Hospitals with SAFE Programs have specially trained Forensic Nurse Examiners (FNE) or physicians available to provide both medical attention and evidence collection services. Medical care provided during SAFE includes acute injury care and medication for the prevention of sexual transmitted infections (STIs), HIV, and pregnancy. All services and medical care, including HIV prevention medication (nPEP), provided during a SAFE are FREE of cost. For more information on the evidence collection process please see “What Happens During a SAFE," below. To learn more about nPEP, please click here to view an information guide for providers and survivors, developed in conjunction with the Maryland Hospital Association (click here for the Spanish version of the guide).
Most SAFE Programs in Maryland will provide you with an exam regardless of the county or city in which you were assaulted in. However, some SAFE programs have limited services or restrictions for exams. If you are unsure of the services provided at your nearest SAFE program, please contact the hospital, if possible, before reporting for the exam.
For information on both sexual assault forensic exams and domestic violence forensic exams, please view our "Medical Treatment & Evidence Collection for Adult & Adolescent Survivors of Sexual Assault & Domestic Violence" factsheet.
In 2024, Maryland banned the sale and distribution of self-administered sexual assault forensic kits (sometimes called “DIY” or “at-home” rape kits). These kits, which were previously advertised as a means for survivors to collect evidence of a sexual assault in private, instead of in a medical setting, claim to address survivor comfort and safety. However, professionals from across the county raised concerns about the self-administered kits use and validity. Evidence collection is only one portion of the care provided during a SAFE. A SAFE is also an opportunity for survivors to receive critical medical care, treatment of injuries, and to have concerns like STI or HIV contraction and pregnancy addressed. Additionally, survivors receiving a SAFE can request to have an advocate or support person present, and they may decline any portion of the exam they are uncomfortable with. In Maryland, survivors are not required to speak with the police about the assault to receive this care. Companies that sell or distribute these kits in Maryland will be fined for violation of the Maryland Consumer Protection Act. Survivors that obtain and use an at-home rape kit will not be punished, however any material collected may not be utilized in a court of law or to identify the perpetrator. Survivors who are considering the use of an at-home rape kit may want to contact their local SAFE Program or Rape Crisis Center to discuss their concerns and care options.
For a list of SAFE programs closest to you, including those with limited services, click here or click the location on the map.
For a list of SAFE programs close to Maryland college and university campuses, click here.
FNE-P: SAFE Program provides exams for survivors age 12 and younger
FNE-A: SAFE Program Provides exams for survivors 13 years of age and older
(* Indicates a SAFE program who may not be offering 24/7 services at this time. Please call the associated number to check availability.)
If you are unsure of where to seek help, contact 211 or go to 211md.org to find more information on helpful resources in your area.