Fast • Confidential • Court-Admissible

Request a Drug Test

Mobile & on-site drug testing available 24/7. Fill out the form below and we’ll confirm your appointment within one business hour.

(803) 766-0036 | Available 24 Hours · 7 Days a Week | Mobile & On-Site Service Nationwide

Drug Testing Services Request

Please complete this form to request drug testing services. All fields are required unless otherwise noted.

Do you have an account with us?(Required)

Yes

Company Name(Required)

Enter the name of the company requesting the drug test.

Company Phone Number(Required)

Contact Person (Designated Employer Representative - DER)(Required)

Name of the authorized representative managing this request.

Please provide the details for the drug testing location.

Testing Location Name(Required)

Testing Location Address(Required)

Hours of Operation(Required)

Example: Mon–Fri 8am–5pm

Emergency Contact Number(Required)

Complete the information below for each person to be tested. Click 'Add Another Person' to add more individuals.

Person(s) to Be Tested(Required)

Person Name (Full Name)

Type of Drug Test

Specimen Type

Number of Panels (5, 10, or 12)

Enter person name, test type, specimen type, and number of panels. Click '+' to add more people.

Type of Drug Test(Required)

Select the type of drug test to be performed.

What Are We Testing? (Specimen Type)(Required)

Urine

Hair

Saliva (Oral Fluid)

Blood

Note: DOT Drug Testing requires Urine only. Selecting DOT above will lock this to Urine.

DOT Drug Testing: Per DOT regulations, DOT drug tests use a 5-Panel Urine specimen only. Specimen type and panel count are fixed.

Number of Panels(Required)

Note: DOT Drug Testing is fixed at 5 panels. Non-DOT tests may use 5, 10, or 12 panels.