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Nderstand that Military Medical Treatment Facilities and Healthcare Providers are required by Department of Defense regulations to report sexual assaults to the Sexual Assault Response Coordinator (SARC). (Initial) 2. a. The Sexual Assault Response Coordinator (SARC) and/or Sexual Assault Prevention and Response Victim Advocate (SAPR VA) have explained the difference between Unrestricted and Restricted Reporting options. b. I understand that I have the right to speak to my own attorney (Specia.

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How to fill out the DD 2911 online

Filling out the DD 2911 form online is a crucial step in documenting the medical and forensic examination of a sexual assault victim. This guide provides a clear and supportive walkthrough to help users navigate the form efficiently and effectively.

Follow the steps to complete the DD 2911 form accurately.

  1. Click 'Get Form' button to access the DD 2911 form and open it in your online editor.
  2. Begin filling out Part I by providing general information. Indicate whether the examination is for a victim or a suspect and include the name of the medical facility.
  3. Enter the patient's details such as their name, date of birth, address, and contact information. If opting for a restricted report, you may skip the patient's name.
  4. Complete the notification and authorization section by providing the location and jurisdiction of the assault, and by including the names of any involved personnel like the Sexual Assault Response Coordinator and forensic examiner.
  5. In the reporting information section, indicate whether the report will be unrestricted or restricted and ensure you initial where required to confirm understanding.
  6. Provide patient consent for the examination and any associated procedures. Be sure to read each statement carefully before selecting your responses.
  7. Complete the patient history section, detailing any relevant medical information, and proceed to fill out sections pertaining to the assault history.
  8. In the examination sections, record findings as appropriate, using diagrams if necessary, while following the sections specific to head, neck, oral, genital, and rectal examinations.
  9. Once all sections are completed, review all entries for accuracy.
  10. Save your changes, and download or print the completed form for your records or further processing.

Complete your documents online now for streamlined and efficient processing.

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