Drug test form pdf
[DOC File]DRUG AND ALCOHOL QUESTIONNAIRE - clarkclipsonphd
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Title: DRUG AND ALCOHOL QUESTIONNAIRE Author: Clark R. Clipson, Ph.D. Last modified by: Clark Clipson, Ph.D. Created Date: 2/19/2003 11:39:00 PM Other titles
[DOC File]Assessment and Drug Testing Practice Guidelines
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Detection: Timing is a critical factor in drug and alcohol testing. The amount of time a drug remains in the body is dependent on a variety of factors including the amount of drug taken and the metabolism of the individual. A negative test …
[DOC File]Southern Illinois University Edwardsville
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Southern Illinois University Edwardsville (SIUE) CONFIDENTIAL DRUG TESTING CONSENT FORM. Employee/Applicant’s Name (Print Name) _____ ... In addition, I understand that I have 48 hours to provide said test …
[DOC File]DRUG TESTING AUTHORIZATION & RELEASE
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drug testing authorization & consent form I, the undersigned, hereby knowingly and voluntarily authorize and consent to the collection and testing of specimens of my urine by a collection site and laboratory …
[DOCX File]Sample DOT FAA Drug & Alcohol Testing Policy
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An employee who receives a positive, adulterated, or substituted drug test result has 72 hours to request the test of the split specimen (which is provided at the time of original collection). If the employee …
[DOC File]DRUG AND ALCOHOL TESTING PROGRAM
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2. Each applicant will read and sign a Drug Screen Consent Form prior to any test being administered. 3. On a pre-printed, itemized form furnished by the employer, each applicant will be asked to identify any medication he/she is taking or has taken during the 30 days preceding the test…
[DOC File]Drug History Questionnaire - Private University
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DRUG HISTORY QUESTIONNAIRE. DRUG CATEGORY (Includes nonmedical drug use) Note: Use card sort with drug category names to first determine which drugs have ever been used then ask for …
[DOCX File]FULL ASAM ASSESSMENT - ADULT
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Amy has a 5 yr history of opioid use, beginning with prescription opioids and progressing to mixed prescription and heroin use. She has attempted multiple programs to try and manage her use and …
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