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Sexual Assault Forensic Examination (SAFE) Program

Executive Order 08-04 transferred the SAFE Program from the Missouri Department of Health and Senior Services (DHSS) to the Missouri Department of Public Safety (DPS).

Effective July 1, 2008, appropriate medical providers are required to bill the Department of Public Safety (DPS) for charges incurred in collecting evidence during the forensic examination of the sexual assault victim.

SAFE Program information may be found on the DPS website

Missouri Revised Statute 191.225
Optional Forms: these forms are NOT required to be used, but are provided as resources and should NOT be submitted with claims for payment.

pdf fileAdult Female Sexual Assault Exam
pdf fileAdult Male Sexual Assault Exam
pdf fileChild Sexual Assault Exam
pdf fileSexual Assault Medical Treatment Checklist