Provider Sexual Crime Reports

Mass General Law (M.G.L. Ch. 112, Sec. 12A 1/2) requires the reporting of all cases of rape and sexual assault where the victim sought medical treatment, regardless of whether the case was reported to police. To fulfill this requirement and facilitate uniform reporting by medical providers across the Commonwealth, a Provider Sexual Crime Reporting (PSCR) Form is used. After a victim undergoes an examination at a medical facility, the attending care provider is required to complete the PSCR form and fax it to the Executive Office of Public Safety and Security (EOPSS) and the local police department in the jurisdiction where the assault took place. The Office of Grants and Research's Research and Policy Analysis Division (RPAD) records and maintains the data from the PSCR in a master database. Information gleaned from these reports helps guide discussion for the MSAECK Advisory Committee and public safety officials regarding emerging trends and the nature and characteristics of sexual assault in Massachusetts.

The Provider Sexual Crime Report Form is located within the Massachusetts Sexual Assault Evidence Collection Kit, which is distributed to Massachusetts hospital emergency departments on an annual basis. Medical providers can also access the forms by following the links in the Additional Resources section of this page.

Additional Resources

Adult Provider Sexual Crime Report Form

Pediatric Provider Sexual Crime Report Form