Treatment for Substance Use

Dr. Cook provides outpatient treatment for substance use disorders, such as opioids and alcohol. Safety is our highest priority, closely followed by improving overall health and function. Treatment includes education, lifestyle and behavior modification, and the use of medications as needed to assist in the recovery process.

Special services such as Substance Abuse Professional (SAP) assessments for workers who need clearance to return to work after a positive drug test or DUI can schedule directly. Employers who need Medical Review Officer (MRO) services to validate drug testing should contact us directly at

Dr. Cook provides outpatient treatment for substance use problems. Once safety is established, goals will be developed to improve overall health and function.

Dr. Cook treats adults 18 years and older. If alcohol or drug use has been interfering with family and social life, work, health, emotional stability and/or spiritual life, then substance use is a problem. Substance use affects individuals from all walks of life. Tragically, it impacts the family, friends, and co-workers of each dependent person.

Contact us to arrange an initial consultation. If you are in crisis or experiencing an emergency, please do not delay visiting an emergency room or calling 911. Med Fit Consulting is not available for walk-in or emergency services.

Dr. Cook prescribes buprenorphine (Suboxone) for opioid use disorder as indicated. He does not prescribe methadone.

Substance Abuse Professional

Dr. Cook is a certified Substance Abuse Professional (SAP) through NAADAC. The SAP is a clinician who evaluates employees who have violated a Department of Transportation (DOT) drug and alcohol program regulation and makes recommendations concerning education, treatment, follow-up testing, and aftercare. The SAP is registered with FMCSA for tracking the return-to-duty (RTD) process.

Schedule an appointment if you require an evaluation by a substance abuse professional.

Med Fit Consulting, Inc

California RN, Emt & Paramedics

Dr. Cook is approved to provide return to work evaluations for licensing boards requiring mental health evaluations or substance use evaluations.

Med Fit Consulting, Inc
Med Fit Consulting, Inc

Medical Review Officer

Dr. Cook is a certified medical review officer through MROCC, with back up certified MROs available. The MRO is a required component of a workplace drug testing program. The MRO serves as the common point of contact between all participants in a drug test (i.e., the donor, the collector, the test facility (lab), and the employer).

The MRO review and verification in the drug testing program prevents an employee from being punished for a positive drug test result in situations where the employee is taking legally prescribed medication. All employees with a positive drug test will be called by the MRO and asked about any medical explanation for a positive drug test result. The MRO also confirms chain of custody documentation.

Employers can contact us directly if looking for MRO services by emailing