After an assault, some survivors may choose to seek medical care right away. This may include treatment for injuries, medical care to reduce risks of pregnancy or sexually transmitted infections, or the option to have forensic evidence collected through a Sexual Assault Forensic Exam (SAFE). Whatever a survivor decides, they are entitled to support.

What is Medical Advocacy?

Medical advocacy means that a trained SARC advocate can meet a survivor at the hospital to provide emotional support, information, and reassurance throughout their medical care. Survivors need not feel alone during this time. Our advocates are there to listen, answer questions, explain options, and help survivors feel as comfortable and supported as possible.

What Does a Medical Advocate Do?

While every survivor’s needs are different, a medical advocate may:

• Provide comfort, support, and validation during the hospital visit.
• Share information about medical options, including SAFE exams and follow-up care.
• Explain what to expect if police are involved or a report is made.
• Help create a safety plan and connect survivors to ongoing resources.
• Respect privacy and confidentiality at all times.

Accessing Medical Advocacy

Medical advocacy is available during SARC’s in-person accompaniment hours, and through our 24-Hour Support & Resource Line we can help arrange support or follow-up if in-person accompaniment is not immediately available. Survivors, family, or hospital staff can request a SARC advocate at any Washington County emergency department.

Frequently Asked Questions

Do I have to report to the police to have a forensic exam?
No. Survivors can choose to have an exam even if they do not want to report to law enforcement. Evidence can often be collected and stored, giving the survivor time to decide later if they want to move forward with a report. In Oregon, there are three (3) types of exams survivors may choose. Our advocates can explain the types of exams to you through our 24-Hour Support & Resource Line, or read more about the types of exams.

Will a SARC advocate be with me during the exam?
Yes. If a survivor requests it, a SARC advocate can be present at the hospital to provide emotional support, explain what to expect, and help the survivor feel more comfortable during the process.

What if I do want to report to police?
If a survivor chooses to make a report while at the hospital, a SARC advocate can remain by their side. The advocate’s role is to provide support, help the survivor understand their rights, and ensure their choices are respected. Reporting is always the survivor’s decision, and SARC will never pressure anyone to take that step.

How long will an advocate stay with me?
The survivor decides. Some want an advocate by their side throughout the entire hospital visit, while others prefer support for only part of the process. Advocates will leave whenever a survivor chooses—it’s always up to them.

Does SARC provide medical advocacy for all ages?
No. SARC provides medical accompaniment services for people ages 15 and older.

Will a SARC advocate accompany me to any hospital in the Portland metro area?
SARC advocates respond for medical advocacy to designated locations in Washington County, only.