Specialty Services

Substance Abuse Professional (SAP)

Under the US Department of Transportation Federal FMCSA and FTA controlled substances use and alcohol misuse regulations, an employer is required to refer any driver to a Substance Abuse Professional (SAP) for an evaluation.

Dr. David Fletcher is a certified Substance Abuse Professional with extensive background in evaluating and recommending the necessary treatment to comply with FMCSA and FTA controlled substance abuse policies.

SAP Evaluation is needed when an employee has a verified positive DOT test result, a DOT alcohol test with a result indicating an alcohol concentration of 0.04 or greater, a refusal to test (including adulterating or substituting a urine specimen) or any other violation of the prohibition on the use of alcohol or drugs. Any positive result under a DOT agency regulation constitutes a DOT drug and alcohol regulation violation.

The Substance Abuse Professional (SAP) is a person who evaluates employees who have violated a DOT drug and alcohol program regulation and makes recommendations concerning education, treatment, follow-up testing, and aftercare.

Learn more about the qualifications and criteria for an SAP here. DOT Rule 49 CFR Part 40 Section 40.281 Subpart O – Substance Abuse Professionals and the Return-to-Duty Process § 40.281.

Return-To-Work Evaluations

Dr. Fletcher will make a determination of what type of educational or treatment program is needed for a driver to be able to complete and successfully return back to performing safety sensitive tasks. After the employee has completed the recommended program, the employee returns back to Dr. Fletcher for a 2nd evaluation to determine if that employee can return back to safety sensitive tasks. The employee must have a negative same sex observed Federal five-panel drug test and/or Breath Alcohol Test (BAT) to return to work. Dr. Fletcher makes a recommendation on how many follow-up tests are necessary to monitor compliance.

Employers not regulated by the US Department of Transportation Federal may also send employees who violate company substance abuse policies for a SAP evaluation.


Any severe, life-threatening injury or illness should immediately report to the nearest hospital emergency room.

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