the SARC).
When a sexual assault is reported through Unrestricted Reporting, a SARC shall be notified as
soon as possible, respond, assign a SAPR VA, and offer the victim healthcare and a SAFE.
(2) Restricted Reporting allows sexual assault victims (see eligibility criteria in Volume
1 of Reference (c)) to confidentially disclose the assault to specified individuals (i.e., SARC,
SAPR VA, or healthcare personnel), in accordance with Reference (i), and receive healthcare
treatment, including emergency care, counseling, and assignment of a SARC and SAPR VA,
without triggering an official investigation. The victim’s report to healthcare personnel
(including the information acquired from a SAFE Kit), SARCs, or SAPR VAs will NOT be
reported to law enforcement or to the victim’s command, to initiate the official investigative
process, unless the victim consents or an established EXCEPTION applies in accordance with
Volume 1 of Reference (c), State laws, or federal regulations. When a sexual assault is reported