DOT Follow-Up Testing

Start your follow-up management program.

Provide the driver, company, and SAP details, review the management agreement, and securely save a card with Square for the annual fee and future SAP-prescribed tests.

Follow-Up Management Enrollment

Fields marked with an asterisk are required. *

Driver information

Driver’s legal name *

Date of birth *

Phone *

CDL state *

CDL number *

Email *

Company and billing address

Legal company name *

USDOT number *

Street address *

Suite or unit

City *

State *

ZIP code *

SAP and return-to-duty information

SAP name *

SAP phone *

SAP email

Negative return-to-duty test date *

Notes

Follow-Up Testing Management agreement

Program responsibilities and feesScroll through the complete summary to enable acceptance.

1. Scope of management

HealthRoute will obtain and administer the SAP-prescribed follow-up testing plan, coordinate confidential unannounced DOT drug and alcohol tests, use DOT-qualified collection sites and laboratories, manage results and records, and make applicable FMCSA Drug & Alcohol Clearinghouse reports.

2. SAP authority

The Substance Abuse Professional is solely responsible for determining the testing type, number, frequency, and duration. HealthRoute administers the written plan and does not change it.

3. Driver and company responsibilities

Designate HealthRoute as C/TPA where required and provide required electronic Clearinghouse consent.
Comply with all unannounced SAP-plan tests and report promptly when notified.
Maintain accurate contact information and an active Clearinghouse account.
Pay all management, testing, and laboratory charges when due.

4. Fees and card authorization

The annual management fee is $240 per driver. Testing is not included: follow-up drug tests are $90 each; follow-up alcohol tests are $55 each; and confirmation drug testing, when requested, carries a $210 laboratory fee. The card is securely stored by Square—not HealthRoute—and may be charged for these fees under this agreement.

5. Separate random testing requirement

Follow-up testing is not random testing. This enrollment does not include a random testing consortium. An owner-operator who is subject to random testing must maintain a separate compliant consortium enrollment.

6. Confidentiality and authorization

The future testing schedule is confidential and is not disclosed to the driver. The signer authorizes HealthRoute to coordinate tests, receive and maintain results, communicate with the SAP and relevant parties, and complete applicable Clearinghouse reporting. Written authorization does not replace required electronic Clearinghouse consent.

7. Acknowledgment

By signing electronically, the signer confirms the information is accurate, accepts the responsibilities and separate fee schedule above, and authorizes HealthRoute to begin management.

I have read and agree to the Follow-Up Testing Management agreement above.Scroll to the bottom of the agreement to enable this checkbox.

Authorization and secure card storage

Electronic signature *

Signed date *

I certify the information is accurate and authorize HealthRoute to coordinate and report the SAP-prescribed follow-up testing program. I authorize HealthRoute to have Square securely store this card and charge it for the $240 annual management fee today and for future fees under this agreement: $90 per follow-up drug test, $55 per follow-up alcohol test, and a $210 confirmation laboratory fee when applicable. I understand these testing charges are not included in the $240 fee.

Secure payment

$240 annual management fee today

Drug tests: $90 each, charged separately
Alcohol tests: $55 each, charged separately
Confirmation laboratory fee: $210 when applicable

Due today$240.00

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