Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Home Seeking Victim Information in Dr. Samuel Chacon Investigation

Seeking Victim Information in Dr. Samuel Chacon Investigation

The FBI’s Las Vegas Division, Reno Resident Agency is seeking information in the investigation of Dr. Samuel Chacon of the Women’s Health Center of Reno, Nevada.

Dr. Chacon, a licensed physician, provided OB-GYN care at his office, Women’s Health Center of Reno, Nevada, and operated at local hospitals, including Renown Regional Medical Center and St. Mary’s Regional Medical Center in Reno. No criminal charges have been brought against Dr. Chacon at this time.

If you believe that you were victimized by Dr. Samuel Chacon or that you have information pertinent to this investigation, please fill out this short form. Your responses are voluntary but may be useful in the federal investigation and to identify you as a possible victim. Based on your responses, you may be contacted by the FBI and asked to provide additional information.

The FBI is legally mandated to identify victims of federal crimes it investigates. Victims may be eligible for certain services, restitution, and rights under federal and/or state law. Your responses are voluntary but may be useful in the federal investigation and to identify you as a potential victim. Based on the responses provided, you may be contacted by the FBI and asked to provide additional information. All identities of victims will be kept confidential.

Contact Information

Questionnaire

1. I am filing this form out on behalf of:


2. If filling out this form for a minor dependent(s), please provide the minor dependent’s first name, last name, and date of birth.

Date of Birth
/ /  
3. Did you or a minor dependent(s) have contact with Dr. Chacon?



characters remaining
6. Do you have any other information that may be pertinent to this investigation?



characters remaining

Privacy Act Statement

The FBI is authorized to collect the information on this form by one or more of the following provisions: Title 28, United States Code, sections 533 and 534; Title 28, Code of Federal Regulations, section 0.85; and the Attorney General Guidelines for Victim and Witness Assistance. The information requested will assist the FBI in providing you with assistance to which crime victims are entitled under federal law. You do not have to provide the requested information; however, failure to do so may hinder the FBI in providing you with crime victim assistance. The information collected on this form is protected by the Privacy Act of 1974, as amended, Title 5, United States Code section 552a, and is maintained in the FBI’s Central Records System, DOJ/FBI-002, a description of which was published in the Federal Register at 63 Fed. Reg. 8671 (Feb. 20, 1998) and which may be viewed at www.justice.gov/opcl/doj-systems-records#doj