DOT Drug and Alcohol Testing
DOT-regulated random, post-accident, reasonable-suspicion, return-to-duty, and follow-up testing coordination.
Corporate Health
Nationwide Corporate Health and Drug and Alcohol Testing TPA
Coordinate physicals, drug and alcohol testing, and medical review across employee locations. The employer-service team can help define appointments, authorizations, costs and permitted reports for your program.
NYC plus nationwide reach
Local clinic care network with multi-state program coordination.
DOT and non-DOT workflows
Drug and alcohol testing programs kept separate where rules differ.
10,000+ network access points
Urgent cares, occupational health centers, and collection sites nationwide.
24/7 post-accident response
Emergency testing support with an under-120-minute response-time target.
Occupational-health programs for employers
Coordinate physicals, drug and alcohol testing, and medical review across employee locations. The employer-service team can help define appointments, authorizations, costs and permitted reports for your program.
Prepare the requested service
Provide job duties, the authorized service list, employee groups, locations, deadline and payment contact. For covered employers, conditional-offer examinations and post-employment medical questions must follow the ADA’s applicable limits.
Results and follow-up
Agree on the specific services, qualified professionals, costs, result review and reports. A general occupational-health program does not by itself satisfy every DOT, OSHA, workers’ compensation or agency requirement.
Arrange the employer program
Confirm the service list, employee eligibility, locations, dates, employer authorization, payment arrangements and reporting contacts with the employer-service team. Give employees the correct appointment instructions and a route for questions or missed appointments. Confirm any proposed workplace event or outside collection site before arranging attendance.
Employee privacy and reporting
Employers should receive only the information needed for the authorized work request. Agree on completion reports, restrictions or other necessary documentation and who may see them. Covered employers must keep medical information confidential and separate from ordinary personnel files. An employee’s personal treatment needs remain a confidential clinical matter.
Questions about employer services
What Is a Drug and Alcohol Testing TPA? Can Nao Medical support city and state agency programs?
A third-party administrator coordinates a testing program’s collections, laboratories, medical review, scheduling and reporting. The employer retains its responsibilities under the applicable rules. City and state agencies can discuss their actual service and procurement requirements with the employer-service team.
What Is an MRO?
A medical review officer is a physician who reviews laboratory drug-test results under the applicable program rules. The MRO role is distinct from specimen collection, a routine clinical visit and the employer’s personnel decision.
How is Corporate Health different from corporate wellness?
Corporate Health focuses on authorized employee examinations, drug and alcohol testing, medical review and work-related care. Corporate wellness generally supports preventive care and personal health goals, such as nutrition or voluntary wellbeing services. Agree on which services the employer program includes and keep clinical treatment information confidential.
Does Nao Medical support nationwide employer programs?
The employer-service team can discuss coordination across employee locations. Provide the states, roles and exact services so each proposed site and appointment can be confirmed. A network program does not establish every test, clinician license or regulated service in every state.
What lab partners can Nao Medical coordinate with?
Confirm which laboratory will perform your employer's requested tests before arranging collection. Ask the coordinator for the named collection site and laboratory, required panel/specimen, certification appropriate to the request, medical review, report recipient and billing. A general statement that Nao coordinates laboratory work does not establish a contract with a particular laboratory or a DOT-certified pathway.
Can Nao Medical support urgent post-accident testing?
Attend to injuries and emergency safety first. The employer must determine whether the applicable regulation requires testing and activate its prearranged collection/alcohol workflow promptly. Different agencies use different criteria and timing; a general clinic promise does not establish 24-hour response or compliance. Supervisors need the incident facts, testing authority, contacts, transport plan and escalation route before an event.
How do employers book a Corporate Health consultation?
Employers can use the employer consultation to agree on services, locations, authorizations, costs and reports. Provide the headcount, requested service and deadline. An employee needing care should book the relevant clinical appointment with employer authorization; urgent care should not wait for a program-planning meeting.
Will the employer receive my entire medical record?
Employers should receive only the information needed for the authorized work request. Agree on completion reports, restrictions or other necessary documentation and who may see them. Covered employers must keep medical information confidential and separate from ordinary personnel files. An employee’s personal treatment needs remain a confidential clinical matter.
Medical sources
- EEOC Pre-Employment Medical Questions and Examinations
- CDC Baseline TB Screening and Testing for Health Care Personnel
- CDC Frequency of TB Screening and Testing for Health Care Personnel
- CDC Clinical Testing Guidance: Tuberculin Skin Test
- MedlinePlus Electrocardiogram
- CDC Healthcare Personnel Immunization Programs
- NIOSH Spirometry Training Program
- OSHA-NIOSH Worker Information: Spirometry Breathing Test
- New York Workers’ Compensation Board: Information for Workers
- OSHA 1910.134 Respiratory Protection
- OSHA 1910.95 Occupational Noise Exposure
- DOT 49 CFR Part 40 procedures
- DOT Part 40 section 40.151: MRO restrictions
- DOT Drug Testing Laboratories
- DOT Employee Resources
Explore the employer portal and concierge · Use the employee visit checklist · Understand pending results
Choose your service below. Employers arranging a program can talk with our team.
Book a DOT / CDL physical · Book a drug-testing visit
For other work physicals or specialized certificates, call (917) 310-3371 to confirm the required form, clinician and appointment. A drug-testing visit does not include a physical exam.
Random Drug and Alcohol Testing Program
Random pool setup, selections, notifications, collection routing, and completion tracking.
Post-Accident Drug and Alcohol Testing
Time-sensitive event routing for supervisors, safety teams, transportation programs, and public agencies.
Non-DOT Drug Testing
Employer-policy drug testing workflows kept separate from DOT requirements, with alcohol testing added where policy requires it.
Drug and Alcohol Testing TPA
Employer program administration for DOT and non-DOT drug and alcohol testing workflows.
MRO Coordination
Medical Review Officer coordination connected to lab and employer reporting workflows.
On-Site and Mobile Drug and Alcohol Testing
Mobile testing for worksites, hiring events, public programs, and distributed teams.
24/7 Post-Accident Drug and Alcohol Response
Emergency and post-accident testing support with an under-120-minute response-time target.
TPA Companies
Occupational health, testing, lab, and reporting workflows for third-party administrators.
Occupational Health Provider for Companies
Physicals, testing, labs, vaccines, injury care, and return-to-work support.
Employee Health Screening Services
Role-based screening packages for hiring, compliance, surveillance, and employee health programs.
Public-Sector Testing Vendor
Drug and alcohol testing and occupational health support for city, state, transit, and public safety programs.
Public-Sector RFP Vendor
Procurement-ready occupational health and drug and alcohol testing scope, references, reporting, and implementation planning.
Government Employee Drug and Alcohol Testing
Drug and alcohol testing programs for city, state, transit, corrections, court, and public safety teams.
Pre-Employment Physical TPA
Work physicals, onboarding exams, labs, vaccines, TB testing, and forms.
DOT Physical TPA
DOT physical exam routing, paperwork status, and related employer workflows.
OSHA Respiratory Clearance and Fit Testing
Respirator medical clearance and fit testing coordination for covered roles.
Audiometry Testing for Employees
Hearing tests and occupational hearing screening coordination.
Pulmonary Function Testing
PFT and spirometry coordination for occupational health programs.
Vision Screening for Employment
Vision checks for physicals, safety-sensitive roles, and employee screening.
Clinical Lab Testing
CBC, CMP, titers, Quantiferon, and employee lab testing workflows.
Lab Partner Coordination
Workplace drug-testing laboratory coordination
Nationwide Collection Site Network
10,000+ urgent cares, occupational health centers, and collection sites nationwide.
Employee TB Testing and Quantiferon
PPD, Quantiferon, TB screening, and employee health documentation.
Employee Vaccination Programs
Hep B, MMR, flu, titers, and workplace vaccination coordination.
Return-to-Work and Fitness-for-Duty Exams
Work-status, clearance, and role-based evaluation workflows.
Workers Compensation Injury Care
Initial injury evaluation, work-status notes, follow-up, and return-to-work support.
Breath Alcohol Testing TPA
Alcohol testing workflows for random, post-accident, and employer-policy programs.
EKG Testing for Employment Physicals
EKG coordination for employment and executive health physicals.
NYC Corporate Health
Local clinic care network plus account-level occupational health coordination.
Nationwide Employer Program Coordination
Multi-site occupational health workflows for companies, agencies, and distributed teams.
Public-Sector Testing Vendor
Procurement-friendly drug and alcohol testing and occupational health support.
State Corporate Health Programs
Non-DOT Drug and Alcohol Testing
Employer-policy testing workflows kept separate from DOT requirements.
Pre-Employment Drug and Alcohol Testing
Candidate routing, panel alignment, collection workflows, and hiring status.
Random Drug and Alcohol Testing Programs
Pool setup, selections, collection routing, and completion tracking.
Reasonable Suspicion Drug and Alcohol Testing
Supervisor-ready routing for drug and alcohol testing events.
Return-to-Duty Drug and Alcohol Testing
Return-to-duty routing for drug and alcohol testing workflows.
10-Panel Drug Test
10-panel workplace screening for hiring and employer-policy programs.
5-Panel Drug Test
5-panel workplace screening with employer routing and reporting.
Urine Drug Testing
Urine collection workflows for employment and workplace testing.
Hair Follicle Drug Testing
Hair testing coordination for selected employer-policy programs.
ETG Alcohol Testing
ETG alcohol testing workflows for employer-policy programs.
Executive Health Physicals
Expanded physicals with labs, EKG, vaccines, and screening add-ons.
On-Site Employee Physicals
Worksite physicals and screening events for employee groups.
Annual Employee Health Screening
Recurring physicals, labs, vaccines, TB, vision, hearing, PFT, and EKG.
Employment Lab Panels
CBC, CMP, titers, Quantiferon, and employee health packet labs.
Quantiferon TB Test
TB blood test coordination for employer health packets.
PPD TB Testing
Skin-test placement, reading, and documentation workflows.
Respirator Medical Clearance
Medical clearance before respirator use or fit testing.
Qualitative Fit Testing
Pass/fail fit testing coordination for respirator programs.
Quantitative Fit Testing
Fit-factor testing and respirator program documentation.
Hearing Conservation Testing
Baseline and annual audiometry workflows for covered employees.
Transportation and Logistics
DOT and non-DOT testing, physicals, random programs, and post-accident workflows.
Construction and Warehouse
Jobsite testing, fit testing, physicals, injury-care routing, and mobile events.
Home Healthcare Employee Screening
TB testing, titers, vaccines, physicals, labs, and caregiver onboarding.
Airline and Aviation Workforce
Regulated testing, physicals, employee screening, and incident-response workflows.
Transit Agency Testing
Random, post-accident, reasonable-suspicion, and safety-sensitive testing workflows.
Public Safety Occupational Health
Testing, physicals, fit-for-duty, fit testing, vaccines, labs, and return-to-work.
City and State Agency Occupational Health
Procurement-friendly scope, routing, documentation, and reporting.
School District Employee Screening
Drug testing, physicals, TB, labs, vaccines, and safety-sensitive employee workflows.
Corrections and Probation Testing
Documented testing workflows for corrections, probation, court, and public safety programs.
Distribution and Warehouse Screening
Shift-friendly hiring, mobile testing, injury-care, and post-incident workflows.
Healthcare Employee Health Screening
TB, vaccines, titers, physicals, labs, and respirator fit testing.
Drug and Alcohol Testing TPA vs Lab
What employers should compare when a lab alone is not enough.
DOT C/TPA Employer Guide
How C/TPA support fits into DOT drug and alcohol testing programs.
DOT Random Drug and Alcohol Testing Checklist
Pool, selection, collection, records, and reporting checklist for employers.
Choose a Testing Vendor
How to evaluate drug and alcohol testing vendors for employer programs.
What Is a Drug and Alcohol Testing TPA?
How the TPA layer coordinates routing, collection, lab, MRO, alcohol testing, and reporting.
What Is an MRO?
How Medical Review Officer coordination fits employer drug testing.
Chain of Custody
How employers keep collection, specimen handling, and lab routing organized.
DOT vs Non-DOT Drug and Alcohol Testing
How regulated and employer-policy workflows differ.
Drug Testing Policy Implementation
Triggers, panels, routing, reporting, and escalation planning.
Post-Accident Drug and Alcohol Testing Policy Guide
Supervisor routing, authorization, test type, and status reporting.
Public-Sector Program Experience
Agency, transit, school district, court, corrections, and statewide program proof points.
Confirm the workforce and states
Identify covered roles, priority states, clinic needs, mobile needs, and DOT or non-DOT requirements.
Map services and vendors
Align physicals, drug testing, alcohol testing, labs, vaccines, TB testing, fit testing, audiometry, and reporting.
Launch the account workflow
Set contacts, authorization paths, scheduling routes, escalation rules, and reporting cadence.
Coordinate ongoing operations
Track random programs, post-accident events, mobile days, missing paperwork, and account questions.