Online Appointment Booking and Payment Form
Please fill out the form below to schedule your appointment and complete your payment. Once your appointment for assessment and payment have been accepted you will be sent an email confirming your appointment and a link for the online course for your drug and alcohol certificate.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Select Appointment Date and Time
*
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Standard DOT SAP Assessment
30-60 minute session
$
250.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Book Appointment and Pay
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