Alameda County Domestic Violence Mandated Reporting for Health Care Providers

Registered Alameda County Health Care Providers can complete a mandatory DV report form, automatically have it sent to law enforcement, and print a copy for their medical records.

Securely submit a Mandatory DV Report

Login and Submit a Report

Make a referral to the Family Justice Center

Connect with the FJC

Are you in need of technical support?

Request Technical Assistance

Mandatory DV Reporting Easily and securely

The MedReportGuard application was developed collaboratively with the district attorney, law enforcement and health care providers. The program was uniquely designed to meet the security requirements for both law enforcement and medical information (HIPAA). It is supported by the Alameda County Medical Center, The Police Chief’s Association, and Alameda County Health Care Finance. It is currently being tested in the Emergency Department of Highland Hospital and there are plans to deploy to all Alameda County emergency departments and community clinics when the pilot project is completed.

An overview of DVRR

Additional Resources See Below

Media HelpLaw Enforcement

Non-emergency phone numbers for Alameda County Police agencies.

Police Resources

Become VolunteerBefore You Call

There is information the police will ask for when you call, make sure you are prepared.

What You Need

Frequently Asked QuestionsFrequently Asked Questions

Find answers to questions about DV laws, definitions, victim compensation reimbursement.

FAQs
Additional DV Resources Link
Alameda County Family Justice Center - Resources in Alameda County http://www.acfjc.org
An anonymous, free application for smart phones and other electronic devices, the One Love MyPlan determines if a relationship is unsafe and helps to create the best action plan by weighing an individual’s unique characteristics and values. One Love App
Blue Shield Against Violence - The Foundation believes that ending domestic violence requires a strong, coordinated network of services, new knowledge about reaching highest-need populations, and a unified policy agenda. To this end, we’re investing in efforts that strengthen California's current safety net — and building a stronger domestic violence field to lead change for tomorrow. Blue Shield Against Violence
The Danger Assessment helps to determine the level of danger an abused woman has of being killed by her intimate partner. It is free and available to the public. Using the Danger Assessment requires the weighted scoring and interpretation that is provided after completing the training. The Danger Assessment is available in a variety of languages. Danger Assessment Training
Kaiser Permanente Northern California's unique and effective approach to intimate partner violence prevention. Family Violence Prevention Program

Frequently Asked Questions Click Here to Get Your Hospital Added to the DVRR Waitlist

Authorization to release information:

My initials and or typed name have the same full force and effect as a written signature.

(expires in 30 days)

Referrer Information:

Preferred/safe method of contact:

Check box if safe to leave a message.
Check box if OK to text.