Since development of the first protocol in 2000 developed by the Ohio American Academy of Pediatrics Committee on Child Abuse and Neglect in collaboration with the Ohio Department of Health and the Ohio Attorney General’s office, the field of child abuse pediatrics and the development of coordinated efforts to provide comprehensive, standardized, non-judgmental, equitable treatment of pediatric sexual abuse/assault has changed and improved. This protocol is a modification of the Ohio Department of Health Protocol For The Treatment Of Sexual Assault Survivors, and addresses many of the complex services necessary to facilitate consistent, comprehensive health care treatment to include emotional, social, and crisis intervention as well as provide information about available follow up services in the community.