DOT SAP Evaluations

Expert Substance Abuse Professional (SAP) Evaluations for Return-to-Duty Compliance

Fishburn Medical provides certified Substance Abuse Professional (SAP) evaluations in accordance with Department of Transportation (DOT) regulations. If you’ve violated a DOT drug or alcohol testing rule, we’re here to help you navigate the return-to-duty process with professionalism, compassion, and clarity.

What is a SAP Evaluation?

Under 49 CFR Part 40, a DOT SAP evaluation is required for safety-sensitive employees who:

  • Tested positive on a DOT drug or alcohol test
  • Refused to test
  • Engaged in prohibited drug/alcohol-related conduct

As a qualified SAP, we assess your situation, recommend appropriate education or treatment, and oversee your successful completion of the return-to-duty process.

This is a federally mandated process that must be followed exactly—only a certified SAP can perform these evaluations.

Who Needs a DOT SAP Evaluation?

DOT-regulated employees in the following industries:

  • Federal Motor Carrier Safety Administration (FMCSA – truck/bus drivers)
  • Federal Aviation Administration (FAA – pilots, flight attendants)
  • Federal Transit Administration (FTA)
  • Federal Railroad Administration (FRA)
  • Pipeline and Hazardous Materials Safety Administration (PHMSA)
  • United States Coast Guard (USCG)

If your employer or TPA referred you for a SAP evaluation, you are not eligible to return to work in a safety-sensitive role until the SAP process is complete.

The SAP Process at Fishburn Medical

  1. Initial Evaluation: We assess your violation, medical history, and any previous treatment. We recommend a personalized education or treatment program that meets DOT criteria.
  2. Referral and Monitoring: You complete the required education or treatment with an approved provider. We remain in contact with your provider and track your progress.
  3. Follow-Up Evaluation: Once your program is complete, we meet again to determine if you're eligible for return-to-duty testing. If you’ve successfully complied, we issue written documentation to your employer or TPA.
  4. Return-to-Duty Test: Your employer arranges a DOT return-to-duty test. You cannot return to safety-sensitive duties until this test is negative.
  5. Follow-Up Testing Plan: We create a required follow-up testing schedule (minimum 6 tests in 12 months, up to 5 years).

Why Choose Fishburn Medical for SAP Services

  • Certified DOT SAP provider
  • Addiction medicine expertise to guide the process
  • Fast scheduling and flexible telehealth options
  • Clear documentation and employer communication
  • Nonjudgmental, supportive approach to your recovery and return to work

We work with major TPAs, employers, and directly with individuals. Whether you’re just beginning the process or need a follow-up evaluation, we can help.

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