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National Substance Abuse Professionals Network
For The Referred
Employee
Program compliance is the goal
in advancing "public safety" and "workplace safety"
When you have a positive on a drug or alcohol test, call
1-800-879-6428
Please click here for the Referral Agreement
(Adobe Reader Required)

Please print out this form, sign, and return ONLY after you have called NSAPN,
participated in the intake process, and have been instructed to utilize this form.
Be aware that utilizing this form prior to an intake being completed may actually
delay case implementation.
- Easy access to help by
calling 1-800-879-6428
- Initial face-to-face evaluation
in the geographical location where the employee lives or works
- A national network of
Substance Abuse Professionals and Substance Abuse Specialists
serving to meet the varying expectations of DOT-regulated and
non-regulated testing programs
- SAP providers under DOT, 49 CFR
Part 40, meet completely the requirements and the
qualifications of the DOT-mandated testing program
- Matching of each
employee case to the appropriate substance abuse provider
- Professional determination
of the need for education and/or treatment
- Coordination of all aspects
of each employee's recommended program concluding in program
completion
- Referral sources to
appropriate education or treatment as recommended from the
initial evaluation
- Ongoing case monitoring
and program compliance status reporting
- Follow-up face-to-face evaluation
at the conclusion of assistance program
- Follow-up testing plan
recommendations, as required by DOT and/or
organizational policy
- Documentation to the employee
of program completion
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