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The Safe Child Center
This Web page is for law enforcement
and child protective agencies and healthcare providers.
Child,
adolescent and developmentally-delayed adult victims of sexual assault,
physical abuse or those who have witnessed a crime may be referred to
the Safe Child Center (SCC) at Flagstaff Medical Center.
Services provided include:
Comprehensive medical/forensic exam
Forensic interview
Family advocacy
Coordination of victim witness services
Referrals to physicians and other services
To contact SCC call:
928 773-2053 Monday Friday, 7:30 a.m. - 4:30
p.m.
800 853-2313 After hours, weekends or holidays
To schedule the Mobile Unit call:
928 773-2053
SCC is dedicated to reducing the stress children experience as victims
of crime and supporting the efforts of law enforcement and child
protective agencies to ensure these victims are treated with respect and
dignity throughout the investigative process.
If a medical/forensic exam is needed, it usually can be performed at
SCC, which offers a child-friendly, safe environment.
Forensic interviews and exams are performed by highly-trained
professionals. The interviews are videotaped for accuracy and future
reference.
Law enforcement personnel are able to accompany the child and family
members while at SCC.
SCC is an accredited member of National
Children's Alliance, and a member of the Arizona Child and Family
Advocacy Network.
For your convenience, the following forms may be printed or
downloaded:
Intake Information form: Contains
information required for scheduling a forensic interview and/or medical
exam at SCC, which takes referrals from law enforcement and child
protection agencies, area prosecutors and the judicial system.
Intake Information form (121 KB)
Intake Information form (54 KB)
Consent for Examination and Investigative Interview:
Includes an explanation of services a child may receive at SCC. The form
must be signed by a parent or legal guardian, giving SCC consent to
provide services and treatment.
Authorization to Use and Disclose Confidential Information:
Signed by a parent or legal guardian allowing SCC to disclose
information to investigative agencies regarding a childs visit to SCC.
This form also allows other essential agencies and individuals, such as
school counselors, to receive information at the written request of the
parent or legal guardian.
Consent and Authorization forms
(121 KB)
Consent and Authorization forms
(58 KB)
Request for Records Child Abuse or Neglect:
In the event that a childs authorized representative refuses to allow
information to be disclosed or revokes a disclosure, law enforcement and
child protective agencies can use this form to receive necessary
information necessary during an investigation of suspected child abuse.
Request for Records Child Abuse or Neglect form
(29 KB)
Request for Records Child Abuse or Neglect form
(23 KB)
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"Where the voice of a child
is given the attention it deserves"

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Northern Arizona Healthcare - 1200 N. Beaver St., Flagstaff, Ariz.
86001 - 928 779-3366
Flagstaff Medical Center - 1200 N. Beaver St., Flagstaff, Ariz.
86001 - 928 779-3366
Verde Valley Medical Center - 269 S. Candy Lane, Cottonwood, Ariz. 86326 - 928
639-6000
VVMC - Sedona Campus - 3700 W. Highway 89A, Sedona, Ariz., 86336 - 928 204-3000
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