Services

Breath Alcohol Testing

The Breath Alcohol test is $40 with an additional fee of $15 if a confirmation test needs to be conducted.

The employee to be tested should bring their photo ID and be sure to have no gum or mints at least 15 minutes before testing because it could create a false positive.

The test takes about 15 minutes, unless positive, than a confirmation test will be run and it will take about another 15 minutes for that confirmation.

See the Breath Alcohol section in the FAQ.

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Who is Required to be Tested

Transportation workers with safety-sensitive duties in the industries of aviation, commercial motor vehicle, railroad, transit, and pipeline are all required to follow 49 CFR Part 40 of the U.S Department of Transportation’s Alcohol Testing Procedures Rules. These workers are subject to random, reasonable suspicion, post-accident, return-to-duty, and follow-up testing. The rules prohibit safety-sensitive employees from performing any duties with a breath test results of 0.02 or greater.

DOT Drug & Alcohol Testing

DOT Breath Alcohol Test

The DOT Breath Alcohol test is $40 with an additional fee of $15 if a confirmation test needs to be conducted.
The employee to be tested should bring their photo ID and be sure to have no gum or mints at least 15 minutes before testing because it could create a false positive.
The test takes about 15 minutes, unless positive than a confirmation test will be run and it will take about another 15 minutes to that confirmation.

DOT Drug Tests

The test is $45 and the employee should bring their photo ID, have the name of the company that they are applying for or the company that is requesting the test and know if the company is paying for the test or if the employee is to pay for the test and submit it for reimbursement.

Take a look at the drug test process.

DOT Physical Exams

The DOT Physical Exam is $85 and the employee should:

  • Bring a list of current and recent medications including over the counter medications.
  • Have each prescription with the physician’s name and office phone number with it.
  • Bring their Photo ID
  • Have the name and phone number of their company
  • Know who is paying for the testing (is the company paying for it at time of results or is the employee paying for it and should submit it to their company for reimbursement?)

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The Department of Transportation requires all Commercial Drivers License (CDL) holders to receive periodic physical examinations, officially called a “Department of Transportation Medical Examination,” to ensure the ability of the driver to safely operate a commercial vehicle.

We have several providers that are registered with the NRCME (National Registry of Certified Medial Examiners) who work at our clinic.

Instant & Lab Analysis Drug Testing

Benefits of instant drug testing:

  • Results within hours for negative results
  • Increased worker productivity: reduced testing time allows for placement of employees into productive positions
  • Reduced employment costs: decrease absenteeism due to substance abuse
  • Shortened hiring cycle: eliminates 2-3 day delay in hiring prospective employees
  • Reduced drug testing costs: lower “cost per test” because we have our own on-site lab for instant results

Instant Drug Testing Services include:

  • Rapid Results – within hours for negative results
  • All non-negative results are laboratory verified, within 2-3 working days and reviewed by a Certified MRO (Medical Review Officer)
  • Proven laboratory accuracy
  • FDA approved
  • 5 Panel Test: Cocaine Metabolites, Marijuana Metabolities, Phenyclidine (PCP, “Angel Dust”) , Amphetamines, Methamphetamines (“Speed”), Opiates (Codeine, Morphine, Heroin)

On-Site-Lab

Pre-Employment Drug Testing

The test is $35 and the employee should bring their photo ID, have the name of the company that they are applying for or the company that is requesting the testing and know if the company is paying for the test or if the employee is to pay for the test and submit it for reimbursement.

Why Do Pre-Employment Drug Testing?

The US Department of Labor has estimated that drug use in the workplace costs employers up to $100 billion dollars annually in lost work time, accidents, health care costs and workers.

As an employer, drug use affects your bottom line. Workers who do drugs are more likely to change jobs or miss work. The good news is you can put programs in place to make sure your workplace is drug free. A good drug free program includes testing applicants prior to their hire date and performing random drug testing throughout their tenure with your company.

A company with over 15 employees is subject to the Americans with Disabilities Act, a federal law that protects people with disabilities from discrimination. This Act prohibits pre-employment medical examinations before a conditional offer of employment has been made. However pre-employment alcohol testing is considered a medical examination and can only be conducted after the candidate has been extended a conditional offer of employment.

What are Requirements for Pre-Employment Drug Testing?

Generally these requirements for pre-employment drug screening are followed by employers:

  • Employers have a written drug testing policy that requires job applicants to be drug-free.
  • Written notice of testing is given before the applicant may be tested. Many drug and alcohol testing laws require that job applicants be notified in advance that they may be tested and under what conditions.
  • Written notice is given to the applicant that employment drug screening is required before hiring. This may be done through the employment application form or on a specific form given out at the first interview.
  • The written notice details the type of drug testing that will be carried out and lists the over-the-counter medications that may produce a positive result.
  • The same testing program should be implemented for all applicants in a particular category or there could be implications of discrimination.

Take a look at the drug test process.

Pre-Employment Physical Exams

The Pre-Employment Physical without Urinalysis is $40, and $60 with a Urinalysis.  If you need to add a TB Test it is an additional $25, and adding in an instant drug test would be $35 extra.  The potential employee would need to bring in an ID for any services being completed.

Pre-Employment Physical Examinations are performed to determine if an applicant is physically capable of meeting the essential functions of the job, while maintaining the examinee’s privacy and medical confidentiality. A well designed physical exam program results in fewer injuries, lower costs and a better match of employees to their jobs.

The exam is performed with attention to the job duties, including physical requirements and potential exposures to hazardous materials. The content of the examination depends on the job and the work-site assessment. For example, jobs that require heavy lifting may require a back assessment to determine if the employee is able to perform the functions of the job. Those involved in interstate trucking usually require a physical exam and a urinary drug test.

Following the examination, the medical provider gives a written opinion about the person’s suitability to perform the job to ensure maximized productivity while reducing the potential for injury to themselves or others.

A Medical Examination Typically Includes:

Providers will carefully review your medical and occupational history before proceeding with the physical examination.

  • Complete occupational/medical history
  • Musculoskeletal examination
  • Evaluation of the respiratory system
  • Gastrointestinal examination
  • Examination of head, eyes, ears, nose, and throat
  • Skin and lymphatic examination
  • Neurological evaluation
  • Evaluation of the cardiovascular system
  • Visual acuity and vital signs, including blood pressure, urine dip test

The employee should bring a photo ID and know if there are additional tests (Urinalysis, TB test, Drug Test) needed.
The employee should know the name and phone number of their company as well as who is paying for the test (will the company pay for it or will the employee pay for it and submit it for reimbursement.)

Random Pool

Our Random Pool is $100 per year, per pool.  We offer both DOT (Federally mandated) and Non-DOT (Drug Free Workplace) pools.

Quarterly employee verifications are made by Consortium Services Group, our partner who professionally manages the Random Pool Process. CSG will contact the DER (Designated Employee Representative) of the company 1-2 weeks prior to the selection date to verify the accuracy of the employees on the roster and make any updates as needed. The selections are made according to federal guidelines and the employee’s timely participation is monitored and documented.
Special Pricing

Any company placing more than 5 employees in a single pool will receive a $5 credit per employee towards the annual subscription cost for each employee starting with number 6.

**Credit may not exceed the cost of the pool.
**Offer MIS report and audit assistance

Facts

  • FACT: The only part of the notification process that is a federal regulation is that when the employee is notified, He or she should proceed immediately for testing.
  • FACT: Once the names have been drawn, OnCall will reach out to the DER 24-48 hours, never the employee, unless of course the DER is the employee.
  • FACT: Once the DER is notified, he or she should notify their employee while they are performing their job function, or directly before or after. Meaning, they shouldn’t call them on a weekend or on vacation and tell them they have been selected. We typically tell our DER to send their employees within the next week, just so they feel they have a time line.
  • FACT: If the DER cannot contact the employee, they should continue trying until they do. It would be strange for an employee not to have to report to his boss at some point.

TB Testing & Chest X-Rays

The TB Test (Tuberculosis Test) is $25. Employees should bring their photo id and be able to return to the clinic to have their test read within 48-72 hours.

The Chest X-Ray is $99 and the employee should bring their photo ID. No other preparation is necessary.

Tuberculosis Testing

TB (Tuberculosis) is a community acquired contagious disease. The highest workplace exposure to Tuberculosis is in the healthcare setting. It can cause long-term illness and/or death if not properly diagnosed and treated. Most companies are required to provide yearly testing for TB. Testing can be completed either by a skin test or chest x-ray and any course of treatment will be determined at time of a positive result.

Chest X-Rays

Most commonly used to rule out TB in the event that a TB skin test is deemed “positive”, it is also beneficial for the screening of the chest and lungs in the events of: exposure to biological materials (such as Histoplasmosis), environmental hazards (such as asbestos) or situation (such as smoke inhalation). When an employee presents for a chest x-ray, they will also be examined by a medical provider to determine a course of treatment if necessary.

All chest x-rays are sent for an over-read confirmation by a Board Certified Radiologist (BCR).

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