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If you’ve failed or refused a DOT drug or alcohol test, a DOT-qualified Substance Abuse Professional (SAP) is the key to getting back to work.
We’ve rounded up the most trusted SAP providers, comparing their prices, services, speed, and flexibility so you can choose the one that fits your needs and budget.
5 Reliable SAP Providers Worth Considering
1. American River Wellness
American River Wellness is a DOT-qualified SAP service fully aligned with 49 CFR Part 40 requirements, designed to guide drivers through the return-to-duty process without unnecessary delays.
We provide nationwide coverage through secure telehealth, making it easy to start your case from anywhere.
Pros:
- Meets DOT evaluation requirements for online assessments
- Support in multiple languages, including Spanish, Punjabi, Hindi, Russian, Uzbek, and Turkish
- Strong track record of helping drivers get cleared quickly
Cons:
- Limited in-person appointments may disadvantage some drivers wishing to be evaluated face-to-face
Price: $450 base rate, with flexible payment options starting at $112 through Afterpay.
Best for: Drivers who want a compliant, accessible, and flexible SAP service with multilingual support.
2. SAP Evaluations, LLC
SAP Evaluations is a high-volume, nationwide SAP service with providers in all 50 states.
They are well-regarded for their quick scheduling and helpful process descriptions.
Pros:
- Large team of SAPs with nationwide coverage
- User-friendly intake process with clear instructions
- Strong communication with employers and MROs
Cons:
- “Get started” price often excludes follow-up evaluation and any treatment or education
Price: $300 to start. Follow-up and any treatment are extra.
Best for: Drivers who want a well-known, established provider with lots of availability.
3. SAPvaluate
With an emphasis on online services, SAPvaluate is a contemporary, online-first SAP provider that operates on a single flat rate or an uncomplicated payment scheme.
It is recognized for streamlined intake and efficient scheduling.
Pros:
- Simple online intake in a matter of minutes
- Fast evaluation to recommendation turnaround
- Consistent communication throughout the process
Cons:
- Relatively newer name compared to older competitors, which may translate to a smaller track record and less word-of-mouth credibility among employers
Price: $499 flat or 4 payments of $124.
Best for: Drivers looking for a provider focused on rehabilitation and education throughout the SAP process, rather than just meeting clearance requirements.
4. AACS Counseling
AACS Counseling is a long-standing counseling service that also provides DOT SAP evaluations nationwide.
They are noted for servicing a variety of DOT-regulated industries and are offering both in-person and online options.
Pros:
- Comprehensive support for both DOT and non-DOT cases
- Experienced counselors familiar with all DOT modes
- As each step is clearly explained, there are no surprises along the way
Cons:
- It may not be the best choice for drivers who want a flat, all-inclusive price, since total costs can change based on your evaluation results and the education or treatment provider you select
Price: $300 – $500 for the initial SAP evaluation. Follow-up and other services are extra.
Best for: Drivers who seek a seasoned, DOT-qualified SAP with the insight to manage complex return-to-duty cases and the flexibility to serve every DOT-regulated industry.
5. Resilient Return
Resilient Return specializes solely in DOT-regulated SAP services.
Their streamlined, fully virtual setup allows for quick online booking and responsive communication throughout the evaluation and follow-up stages.
Pros:
- Flat-fee structure for SAP services
- Fully virtual program with quick scheduling and fast report turnaround
- Offers payment flexibility
Cons:
- The flat fee does not include any education, treatment, or testing you may be required to complete
Price: $499 flat for SAP evaluations, recommendations, follow-up, and reporting. Payment options include $250 down or Klarna installments.
Best for: Drivers who want a fully virtual DOT SAP process with clear pricing for the evaluation and reporting steps.
Quick Comparison
| Provider | Price | Payment Plan | Telehealth | Best For |
| American River Wellness | $450 base, $112 start with Afterpay | Yes | Yes | Affordable, clear RTD process |
| SAP Evaluations, LLC | $300 start | Varies | Yes | Established, many appointments |
| SAPvaluate | $499 flat or $124 x4 | Yes | Yes | Predictable pricing |
| AACS Counseling | $300–$500 | Varies | Yes | Detailed budgeting guidance |
| Resilient Return | $499 flat fee | $250 down or Klarna BNPL | Yes | Fast, transparent fixed-fee SAP service |
What to Consider When Choosing an SAP Provider
1. Verify DOT Qualification
Make sure your SAP is DOT-qualified and is familiar with FMCSA Clearinghouse requirements.
Choosing an unqualified provider will result in Clearinghouse rejecting your evaluation and forcing you to undergo the whole process with a qualified SAP again.
2. Get a Detailed Price Quote in Writing
Ask exactly what’s included in the quoted price – initial evaluation, follow-up, employer letters, and report uploads.
Education and treatment are almost always billed separately.
3. Inquire About Scheduling
Some providers will have a slot for you within days, while others may take weeks. Faster scheduling means faster return to work.
4. Confirm Communication Support is Provided
Your SAP should be the one following up with your employer and communicating with you as necessary throughout the process.
Final Thoughts
Choosing the right SAP provider can be the difference between a smooth return-to-duty process and unnecessary setbacks.
We focus on making the process clear, compliant, and manageable from start to finish.
At American River Wellness, we strictly follow DOT requirements, offer flexible scheduling options, and guide you through each step of your DOT SAP process so you can move forward with confidence.
To learn more and schedule your appointment, contact us today at (833) 436-8727.
DISCLAIMER: This information is intended solely for educational and informational purposes. It should not be interpreted as legal counsel or guidance.
FAQ
Costs vary by provider and your specific requirements.
Expect anywhere from $300 to $500 for the initial evaluation, plus the cost of any required education, treatment, and follow-up evaluation.
At American River Wellness, our base rate is $450, with flexible payment options starting at just $112 through Afterpay.
It depends on how quickly you schedule your evaluation, complete all recommendations, and return for your follow-up.
Some drivers finish in a few weeks, while others take several months if treatment is required.
In most cases, no. Many providers, including American River Wellness, offer secure online evaluations that meet DOT requirements.
This makes it easier to get scheduled quickly, no matter where you live.
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