Intoxicated Driver Program Intake Package

INTAKE INFORMATION 

Please complete and submit these forms ONLY if you are prepared to pay for and schedule your assessment within 48 hours.

Submitting the intake package will NOT impact your driving privileges. You MUST also pay for, schedule, and complete your assessment in order to maintain or restore compliant status (license eligibility) with the Department of Transportation.

If you are not able to complete the full payment and scheduling process at this time, please come back and complete this intake package when you are able to make the full payment.

Fees range from $350-$450, please contact our office at (262) 658-8166 for more information.

We will NOT hold documents for more than 48 hours.

Information about the Intoxicated Driver Program (IDP)

The Department of Transportation (DOT) requires that a Driver Safety Plan (DSP) be developed at the Hope Council during your assessment. Based on the findings of your assessment, you will be required to attend either education or treatment, so you must be prepared for either. 

**THE ASSESSMENT IS JUST THE 1^ST STEP**

 Education Referral

• If you are referred to education, you will be required to attend classes at Gateway Technical College (GTC).

• You must enroll and pay in full for the required classes within 10 business days of your assessment.

• The current rates are $311.70 for Group Dynamics and $444.40 for Multiple Offenders and are subject to change.

• If you do not register within 10 business days, GTC will place you into non-compliance with the DOT, and you may lose your driving privileges. 

Treatment Referral                                                                  

• A list of approved area treatment providers is included in this intake package; however, you may choose any Wis. Stat. DHS 75 licensed provider.

• If you are referred to treatment, you must inform the assessor of the provider you have selected during your assessment appointment.

  • Failure to provide this information during your assessment appointment may result in additional fees.

  • There is NO EXCEPTION to this requirement, the Wis-DOT will not allow the submission of plans without the provider information.

County Funding 

County funding may be available to offset the cost of treatment if you do not have health insurance that covers substance use treatment and you meet income restrictions. To determine eligibility, you must bring all the following documents to your assessment appointment. These documents are only required if you do not have health insurance.

• A current Wisconsin photo ID

• Proof of residency within the last 30 days (e.g., a utility bill showing your current address)

• Pay stubs from all employment/income this year; “income” includes unemployment pay stubs and/or Social Security Disability or Social Security Supplemental Income pay stubs.

2026 Intoxicated Driver Program Fees

 Rescheduling and Cancellation Policy

• A $100 fee applies to all assessment appointments canceled with less than 48 hours notice and to all no-shows.

• An appointment is considered canceled if you are more than 15 minutes late, or if you are present but will not be seen due to a determination made by Hope Council staff.

• A $100 rescheduling fee will be applied to rescheduled appointments if you are not prepared with your provider information at the time of the assessment.

• All fees must be paid in full before an appointment can be rescheduled.

Assessment Appointments Policy

• The Hope Council will refuse assessment services to any individual appearing for their appointment under the influence of any mood-altering substance not used as prescribed. If the assessor suspects impairment, the appointment will be considered canceled and must be rescheduled.

• Your full attention is needed during the assessment, and ALL clients deserve privacy. Therefore, NO ONE else, including children or infants, is allowed to wait in the lobby or be present during your assessment. Failure to adhere to this rule will require you to reschedule.*

IDP Client Rights, Grievances, Appeals & Consent

Client Rights

As a participant in the Intoxicated Driver Program (IDP), you have rights under Wisconsin Statutes s. 51.61, DHS 94, DHS 62.15, and DHS 75, including:

The right to be informed of the nature and purpose of the assessment and Driver Safety Plan (DSP).

• The right to participate in the development of your DSP.
• The right to review and request amendments to your DSP.
• The right to confidentiality of your records, consistent with state and federal law.
• The right to appeal assessment findings or DSP recommendations.
• The right to file a grievance if you believe one of your rights has been violated.

Grievance Procedure

You (or someone acting on your behalf) may file a grievance within 45 days if you believe any of your rights have been violated.

I acknowledge that the Client Rights & Grievance Procedure for Community Services has been provided to me in hard copy and explained to me verbally, and that I understand the process for filing a grievance.

Appeal Procedure

If you believe your assessment findings are incorrect or your Driver Safety Plan (DSP) is inappropriate, follow the steps below. Detailed appeal procedure information will be provided, reviewed, and acknowledged at the time of assessment.

• Step 1 – Contact your Assessor within 5 days.
• Step 2 – Submit a written appeal to the Executive Director within 10 days.
• Step 3 – If upheld, you may request a second assessment at another approved agency (at your expense).
• Step 4 – If still unresolved, appeal to the Kenosha County Human Services Behavioral Health Manager Jeni Parkinson, 8600 Sheridan Rd, Kenosha, WI 53143.