1143 Lincoln Ave. SW, Huron, South Dakota 57350-4548
For a free care consultation, call: 605-352-4663605-352-1373
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Business Services

Types of Staff Training Provided

We can conduct continuing education and trainings for staff members which is our way of helping improve their competencies and at the same time, maintaining the quality of services that our organization hopes to uphold.

Training Programs include:

  • Emergency Planning
  • CPR
  • First Aid (First Aid kit provided)
  • Fire Safety
  • Body Mechanics to avoid job injury
  • Ergonomics
  • Preparedness
  • Lift Training
  • Sit Testing
  • DOT Testing
  • BAT Testing
  • Administrative Office Screening
  • Specialized Curriculum Related to Human Resources

Types of Training:

  • Specialized Curriculum
  • Human Resources
  • First Aide
  • Body Mechanics
  • Disaster Preparedness
  • Temporary Medical Staffing
  • Administrative Office Specialist
Other Services Provided by Independent Health Solutions

We can schedule any of the listed services to be provided on site or on any facility location upon request. We can also conduct these services in your office / work place. Please make sure to call ahead and make reservations. We will do our best to prepare for the volume of work or health service demand from all our clients and customers.

  • On-site Vaccination
  • Lunch and Learn Seminar
  • Blood Pressure Clinic
  • Health Educational seminars/workshops on heart disease, stroke, COPD and Injury Prevention
  • Specimen Collection
  • Drug Testing
  • DOT
  • Blood and Alcohol Testing
DOT Physicals

The U.S. Department of Transportation (DOT) Drug and Alcohol testing regulations for commercial driver license (CDL) employees are contained in 49 CFR Part 382, and 49 CFR Part 40. These regulations can be found at: www.fmcsa.dot.gov
This summarizes the regulations as they apply to CDL, drivers, and is intended to better educate drivers about their rights and obligations as participants in a DOT drug and alcohol testing programs.

Who Must Be Tested?

All CDL drivers operating, commercial motor vehicles (CMVs) (greater than 26,000 GVWR, or transporting more than 16 passengers, including the driver, or placarded hazardous materials) on public roadways must be DOT drug and alcohol tested. This applies to any driver required to possess a CDL, including those employed by Federal, State, and local government agencies. “owner operators” and equivalently licensed drivers from foreign countries. Part-time drivers must also be included in an employer’s drug and alcohol testing program. Drivers who only operate CMVs on private property not open to the public do not require testing.

Required Tests

CDL drivers are subject to each of the following types of tests:

A new driver must be drug tested with a negative result before and employer can permit him to operate a CMV on a public road. Alcohol testing is permitted only if it applies to all CDL drivers. If a driver is removed from a random testing pool for more than 30 days, he must again be pre-employment tested.

Post Accident
CDL drivers must be drug and alcohol tested. Whenever they are involved in a fatal accident, or receive a traffic citation resulting from an injury or vehicle-disabling accident. The alcohol test must occur within 8 hours, and the drug test must occur within 32 hours.

Random Testing
CDL drivers are subject to unannounced random testing. A driver may be directed to take a drug test even when at home in an off-duty status. Random alcohol testing may only occur when the driver is on-duty or immediately before or after. Once notified to report for random testing, drivers most immediately report to the testing location. Delaying your arrival may be considered a refusal (see 49 CFR 40.191), which is required equivalent to testing positive.

Reasonable Suspicion
DOT-trained supervisors can direct you to be drug or alcohol tested whenever you exhibit signs of drug or alcohol abuse. The decision must be based on observations concerning the appearance, behavior, speech, or body odors of the driver.

Return-to-duty tests require “direct observation” as prescribed in 49 CFR 40.67, they are only required after an employee has completed the “return-to-duty” process, and wants to return to work in a safety sensitive function (I.e. driving CMVs) They replace the pre-employment test for “positive” tested and “refusal” drivers.

Follow-up drug and alcohol tests are required as prescribed by the substance abuse.

Professional (SAP)
They consist of a minimum of a t least six unannounced directly observed tests conducted during the first 12 months following the return-to-duty test. The SAO can prescribe follow-up testing for a maximum of 5 years for drivers who have tested “positive” or “refused to test”. Follow-up testing is in addition to any selections for random testing.

Testing Procedures

  1. Once notified to report for testing, a CDL, driver must report to the collection site immediately. (To familiarize yourself with other aspects of the DOT drug and alcohol testing program, please refer to: www.dot.gov/ost/dapc).
  2. DOT drug testing only recognizes urinalysis as a valid means for drug testing if problems are identified, you may be required to retest under direct observation. A driver is only permitted three hours to produce a urine specimen. Leaving the collection site before the process has been completed may be declared a “refusal”.
  3. Once tested, the laboratory will report the analysis to a medical review officer (MRO). If the analysis indicates a positive result, the MRO will contact the driver to determine whether there are circumstances that would explain the positive result. If there are none, the MRO will report a positive result to the employer.
Drug and Alcohol Testing

Drug Testing

Employee drug testing is not about invading privacy; it is about maintaining a healthy and safe work environment. Employee drug testing programs ensure quality of work and reduce employer liability.

Fingerprint Services

Do you need to be fingerprinted for your professions? Independent Health Solutions is the preferred collection of site for banks, brokerage firms, mortgage professionals, nurses, volunteers, teachers, coaches or anyone required to be fingerprinted for their profession across the state.

Controlled Substances

The regulations require 5-panel testing for the following classes of substances:

  • Marijuana
  • Cocaine
  • Opiates-opium and codeine derivatives
  • Amphetamines and methamphetamines
  • Phencyclidine-PCP

For more information, visit:


  1. A positive test result or a refusal requires the driver to be immediately removed from operating any CMV on public roadways. The employer must provide you with a list of acceptable SAPs from which to choose to begin the “return-to-duty” process. This process must be completed before a positive or refusal driver can legally return to driving CMVs for any employer, including himself.
  2. The impact of testing positive or refusing to test can be devastating for a driver and his family. It often results in extended periods of unemployment. Due to the time necessary to complete the “return-to-duty” process with a qualified SAP and the tendency of employers not to hire drivers with drug or alcohol histories.
  3. Even after completing the “return-to-duty” process and finding employment. The additional return-to-duty and follow-up testing often adds increased stress and financial strain on the driver.

For additional research and reading on the Federal Motor Carrier Safety Administration’s Drug and Alcohol Testing Regulations, please visit our website at:


Skilled Nursing Physical Examinations

old lady having her Medical ExamWe provide a full line of paramedical and skilled nursing, as well as physical examination services. Our affiliation with the top medical, diagnostic testing and data collection providers allow approval to do testing for all business corporations and companies statewide. Our process includes collecting personal health history, nursing assessments, diagnostic testing and specimen collections. This process is timely and uncomplicated.

Skilled Nursing includes:

  • Physical Exams
  • Medical Exams
  • Paramedical Exams
  • Saliva Collection
  • Stress Tests
  • Blood and Urine Collection
  • EKG
Lab Testing Services

Medical lab testing is one of the most effective methods for detecting and preventing disease and now it’s more affordable and convenient and cost-effective lab tests.

  • Chemistry Panel
  • Cholesterol (Lipid Screen)
  • CBC (Complete Blood Count)
  • PSA (Prostate Specific Antigen)
  • Urinalysis
Medical Testing and Exams

We offer the state’s most reliable and responsive medical testing and examination services including:

  • DNA paternity testing
  • Drug testing
  • Fingerprinting
  • Paramedical exams
  • Medical testing
  • Specimen collection
    • Blood Testing – Blood testing has been found to provide important information for underwriting purposes. A wide range information are completed by a laboratory and the results are sent only to the insurance company.

Medically trained professionals are ready and available across the state. Our timely and efficient collection and examination services allow us to see you at any location!

Contact Information

1143 Lincoln Ave. SW Huron, South Dakota 57350-4548 View Map & Directions »
Phone: 605-352-4663 Fax: 605-352-1373 Email: ashleyk@independenthealthsd.com