General Questions

What should I expect once I arrive? »

Upon arrival and once checked in with reception, you will be given paperwork to fill out. Once you have completed this paperwork, you will begin a process of preliminary testing for services requested (ie…drug screen, audio, pulmonary function, x-rays, labs, etc.). Any abnormal results for all testing may require re-test or additional tests to accommodate your needs, which will be decided by our medical staff after review of results. Once all preliminary testing is completed, the next step is to have your physical examination with our clinicians, at which time it may be decided additional testing is needed.

Do I need to bring my medications with me to my exam? »

You can certainly bring them to your visit, however it is not necessary. A list of your medications will be sufficient.

What does a general/non-DOT Physical* consist of? »

A complete head-to-toe assessment, a UA Dip and Snellen Visual Chart Eye exam.

I am under a doctor’s care for diabetes and/or high blood pressure. What should I bring in preparation for my physical exam? »

You can expect preliminary tests to be performed by us, and if any of these tests are abnormal, you may be required to have additional tests or go to your physician for additional tests. We will give you specific instructions at that time. Bring a list of medications and recent medical records for the past year.

What time frame should I expect? »

We are a Walk-In Clinic and wait time will vary dependant on the amount of patients arriving before you. However, another factor to consider is the amount of services your company has requested you receive.

Do you perform overseas immunizations? »

We do administer overseas/foreign travel immunizations. Based on availability and medical clearance, you will receive your immunizations at the time of your visit. If you have had previous immunizations, it is beneficial to you to bring in your immunizations records for our medical staff to review.

How many office visits do I need for TB testing? »

If you receive a TB Skin test, you will be required to return 48 – 72 after initial test for reading.

What if I have sleep apnea, do I need documentation from my sleep doctor? »

DOT guidelines require sleep studies every 2 years for certification. Patients should bring all pertinent information regarding sleep apnea and treating doctors’ recommendations.

Drug Testing

Is it possible for a person to fail a test due to secondary inhalation? »


What information does a drug test offer? »

A drug test usually consists of a five-or nine-panel screen that detects the presence of specific drugs in the urine specimen. The amount detected does not define when or how much of the drug was ingested by the urine donor.

How reliable are drug tests? »

SAMHSA-certified labs are highly reliable. They are equipped to confirm urinalysis via GC/MS (Gas Chromatography/Mass Spectrometry), the most reliable and accurate test.

What is the difference in DOT drug screens and non-DOT drug screens? »

A DOT drug screen is federally mandated and tests for marijuana, cocaine, opiates, phencyclidine, and amphetamines. If found positive, the employee is immediately removed from a safety-sensitive position. A non-DOT drug screen is not federally mandated. Companies may test for the five drugs plus barbiturates, benzodiazepines, methadone, and propoxyphene. Employees found positive are subject to their company’s drug testing policy and penalties.

What are the types of tests conducted? »

The types of tests include but are not limited to pre-employment, random, probable cause testing, post-accident, return-to-duty and follow-up testing.

What if I am on medications that could possibly make my drug screen positive? »

Keep any medications you are prescribed readily available. If anything shows up on your drug screen, a medical review officer will contact you to discuss your medications.

What does a hair test involve? What is its retention/detection time? »

A sample is collected preferably from the head and sent to the laboratory to screen for marijuana, cocaine, opiates, amphetamines, and phencyclidine (PCP). These drugs have the same cutoff levels as DOT urine drug screens. Hair screens test as early as 90 days prior to the test (minus a two week recent abuse window).

Can a person pass a urine test through substitution or adulteration? »

With today’s chain-of-custody collection techniques, undetected adulteration is highly unlikely. In addition, SAMHSA-certified labs test each specimen for adulterants using advanced and highly sensitive techniques.

What does the term “SAMHSA” mean? »

SAMHSA means Substance Abuse Mental Health Services Administration. DOT screens may only be performed at a SAMHSA-certified laboratory. These labs follow strict quality assurance and control protocol to monitor each step of the testing process. It is AHS’ practice to utilize these labs for non-DOT testing also.