Random selection
Testing dates are not chosen by the participant, preserving the accountability of a randomized schedule.
Nationwide primary monitoring
Structured monitoring for healthcare professionals.
Continuum provides an independent primary monitoring option built around randomized testing, defined participation expectations, documented testing activity, and practical at-home collection options.
Structured accountability
A practical independent monitoring framework.
Professional monitoring is most useful when expectations are clear, testing is genuinely random, participation is documented, and communication remains consistent. Continuum organizes those core functions into a plan that can reflect the needs of the participant and the expectations of an authorized third party.
Primary monitoring may be appropriate when a healthcare professional needs a new structured program rather than simply continuing testing after another program has ended. It can also be used voluntarily by professionals who want formal accountability as part of a broader recovery plan.
Continuum can help organize
- Randomized testing schedules
- Defined participation expectations
- Text notifications and acknowledgment
- Documented testing activity and results
- Ongoing communication
- An individualized level of support
Core components
Monitoring built around clear, measurable participation.
Continuum focuses on the testing and accountability functions it is engaged to provide. Treatment, diagnosis, fitness-for-duty decisions, professional discipline, and licensing decisions remain with the appropriate qualified professionals or authorities.
Clear expectations
The testing frequency, specimen options, response window, and participation process are established before monitoring begins.
Documented activity
Testing participation and laboratory results can be maintained as part of the monitoring record.
At-home options
Eligible saliva and nail testing can be completed with video verification from the participant’s home.
Responsive communication
Participants receive direct instructions and support for understanding the assigned process.
Nationwide access
The remote model supports healthcare professionals across the United States, including those with demanding or irregular schedules.
How primary monitoring works
From initial discussion to ongoing participation.
- 1
Clarify the monitoring need
Continuum learns whether the plan is voluntary or connected to expectations from an employer, treatment provider, attorney, board, or another requesting party.
- 2
Establish the plan
The testing frequency, specimen options, notification process, participation expectations, and any authorized reporting expectations are identified.
- 3
Prepare for testing
The participant receives instructions and orders the assigned saliva or nail kits online for delivery to the home.
- 4
Respond to random selections
When selected, the participant acknowledges the text notification and completes the assigned video-verified test by the end of the day.
- 5
Continue with documentation and support
Testing activity continues according to the plan, with communication and records maintained throughout participation.
Who may benefit
For professionals who need more than occasional testing.
Primary monitoring is intended for healthcare professionals seeking an organized accountability plan with recurring random testing and documented participation. The service may be used voluntarily or as part of an arrangement developed with another authorized stakeholder.
Continuum serves physicians, nurses, CRNAs, nurse practitioners, physician assistants, pharmacists, dentists, and other licensed or credentialed healthcare professionals nationwide.
Independent-service notice
Continuum does not represent itself as a state Physician Health Program, Alternative-to-Discipline program, licensing board, treatment provider, or fitness-for-duty evaluator. Acceptance by another organization is not implied and should be confirmed before enrollment.
Frequently asked questions
Questions about this service.
Monitoring needs vary. Continuum will explain the applicable process before participation begins.
Is Continuum a state licensing-board monitoring program?+
No. Continuum is an independent nationwide monitoring service. Anyone who needs a board, employer, treatment-provider, or other authority to accept a monitoring arrangement should confirm the requirements and approval process directly with that organization.
What can a primary monitoring plan include?+
A plan can include randomized saliva or nail testing, defined participation expectations, testing notifications and acknowledgments, documented testing activity and results, and ongoing communication. The exact structure depends on the participant’s needs and any applicable requirements.
Can primary monitoring be completed from home?+
Eligible saliva and nail collections can be completed through the assigned video-verification process from home, reducing the need for repeated collection-site appointments.
Does Continuum serve professionals outside California?+
Yes. Continuum provides monitoring and drug-testing support to healthcare professionals throughout the United States.
How is testing frequency determined?+
Testing frequency is established as part of the individual monitoring plan. Any outside requirements should be identified before participation begins.
Explore Continuum
Related monitoring services.
Nationwide support
Discuss primary monitoring with Continuum.
Call, text, email, or send a brief inquiry. Please do not include diagnoses, test results, Social Security numbers, or other sensitive medical information.