Random Call Drug Testing Consent
RE:
Case No:
AGREEMENT:
I,
am an adult over 18 years of age, have read and fully understand the Random Call Drug Testing Protocol (Items 1-6) and
agree to be tested up to
times per month with a response time of
hours, according to the guidelines stated in the protocol. I also agree and give
my full consent to Drug Detection Laboratories, Inc. to release all test results and any
information to the individual(s) listed on this consent form. I understand that all
information is documented and discoverable by court order. This consent is to expire
on
.
Test Subject:
Signature
Print Name
Date
| Home Phone
Work Phone
Other Phone
|
Hrs to Contact
Hrs to Contact
Hrs to Contact
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