SANE CASE DOCUMENT LOG UPS Trackpad

When you are done entering the information click START and the information will be stored. You will not receive a confirmation that you entered the information.

Click here for the instructions Please report all cases unreported / reported/ with a Kit/ or without -

If you log in a case without a kit # you can put NA in the blank. Feel free to contact me with any questions

NEW FILLABLE KIT DOCUMENTATION PDF FORMS

SEXUAL ASSAULT BILLING FORMS

This document provides basic instructions related to the administrative and billing process associated with the medical care of sexual assault victims. Basic protocols for hospital registration staff, sexual assault nurse examiners, billing departments and the Vermont Center for Crime Victim Services are outlined below.

Billing form  

PHI  Billing Instructions

DRUG FACILITATED SEXUAL ASSAULT 

This document explains the procedure for screening a patient for possible drug facilitated sexual assault (DFSA) and the procedure for collecting and transporting urine samples for testing in suspected DFSA cases. Included are suggestions for patient education regarding the risks and benefits of testing, the procedure to request testing and the procedure for obtaining the test results. PDF

DFSA Screening and Testing Procedure

 Consent 

Patient Information

DFSA Survey

 SANE KIT DOCUMENTATION FORMS

PEDIATRIC EXAM DOCUMENTATION FORM’S