deliver the patient when a proper warrant is presented. Whenever possible, a judge advocate of the Navy or Marine Corps should be consulted before delivery. If the treatment facility is located outside the jurisdiction requesting delivery, only a General Courts-Martial authority (as defined by the Uniform Code of Military Justice, Manual for Courts-Martial, and Navy Regulations) is authorized to arrange for delivery of such the patient. Extradition, return agreements, and other prerequisites to delivery will have to be completed. When disciplinary proceedings involving military offenses are pending, the treatment facility should obtain legal guidance from a judge advocate before delivering a patient to federal, state, or local authorities. When the commanding officer considers that extraordinary circumstances exist which indicate that delivery should be denied, then the Judge Advocate General of the Navy must be notified of the circumstances by message or phone. PRISONER PATIENTS Prisoner patients fall into three categories of eligible beneficiaries:  Enemy prisoners of war and other detained personnel  Nonmilitary federal prisoners  Military prisoners Enemy Prisoners of War and Other Detained Personnel Enemy prisoners of war and other detained personnel are entitled to all necessary medical and dental care, subject to the availability of care and facilities. Nonmilitary Federal Prisoners Nonmilitary federal prisoners are authorized only emergency medical care. When such care is being provided, the institution to which the prisoner is sentenced must furnish the security personnel to ensure custody of the prisoner and safety of others in the facility. Upon completion of emergency care, arrangements will be made immediately to transfer these individuals to a nonmilitary treatment facility or for return to the institution to which sentenced. Military Prisoners Status of Forces policy is to protect, to the maximum extent possible, the rights of U.S. personnel who may be subject to criminal trial by foreign courts and imprisonment in foreign prisons. Active duty members are generally not separated from the service until they have completed their term of imprisonment and returned to the United States. During this confinement, they will normally remain healthcare beneficiaries. Military prisoners (those sentenced under the Uniform Code of Military Justice) whose punitive discharges have been executed but whose sentences have not expired are authorized medical and dental care. Individuals on appellate leave, awaiting execution of a punitive discharge, are also entitled to care. Military prisoners whose punitive discharges have been executed and who require hospitalization beyond expiration of their sentences are not eligible for care, but they may be hospitalized as civilian humanitarian nonmilitary indigents until disposition can be made to some other facility. SEXUAL ASSAULT AND RAPE Sexual assault and rape are criminal offenses, often associated with serious injury. The management of cases involving sexual assault and rape must be a joint medical and legal function. A sexual assault investigation kit, supplied by the Naval Criminal Investigative Service, is used to gather and preserve evidence of a crime. Included in this kit are step-by-step procedures for the examination of the patient, as well as a checklist of specimens to be collected. In order to safeguard and obtain evidence to be used in possible legal proceedings, liaison between the n a v a l t r e a t m e n t f a c i l i t y, m i l i t a r y a n d c i v i l investigative agencies, and state and local agencies (such as Child and Spouse Protective Services) should be established. It must be kept in mind that medical personnel are not to judge, defend, or prosecute the individuals involved. NAVMEDCOMINST 6310.3, Management of Alleged or Suspected Sexual Assault and Rape Cases, provides further guidance for the care, evaluation, and medico-legal documentation of the victim of an alleged rape or sexual assault. Every effort must be made to treat the patient with respect and courtesy and to provide appropriate privacy. In dealing with alleged victims of sexual 15-12