Substance Abuse Professional (SAP) Services

What Are SAP Services?

A Substance Abuse Professional (SAP) is a qualified clinician authorized under 49 CFR Part 40 to evaluate employees who have violated DOT drug and alcohol regulations. SAPs do not advocate for the employer or the employee — their role is to ensure compliance with federal safety standards.

SAP services are required for individuals working in DOT-regulated industries, including:

• Commercial Trucking (FMCSA)

• Aviation

• Railroads

• Transit

• Pipeline

• Maritime

Our SAP Services Include:

DOT-Compliant Initial SAP Evaluation

• Clinical Assessment & Determination of Treatment Level

• Written Treatment and Education Recommendations

• Monitoring of Treatment Compliance

• Follow-Up SAP Evaluation

• Return-to-Duty & Follow-Up Testing Recommendations (per DOT guidelines)

• Communication with Employers, DERs, and MROs (with proper releases)

Important SAP Clarifications

• SAP evaluations do not guarantee a return-to-duty decision

• SAPs do not perform drug or alcohol testing

• SAP services are separate from treatment services

• All determinations are based on DOT regulations and clinical judgment

Treatment Referrals & Provider Choice

If treatment or education is required:

• Clients are free to choose their own provider

• Real Talk Counseling may provide outpatient services when clinically appropriate

• We also refer to external IOP or inpatient providers if required or recommended

• All referrals are made in accordance with DOT and state guidelines

Who Needs SAP Services?

SAP services are required for individuals who:

• Failed or refused a DOT drug or alcohol test

• Tested positive for prohibited substances

• Violated DOT drug and alcohol regulations

• Are seeking reinstatement in a safety-sensitive position

What to Expect During the SAP Process

Initial Evaluation
A comprehensive assessment to determine treatment or education requirements.

1. Treatment / Education Phase
   Completion of required services through an approved provider.

2. Follow-Up Evaluation
   Confirmation that all recommendations have been successfully completed.

3. Return-to-Duty Recommendation
   Documentation provided to the employer or designated representative.

Payment & Scheduling

SAP services are self-pay and not covered by insurance due to federal regulations.
Payment is required prior to service.

📞 980-939-0991
📍 Charlotte, NC
💻 Virtual SAP evaluations may be available when permitted by DOT guidelines