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Individual Drug and Alcohol Testing

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Name:	D.O.B:	Phone:
Last 4 of Social or state ID number:	Email:

Where will the test be administered?

TrueTest Elk Grove Village
Other Area:	City:	Zip code:

Does this test need to be observed: YesNo

Reason for the Test (Select One)
Pre-Employment	Random	Reasonable Suspicion
Legal or Court Ordered	Personal

Urine Testing for Drugs (Select One)
DOT test urineRegulated drug test for Department of Transportation
5 Panel urineCocaine, Marijuana, Amphetamines, Methamphetamines, Opiate	5 Panel with Alchohol urineCocaine, Marijuana, Amphetamines, Methamphetamines, Opiate, ETG (alcohol metabolite)
7 Panel urineCocaine, Marijuana, Methamphetamines, Opiate, benzodiazepine, Methadone	7 Panel with Alcohol urineCocaine, Marijuana, Methamphetamines, Opiate, benzodiazepine, Methadone, ETG (alcohol metabolite)
10 Panel urineamphetamine, barbiturate, benzodiazepine, cocaine, marijuana, methadone, methaqualone, opiates, phencyclidine, propoxyphene	10 Panel with Alcohol urineamphetamine, barbiturate, benzodiazepine, cocaine, marijuana, methadone, methaqualone, opiates, phencyclidine, propoxyphene, ETG (alcohol metabolite)
12 Panel exp Opiates urinecocaine, amphetamines, oxycodone, benzodiazepine, buprenorphine, propoxyphene, methamphetamine, marijuana, methadone, MDMA, barbiturate, morphine	12 Panel exp Opiates/Alcohol urinecocaine, amphetamines, oxycodone, benzodiazepine, buprenorphine, propoxyphene, methamphetamine, marijuana, methadone, MDMA, barbiturate, morphine, ETG (metabolite of alcohol)

Urine Instant or Same Day Drug Tests (Select One)
5 Panel Instant urineCocaine, Marijuana, Amphetamines, Methamphetamines, Opiate	10 Panel Instant urineTricyclic antidepressants, cocaine amphetamines, methamphetamines, marijuana, methadone, opiates, phencyclidine, barbiturate, benzodiazepine	Instant ETG (Metabolite for alcohol)

Breath Alcohol Tests (Select One)

DOT Breath AlcoholDOT Alcohol breath test/tip>

Non-DOT Breath AlcoholNon-DOT Alcohol breath test

Hair and Nail testing for drugs (Select One)
5 Panel Hair Nailamphetamines, Marijuana, cocaine opiates phencyclidine	10 Panel Hair Nailamphetamines, Marijuana, cocaine opiates phencyclidine,benzodiazepines, barbiturates, methadone, propoxyphene, oxycodone	12 Panel Hair Nailamphetamines, Marijuana, cocaine opiates phencyclidine,benzodiazepines, barbiturates, methadone, propoxyphene, oxycodone, meperdine, tramadol
14 Panel Hair Nailamphetamines, Marijuana, cocaine opiates phencyclidine,benzodiazepines, barbiturates, methadone, propoxyphene, oxycodone, meperdine, tramadol, fentanyl, sufentanil	15 Panel Hair Nailamphetamines, Marijuana, cocaine opiates phencyclidine,benzodiazepines, barbiturates, methadone, propoxyphene, oxycodone, meperidine, tramadol, fentanyl, sufentanil, ketamine	16 Panel Hair Nailamphetamines, Marijuana, cocaine opiates phencyclidine,benzodiazepines, barbiturates, methadone, propoxyphene, oxycodone, meperdine, tramadol, fentanyl, sufentanil, ketamine, buprenorphine
17 Panel Hair Nailamphetamines, Marijuana, cocaine opiates phencyclidine,benzodiazepines, barbiturates, methadone, propoxyphene, oxycodone, meperdine, tramadol, fentanyl, sufentanil, ketamine, buprenorphine, zolpidem	12 Panel exp Opiates Hair Nailcocaine, amphetamines, oxycodone, benzodiazepine, buprenorphine, propoxyphene, methamphetamine, marijuana, methadone, MDMA, barbiturate, morphine, ETG
ETG (Metabolite for alcohol)

Child Guard Testing - Hair Exposuredesigned to capture passive exposure to drugs. Most hair tests only test for the metabolite of a drug. A metabolite is what the drug is changed into by the body indicating drug use. Since most children are not drug users, this test is designed to detect the use of drugs in the child’s environment.
5 Panel Child Guardamphetamines, marijuana, cocaine, opiates, phencyclidine	7 Panel Child Guardamphetamines, marijuana, cocaine, opiates, phencyclidine, benzodiazepines, bariturates	9 Panel Child Guardamphetamines, marijuana, cocaine, opiates, phencyclidine, benzodiazepines, bariturates, methadone, propoxyphene

Blood Testing for Drugs (Select One)
PEth (phosphatidylethanol)research suggests this test can differentiate between incidental exposure to alcohol (use of hand sanitizer, etc) and the intentional use of alcohol. Provides a 2-3 week history of use/abuse.
5 Panel Blood DrugCocaine, Marijuana, Amphetamines, Methamphetamines, Opiate	10 Panel Blood Drugamphetamine, barbiturate, benzodiazepine, cocaine, marijuana, methadone, methaqualone, opiates, phencyclidine, propoxyphene

Other Testing for Drugs (Select One)
Skin Sweat TestSkin patch can be worn for up to 10 days and provides continual monitoring of drug use…. Cocaine, amphetamine, marijuana, opiates, phencyclidine	Oral Fluids Test5 panel Oral instant/same day results - Cocaine, Marijuana, Amphetamines, Methamphetamines, Opiate

Don’t see the panel you need, we have many more panels. Please describe the test you need:

INDIVIDUALS

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