Drug Directive Form - J2 Labs

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

Cutoff Date

Comments / Special Instructions (if any)