For DOT safety-sensitive workers

Ready to Start Your DOT Return-to-Duty Process?

Get clear answers about the SAP process, understand your next steps, and speak with an experienced DOT-qualified Substance Abuse Professional.

Request My Free SAP Consultation

Free & no obligation. We do not ask for drug test details or medical information.

DOT-qualified SAPSpeak with an experienced professional.
Clear guidanceUnderstand the steps in plain language.
ConfidentialityProtections consistent with DOT rules.

Request your free SAP consultation

No cost. No obligation. A DOT-qualified professional will answer your questions.

Helps us tailor your consultation.

We respect your privacy. We do not request drug test details or sensitive medical information on this form.

By submitting, you agree to our Terms of Service and Privacy Policy.

Submitting sends your request to the American River Wellness CRM team.

The DOT SAP Process

What happens during the DOT SAP process

Understanding how the return-to-duty process works — clear initial guidance, individualized education or treatment recommendations, and step-by-step support.

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1. Request Your Consultation & Initial Assessment

Request your free consultation online or call/text us at (916) 282-0866. We schedule initial evaluations within 1–2 days, with same-day, evening, or weekend options available.

1–2 day scheduling availability
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2. Designation & Evaluation

For commercial drivers (FMCSA), request Graham Sargent in the FMCSA Clearinghouse. Your SAP conducts a thorough evaluation and outlines your individualized recommendations.

FMCSA Clearinghouse guidance for drivers
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3. Complete SAP Recommendations & Follow-Up

Complete your required education or treatment program. Upon successful compliance at follow-up, your SAP determines return-to-duty testing eligibility.

Individualized compliance path

Multilingual Translators Available

We provide culturally sensitive support in Spanish, Punjabi/Hindi, Russian/Uzbek, and Turkish.

Call/Text (916) 282-0866

Every situation is unique. Process timelines depend on individualized SAP recommendations, education or treatment requirements, and successful compliance. Completing SAP recommendations, achieving successful compliance at the follow-up evaluation, taking a qualifying return-to-duty drug/alcohol test, and receiving final employer authorization are distinct, separate DOT requirements. American River Wellness cannot guarantee a specific return-to-duty date, removal from prohibited status, or job reinstatement.

Why American River Wellness

Clear guidance from professionals who know the DOT process inside and out

Based in Sacramento, California and serving clients nationwide, our goal is to demystify the return-to-duty process while educating drivers and employers.

Affiliations & Qualifications

Proud members and listings with NDASA, DISA, Psychology Today, SAPlist, LegitScript certified, WeSpeakSAP, and A+ rated with the BBB.

Need urgent assistance? Call or text 916-282-0866 for same-day appointment availability.

Fast initial evaluation scheduling

Initial evaluations scheduled within 1–2 days, with evening and weekend appointment options available to fit your schedule.

Multilingual translation available

We offer translators for Spanish, Punjabi / Hindi, Russian / Uzbek, and Turkish so every safety-sensitive worker receives culturally appropriate assessment and clear guidance.

Clear FMCSA Clearinghouse guidance

We guide FMCSA-regulated commercial drivers through Clearinghouse requests, Step 6 follow-up testing plan requirements, and required DOT steps.

Experienced DOT-qualified SAPs

Work directly with a qualified Substance Abuse Professional who understands DOT agency rules across FMCSA, FAA, USCG, FRA, and PHMSA.

Private, professional consultations

Private consultations with confidentiality protections consistent with DOT requirements. A testing violation is a manageable obstacle — we help you understand your path forward.

Nationwide virtual & in-person support

Based in Sacramento, CA and serving safety-sensitive workers nationwide with secure telehealth sessions or in-person options.

Watch & Learn

Understand the return-to-duty process

Hear directly about what it takes to complete the DOT SAP process — and why thousands of drivers still haven't started.

From the video

"166,925 Drivers Haven't Started the Return-to-Duty Process."

If you are one of them, the most important step is understanding where you stand. A free consultation helps you get started with clarity — no pressure, no obligation.

Talk to a SAP today

Free consultation · Confidentiality consistent with DOT rules · No obligation

Questions & Answers

Frequently asked questions

Straightforward answers about the SAP process. Still unsure? Request a free consultation and ask us directly.

Request my free consultation

Free & confidential (DOT-compliant protections)

Speak with a DOT-qualified SAP about your return-to-duty process

Request your free, no-obligation consultation today. Get clear answers, understand your next steps, and move forward with confidence.

Request My Free SAP ConsultationNo cost · No obligation

Request your free SAP consultation

No cost. No obligation. A DOT-qualified professional will answer your questions.

Helps us tailor your consultation.

We respect your privacy. We do not request drug test details or sensitive medical information on this form.

By submitting, you agree to our Terms of Service and Privacy Policy.