This study considers domestic violence (DV) victims' court and social service utilization (n = 86). We next examine the victims' pediatric provider to explore pediatricians' roles in a community-based response to DV. Sixty-five percent of the sample who used DV-related services interacted with the pediatric community. Pediatric inner-city clinic-based patients appear in the welfare management system and child protective system at similar rates as private pediatric patients. However, clinic-based patients appear in family court more than privately based patients (91% vs. 57%). Data suggest that all pediatric providers should screen, assess, and refer parents for DV.