Primary care practice provides an ideal opportunity for the discussion of the remarkably prevalent yet often hidden problem of intimate partner violence, report that screening of intimate partner violence is acceptable, yet most do not discuss intimate partner violence with their patients. The purpose of this article is 3-fold: to outline what is known about the prevalence and health effects of intimate partner violence and why providers should discuss intimate partner violence with their patients, to review recommended screening policy and how to ask about and intervene in cases of intimate partner violence, and finally to provide suggestions for institutionalizing a clinical response to intimate partner.