Psychiatric Care Across Massachusetts. Telehealth and In-Person in Medway
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Greater Boston Psychiatric Services
RMV evaluations for OUI, DUI, Immediate Threat and ignition interlock cases, completed by secure video or in person at our Medway office.
Written for RMV and court review, with your history, method and findings stated clearly
Completed in as little as 48 hours when your hearing is close
$450 flat, or $525 when you need both RMV evaluations
A written report you can provide to the RMV, a court or your attorney, as required
We coordinate dates and documents with your attorney
RMV Evaluations for Boston Drivers
If your license was suspended or revoked after an OUI or DUI, an Immediate Threat determination or an ignition interlock violation, the RMV will usually require a clinical evaluation before a hearing officer will consider reinstatement. Greater Boston Psychiatric Services completes these evaluations for drivers throughout Boston, including Dorchester, Roxbury, South Boston, East Boston, Charlestown, Brighton, Allston, Jamaica Plain, Roslindale, West Roxbury, Hyde Park and Mattapan.
Most Boston clients complete their evaluation by secure video from home, with no drive and no parking. If you'd rather meet face to face, our office is at 165 Main Street, Suite 111A, Medway, MA 02053.
Local Courts and RMV Offices for Boston Drivers
OUI cases arising in Boston are heard in the Boston Municipal Court, which has eight divisions:
Central Division (Edward W. Brooke Courthouse, downtown)
Brighton Division
Charlestown Division
Dorchester Division
East Boston Division
Roxbury Division
South Boston Division
West Roxbury Division (located in Jamaica Plain)
The Boston (Haymarket) RMV Service Center is the only full RMV Service Center inside city limits, and it is also where chemical test refusal hearings are held in person.
The RMV is separate from the courts. Even after your Boston court case is resolved, the RMV may have its own requirements, including this evaluation, before your license is reinstated.
Which RMV Evaluation Do You Need?
Your RMV letter or hearing notice lists your requirements. We offer both evaluations the RMV typically asks for, separately or together:
Substance Abuse Evaluation with Risk of Recidivism: the most common requirement after an OUI, DUI or Immediate Threat suspension.
RMV Psychiatric Evaluation (Form MAB118): required when the RMV has concerns about mental health or medications.
Both, combined: one appointment at the combined rate.
Not sure what your notice is asking for? Include it with your intake form and we'll confirm before you book.
What Is a Risk of Recidivism Assessment?
A risk of recidivism assessment is the clinician's written opinion on how likely you are to have another alcohol- or drug-related driving offense. It is attached to your substance abuse evaluation, which is why many people call it a "letter of recidivism." It draws on your substance use history, any prior offenses, the treatment and recovery steps you've taken, and your mental health history.
The RMV does not waive this requirement. Until it is completed, your suspension can remain in place indefinitely, so it's worth getting it done early.
Who We Evaluate
First OUI or DUI, as part of reinstatement
Second or subsequent OUI, including cases involving ignition interlock
Immediate Threat suspensions involving alcohol, illegal drugs or prescription medication
Ignition interlock violations
Out-of-state offenses that affect your Massachusetts license
How the Process Works
Complete the quick form. Include your hearing date and your attorney's name if you have one.
Meet with your clinician. A one-hour interview by secure video, or in person at our Medway office.
We complete your report. Your substance abuse evaluation and risk of recidivism assessment.
You receive your written report, which you can provide to the RMV so you can move forward with your hearing.
Turnaround: in as little as 48 hours when your hearing is close. Tell us your date and we'll prioritize accordingly.
What the Evaluation Assesses
Alcohol and drug use history, including current use or abstinence
Prior offenses and driving history
Past and current treatment, support groups and recovery steps
Mental health and medical history relevant to driving safety
Standardized screening tools
A risk of recidivism opinion, with recommendations when clinically appropriate
How to Prepare
Have your RMV letter or hearing notice on hand.
Gather any court paperwork, treatment records or program completion letters.
For a video appointment, find a private space with a stable internet connection and a device with a camera.
Answer openly. The evaluation looks at the whole picture, and it is only as useful as the information it is based on.
Because our clinical team includes multiple board-certified psychiatric nurse practitioners and clinical nurse specialists, we can often offer earlier appointments than a practice that depends on a single provider's schedule.
Other RMV Requirements You May Have
Immediate Threat cases often also require a medical evaluation or a loss of consciousness form completed by your primary care provider. RMV suspension hearings are currently held by phone and booked through the RMV Online Service Center. Chemical test refusal hearings are the exception: they are held in person at the Boston (Haymarket) RMV Service Center. Official forms are available on the Mass.gov RMV forms page.
Pricing
Substance Abuse Evaluation with Risk of Recidivism: $450
Substance Abuse Evaluation + RMV Psychiatric Evaluation: $525
Expedited scheduling (add-on): +$225
Payment
This evaluation is self-pay only. RMV-required evaluations are a legal requirement rather than medical treatment, so we are not able to bill insurance, Medicare or Medicaid. Payment is collected at the time of your appointment. See our Good Faith Estimate.
Frequently Asked Questions
Can I complete the evaluation by video?
Yes, you can complete the evaluation by video. The clinical content and reporting are the same whether you attend by video or in person; confirm any acceptance requirements with the RMV, the court or your attorney before you schedule.
How fast can I get my evaluation?
In as little as 48 hours when your hearing is close. Expedited scheduling is available for an additional $225. Let us know your hearing date when you contact us.
Which court handles OUI cases from Boston?
OUI cases arising in Boston are heard in the Boston Municipal Court, which has eight divisions. The RMV evaluation is a separate requirement from anything the court orders.
Do I have to travel from Boston to be evaluated?
No. Boston residents can complete the entire evaluation by secure video. In-person appointments are available at our Medway office if you prefer.
Do I need both a substance abuse evaluation and a psychiatric evaluation?
Some RMV cases require only one; others require both. Check your RMV notice, or send it to us and we'll confirm before you schedule. A combined rate applies if you need both.
Can you evaluate ignition interlock violations?
Yes. We complete RMV evaluations for interlock violations as well as OUI, DUI and Immediate Threat cases.
Will you work with my attorney?
Yes. List your attorney on the intake form and we'll coordinate dates and documents.
What happens to the results?
Following your evaluation you receive a written report to provide to the RMV, a court or your attorney, as required.
Does completing this evaluation guarantee my license will be reinstated?
No. The RMV hearing officer makes that decision, and the RMV or a court may have additional requirements. This evaluation satisfies one specific requirement in that process.
What if I've moved out of Massachusetts since my case began?
As long as you're physically located in Massachusetts at the time of your appointment, we can complete the evaluation. If you've relocated permanently, contact us to confirm eligibility.
Is what I share confidential?
Yes. Your evaluation is handled under the same clinical confidentiality standards as any other appointment, with the exception of a written report you may need to provide to the RMV.
Impaired Driving Data for Boston
Looking at 2021 through 2025, MassDOT logged 27,213 crashes in Boston, of which 503 were marked suspected alcohol, 141 suspected drug use and 106 fatal.
Figures are from the MassDOT IMPACT Crash Data Portal, accessed October 2026. Treat the suspected alcohol and drug counts as a floor, since they depend on scene reports, and remember that a crash is not an OUI charge.
For the research behind these evaluations, including ADHD, medications and recidivism risk, see recidivism, mental health and RMV evaluations. Our full list of conditions we treat is also available.
Also Serving Drivers Near Boston
We also provide RMV evaluations in Somerville, Quincy and Framingham. See our Greater Boston RMV evaluations page for other nearby communities.
Want a deeper walkthrough of the hearing process? Read our guide: Risk of Recidivism and MA RMV Substance Abuse Evaluation.