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Registration / Donor Information

Testing locations do not accept payment and require a test registration/donor pass to
conduct a drug, alcohol, physical or DNA test.
No appointment is needed, but a test registration is required.
* The Test Registration / Donor pass will be e-mailed to you with the testing center address closest to you. (take this form with you)
* Issued test registration passes are non-refundable, tests may be rescheduled, donor passes are valid for 30 days.

Please provide the full name, e-mail address, phone number, social security number(for specimen identification tracking) and test type.
*All information is confidential and secure.

Reason for test *

DOT Only, Select Agency

Person(s) Taking Test*
Example:
John Smith | Jsmith@example.com | (501)423-5565 | 495-09-3452 | 5 panel urine
Use the + button to add as many test registrations / Donor passes as needed.

Full Name	Email	Phone Number	Social Security	Test Type ( Example: 5 panel urine)

Preferred Location * The preferred testing location listed below will be used to schedule the test you have selected. In the event the test you have selected is unavailable at that location an alternate testing center in the same zip code area will be selected for you.

Test Results * Please provide the e-mail address to send the confidential test results.
Confidential Email Address

Phone Number

Email Address Where donor pass/authorization form will be sent.

Contact ( full name ) - If other than person taking test

Company Name ( if applicable )

Company Phone Number

I Agree - Terms and Conditions

Billing details

First name *

Last name *

Company name

Country *United States (US)

Street address *

Apartment, suite, unit etc.

Town / City *

State *

ZIP *

Phone *

Billing Email (Where you will receive your receipt) *

Create an account?

Account username *

Create account password *

Your order

Product	Total
10 Panel Hair + Exp. Opiates × 1	$289.99
5 Panel Hair Follicle × 2	$279.98
Hair Follicle ETG (Alcohol) × 1	$349.99
5 Panel Hair Follicle + Exp. Opiates × 2	$379.98
10 Panel + ETG (Alcohol) × 1	$499.99
Subtotal	$1,799.93
Total	$1,799.93

Payment Methods

Stripe

Secure payment via Stripe.

Card Number *

Expiry Date *

Card Code (CVC) *

Update TotalsUpdate totals

Your personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our privacy policy.

Terms And Conditions

When a drug test, alcohol test, physical or any service is scheduled / purchased and the test registration / donor pass is issued, it is non-refundable. Tests or services may be rescheduled or a credit will be provided for future testing or services, however testing and lab protocols have been established when the donor pass has been issued and no refunds are available.
Test registration / donor passes are issued ( sent by Email ) Monday – Friday 7:30am to 8:00pm and Saturday 9:00am to 5:00pm. Online registrations scheduled after 8:00pm or on Sundays will be sent the following morning at 7:30am.
In the event that a drug test, alcohol test, physical or any service scheduled is not available at the donor’s preferred testing location an alternate testing center will be selected within the same zip code or closest to the donor’s preferred testing location.
Certain tests or panels may not be available at all locations.
In most cases test results are available within three business days, however laboratory confirmation testing may take longer. Hair follicle tests are available in most cases within 5 to 7 days, hair confirmation testing may take longer. Hair tests require a minimum of 2 inches of hair.
DOT Complete Compliance Package includes, DOT drug test, consortium membership, drug and alcohol policy, supervisor training
DOT Consortium Membership includes certificate of compliance. 5 or more employees call for discounted pricing.
5 Panel DOT (Department Of Transportation) test requires a Federal chain of custody form which Smart Drug Testing can provide.
Rapid Result tests are not available at all testing locations due to individual state laws.
If a Rapid Results test is ordered and not available the test will be changed to a standard laboratory test.
Any rapid result test which is non-negative will be sent to the lab for confirmation and MRO review.
Corporate invoicing accounts available upon approval, Contact Smart Drug Testing for more information.
Out of network testing may require an additional $10.00 fee.
Discounts available for multiple (Bulk) test purchases.

I have read and agree to the website terms and conditions *

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