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Certified Specimen Collections
Drug & Alcohol Testing
Dept. of Transportation (DOT)
Legal Blood Alcohol Testing
Rehabilitation / Treatment
Research Programs
TB Skin Testing
CAREERS
Contact
Drug Directive Form
Menu
Home
About
Services
Certified Specimen Collections
Drug & Alcohol Testing
Dept. of Transportation (DOT)
Legal Blood Alcohol Testing
Rehabilitation / Treatment
Research Programs
TB Skin Testing
CAREERS
Contact
Drug Directive Form
Locations open Monday through Friday, 8 am - 5pm
Please be advised, facemasks continue to be required within our facilities. June 2022
Drug Directive Form (DDF)
Chain of Custody
Current Date
Donor's Full Name
Date of Birth
Government Issued ID (Driver's License #, Passport #, Military #, etc.)
Phone Number
Referring Company / Program (name)
Account Number
Referred By (Person's Name)
Reason For Testing
New-Hire/Pre-Employment
Random
Post-Accident
Reasonable Suspicion
Follow-up
Annual
Other
Cutoff Date
Comments / Special Instructions (if any)
Send