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  • Individual Safe Examiner Application - New York State Department ... - Health Ny

Get Individual Safe Examiner Application - New York State Department ... - Health Ny

Ess Street Telephone # ( Apt. # ) State E-mail - of Applicant Fax Name # ( ) Date of Birth/Social Security No. of Applicant? Applicant Type: (check only one) City County(ies) of Practice Registered Nurse Physician Nurse Practitioner Physician Assistant License Number: IAFN SANE-A certified check if yes Application Information Type of Certification Requested: Initial Re-certification Applications will be accepted only if the application and ALL required documentation is comple.

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Survivors of sexual assault are strongly advised to have an exam completed by a SAFE (Sexual Assault Forensic Examiner) or sexual assault nurse examiner-adult/adolescent (SANE-A). Examinations of this sort may be difficult, so it is advised that, if possible, you have a friend or family member accompany you.

Holding a current, unrestricted license as a registered or advanced practice nurse. Having practiced at least 2 years as a registered or advanced practice nurse (for SANE-A); 3 years (for SANE-P) Having completed a 40-hour sexual assault nurse examiner (SANE) course that meets the SANE Education Guidelines.

The program makes forensic exams available to all victims of sexual assault, regardless of ability to pay or report to law enforcement. SAFE pays for the cost of a forensic examination and the antibiotic prophylaxis to prevent sexually transmitted infections.

If you recently experienced a sexual assault, you may want to consider a Sexual Assault Forensic Exam (SAFE). A SAFE is a physical examination to collect evidence from your body and clothes after a sexual assault.

A SAFE allows a medical professional to assess your physical health needs while also collecting and preserving evidence, and documenting injuries. All of this information is saved in case you want to report to law enforcement. The SAFE should be performed within 120 hours/5 days of the sexual violence.

*SAFe exams are either 90 minutes or 120 minutes. Check the specific exam page on scaledagile.com for details.

The SAFE may care for the adult/adolescent population, the pediatric population, or both. The only difference between SANE and SAFE is that SANE only refers to nursing as the provider, SAFE may be nursing or other properly trained advanced practice providers.

The Sexual Assault Forensic Examination (SAFE) Program covers the cost of gathering, collecting and preserving evidence during the forensic examination for victims of sexual crimes that occurred in Missouri. While SAFE is the “payor of first resort” for these fees, health insurance carriers may be billed secondary.

Sexual Assault Nurse Examiner (SANE) Program: Frequently Asked Questions. What is the Sexual Assault Prevention & Crisis Services Program doing to assist medical professionals who work with survivors of sexual assault?

Our Sexual Assault Forensic Nurse Examiner (“SANE or SAFE nurse”) consultant has expert qualifications in sexual assault, sexual abuse, forensic evidence collection and testimony. The goal of an expert opinion to provide education to the consulting legal professional.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232