If you are referred you will most certainly be told that you need to be in the program. I got a DUI in another state in 2007 and haven't had anything to drink since that fateful night (6 years now). When I applied for my Florida license in 2010,I disclosed that and was asked to have an evaluation by IPN and one of their addiction specialist doctors. They promptly recommended the program and told me that I would be unable to get my license unless I participated and signed a 5 year contract. I have been 100% compliant with the contract, and just tested positive for ETG. I wasn't notified by IPN for 14 days, and I promptly requested a PEth test since I have not ingested any alcohol. They so far have refused to give me a copy of the test results, and have restricted me from practice despite glowing recommendations from both my employer and the IPN group facilitator. (I am sober for 4 years upon entry to the program and get a five year contract, and since I have been in, there have been several who diverted drugs, used cocaine, etc and they were given a 1 or 2 year contract. Sounds like a fair program, right?) I will attempt to prove my innocence, and am considering retirement once I have done that. At 62 years old, I can't be worried about another event such as this. Given the fact that exposure to the hand cleaners, bed cleaners and other incidental contact can cause a positive test, and IPN will automatically assume you are guilty should be a warning to anyone to be wary of this program. Hopefully my PEth test will be back in the next week, but I will be out about $1000 by the time I pay for the PETH, the repeat of the initial urine sample, and the "evaluation" by another of their addiction doctors.