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721 Cardinal Lane, Suite 100
Green Bay, WI 54313



The Department of Transportation's (DOT) operating administrations for the Federal Motor Carrier Safety Administration (FMCSA) have issued regulations requiring anti-drug programs for the highway. The DOT operating administrations' rules require that employers conduct drug testing according to provisions of 49 CFR Part 40, "Procedures for Transportation Workplace Drug Testing Programs.” The procedures for collection of urine under these rules are very specific and must be followed whenever a DOT-required urine specimen collection is performed. 


Our clinic performs laboratory tests through Quest Diagnostic. The laboratory tests offered include the most routine labs, such as a complete urinalysis (UA), CBC and basic blood panels including lipid, thyroid and liver panel to the most technologically advanced test needed in determining underlying medical conditions or disorders.  An extensive list of laboratory services is available online at Quest Diagnostics. Contact us regarding any test you need more information on.


Tuberculosis (PPD) skin testing is used to determine if someone has developed an immune response to the bacterium that causes tuberculosis. This test can be performed in a single or two-step process. Information regarding Wisconsin requirements for TB testing can be found at Wisconsin Department of Health Services.


We utilize Specimen Specialist of America, which has been the nation's leading provider of DNA sample collection for paternity and other DNA testing. The entire process normally takes 15-30 minutes depending upon the number of parties in your group. In most cases, you should receive your results in three to five days.


A Department of Transportation (DOT) physical examination is performed by a licensed medical examiner. They determine if an individual is physically qualified to perform a task governed by the DOT operating administration. A DOT physical examination consists of a medical evaluation, vision screening and urinalysis. Our physicians are accredited with NCRME guidelines and can be found in the National Registry.

The National Registry was developed to improve highway safety and driver health by requiring that medical examiners be trained and certified to determine effectively whether a commercial motor vehicle (CMV) driver's health meets FMCSA standards. This supports FMCSA's goal to improve safety and reduce fatalities on our nation's highways. Testing and training organizations play a vital role in achieving this goal by educating medical examiners about FMCSA medical standards for CMV drivers and enhancing their understanding of the mental and physical demands of operating a CMV. To help determine if a driver can safely handle these demands, you will find updated articles pertaining to Department of Transportation below.



Diabetes is a serious and increasingly common medical condition. When conducting medical examinations, the certified medical examiner should be familiar with the requirements and regulations for those applicants with diabetes, in addition to other specific conditions. The general medical requirements for commercial vehicle drivers are found at 49 CFR § 391.41.

National Registry of Certified Medical Examiners


Pre-employment examinations are conducted for a variety of reasons, including identification of medical problems that might hinder safe employment, assessment of ability to perform job duties, satisfaction of legal requirements, establishment of a baseline for subsequent medical surveillance testing and identification of opportunities to improve the general health of workers. A pre-employment physical examination consists of a patient's questioning, general physical inspection, examining eyes, hearing, cardiovascular evaluation, laboratory tests, and any other special tests or consultations with medical specialists as necessary.

The Americans with Disabilities Act regulates several aspects of medical evaluations conducted in relation to employment. A medical examination can be conducted only after a bona fide offer of employment has been extended to the examinee.  An organization that requires pre-employment physical examinations needs consistency in each position. Every applicant for a particular position must be subject to the same pre-employment physical examination.

Vision – The OPTEC vision tester is an accurate, efficient and reliable way to identify those who have problems with their vision and need professional assistance. This test includes a screening to see how the individual would perform on a Snellen vision test and peripheral vision screening. Pseudoisochromatic plates are used to identify color deficiency in the vision.

Urinalysis – Receive instant results on the levels of glucose, bilirubin, ketone, specific gravity, blood, pH, protein, urobilinogen, nitrite and leukocytes in urine.

Blood Pressure Screening – Having high blood pressure puts you at risk for heart disease and stroke, which are leading causes of death in the United States. Our service includes screening and recording an individual's history of their blood pressure.

Audiogram- A record of a person's hearing threshold levels using an audio booth to control the acoustic environment, making the screening efficient and accurate.

Radiographic Evaluation- Certified technicians use radiographic technology to take images and detect internal defects. Our radiologist evaluates the images and issues a radiographic report. Radiographic elevations are often used to facilitate treatment of disorders, confirmation of tuberculosis testing and for further evaluation with HPE exams.


Non-DOT Drug Screens – Our non-DOT drug screens range from the basic five-panel drug test including amphetamines, cocaine, marijuana, opiates and phencyclidine (PCP) to the basic 10-panel drug test that includes the five-panel with additional testing of barbiturates, benzodiazepines, methaqualone, methadone and propoxyphene. Our non-DOT drug testing services also include instant testing on five-panel and nine-panel drug test to help facilitate the employer with immediate results.

Hair Collection Analysis – Hair analysis is the only test capable of revealing when certain illicit drugs were used and can be traced back for prior months or up to one year, providing a history of an individual's drug use.

eScreen – We offer eScreen, which is a web-based drug screening solution to facilitate organizing your hiring and record-keeping procedures for employment.  The eScreen database maintains results, creates reports and can evaluate historical information, which can be accessed at your convenience via your computer. EScreen gives us the ability to coordinate with other clinics around the nation that also use the eScreen system.  This would help facilitate evaluating employees and/or drivers in and around the country.

Breath Alcohol Testing – Breath alcohol testing (BAT) is required by the DOT and is often used for non-DOT purposes. The alcohol in the body is measured by the amount of alcohol in the air the individual breathes into a certified breathalyzer.

Featured Article

Prescription Drug Abuse: An Epidemic Dilemma

The nonmedical use of prescribed controlled substances has become a major public-health problem. This article reviews the extent of prescription drug abuse reflected in drug overdose deaths, youth drug use and drug-impaired driving. Efforts to reduce illegal, nonmedical use of prescribed controlled drugs must be balanced so as not to interfere with appropriate medical use of these medicines.

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