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 in Cape Cod & the Islands
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 Cape Cod & the Islands.
Most clients complete their evaluation by secure video from home. If you'd rather meet face to face, our office is at 165 Main Street, Suite 111A, Medway, MA 02053.
Towns We Serve in Cape Cod & the Islands
Our RMV evaluations are available to adults located anywhere in Cape Cod & the Islands, the Cape from Bourne and Sandwich out to Provincetown, plus Martha's Vineyard and Nantucket.
We also serve Barnstable, Hyannis, Falmouth, Mashpee, Sandwich, Bourne, Yarmouth, Dennis, Harwich, Chatham, Brewster, Orleans, Eastham, Wellfleet, Provincetown, Martha's Vineyard and Nantucket, and every other community in the region.
Courts and RMV Offices in Cape Cod & the Islands
RMV Service Centers in Cape Cod & the Islands include:
South Yarmouth RMV Service Center
Martha's Vineyard RMV Service Center (Edgartown)
Nantucket RMV Service Center
RMV suspension hearings are currently held by phone, so you don't need to travel for your hearing. The RMV is separate from the courts and may have its own requirements, including this evaluation, even after your court case is resolved.
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.
Do I have to travel to be evaluated?
No. Adults anywhere in Cape Cod & the Islands can complete the entire evaluation by secure video. In-person appointments are available at our Medway office.
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.
More RMV Evaluation Resources
See our statewide RMV evaluations page for other regions, or read our guide: Risk of Recidivism and MA RMV Substance Abuse Evaluation.
Crash Data for Cape Cod & the Islands, 2021 to 2025
In MassDOT's 2021 to 2025 data, Cape Cod & the Islands shows 27,427 crashes: 1,154 with suspected alcohol, 266 with suspected drug use, and 84 that were fatal. These figures add up MassDOT's records for 22 towns in the region.
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.
If you are wondering how mental health connects to impaired driving, read Recidivism, Mental Health and RMV Evaluations in Massachusetts. It draws on published research and MassDOT data, and covers conditions such as bipolar disorder. You can also read about the conditions we treat.