Rail Medicals

Castle Hill Medical Centre has a number of doctors who are trained Authorized Health Professionals (AHP’s) who can complete Category 1, 2 or 3 medical assessments.


A high number of our doctors who are AHP’s means we can often provide same day appointments.


We have fully equipped nursing staff able to conduct the required Alcohol Breath test and Audiogram required for these medicals including ECG’s for Category 1 assessments.


Urine Drug screens are able to be done onsite at Douglas Hanly Moir Pathology located at Castle Mall just across the corridor from our medical centre. This enables all the components of our Category 1, 2 and 3 medicals to be done at the one easy location.



Our Corporate Team can organise the whole process for you, including sending a confirmation email directly to you or your employee with all of the information and paperwork required.



Our price for the medical assessments are very competitive so please speak to one of our Corporate Team members for more information by either phoning us on (02) 8865 0633 or email us at corporate@chmc.com.au



Further information can be found on the Rail Safe website here:



Rehabilitation for transport contractors



All of our contractor Assessments include a urine drug test and an alcohol breath test. Contractors who return a positive urine breath drug test or an alcohol breath test reading greater than zero, or where there is evidence of specimen tempering or substitution, will be certified temporarily unfit until such time as they have successfully completed the transport agency’s drug & alcohol rehabilitation program for contractors.


Where the positive result was in the workplace their RISI card will be withdrawn. Contractors may be asked to undergo the rehabilitation program as a result of a random or targeted test.


In order to be considered fit to be issued with a RISI card in the future, the contractor is require to undergo a comprehensive rehabilitation program and to provide evidence that they have been drug-free, alcohol -free or both over a substantial period of time and are at a low risk of future illicit drug use or alcohol abuse. This period of time will be a minimum of 12 months.


Drug Rehabilitation Program for RISI card process


Patients who have had a positive urine drug screen or a positive alcohol breath test (or both) and are required to participate in the 12 month Rehabilitation program can see our AHP (Authorised Health Professional) Dr Patrick Mosse.


The contractor will require the following:


Step 1: An initial consultation.  This is a double consultation plus either a drug screen, alcohol screen or both depending what test was positive.


Step 2: Dr Mosse then needs to confer with Transport for New South Wales to see if the patient can commence the program.


Step 3: When Dr Mosse gets approval for commencement of the program  from Transport NSW the contractor is required to come in once a month for a Instant drug test, instant Alcohol test or both. It is at the employee’s expense. Dr Mosse will charge a consultation fee plus the cost of the Drug and / or  Alcohol screen. Consultations cannot be bulkbilled.


Step 4: Contractors will also need to be seen by the doctor at the  six month mark and the 12 month mark. They will also need to have a mandatory review with an external psychologist, which is a separate cost.


Step 5: the contractor is required to re- do the Category 1. 2 or 3 assessment at the end of the 12 month period.


Click here for more information regarding this.

Click here for our CHMC information flyer.

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    Opening Times

    • Week Days7.00 am to 9.00 pm
    • Saturdays7.00 am to 8.00 pm
    • Sundays8.00 am to 8.00 pm
    • Public Holidays9.00 am to 6.00 pm

    castle hill

    medical centre

    • Phone02 9634 5000
    • Fax02 8061 4308
    • AddressLevel 1, Castle Mall 4-16 Terminus Street, Castle Hill NSW 2154
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