Description
2-Part Urine Drug Test Result Form 25/Package
The numbered, paper pack is a 2-Part carbonless form with which provides a carbonless copy for the specimen donor. Twenty-five forms per pack.
How to complete a 2-Part Result Form or Photocopy Template
- Write in company and donor information.
- After the urine specimen is collected and the drug test device is sealed with a security seal the donor signs the form and provides their contact information. At this point a copy of the form is to be given to the donor who now may be dismissed.
- When the drug test results are available the collector fills in test details such as Lot # and Expiration Date and records the test results.
- The collector signs the form and records time and date of collection.
1 Review
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Drug test passed 08/01/2025
We have done 12 drug tests & all are negative except for alpraapam normal range. Susan Barnard is in therapy for PTSD. No drug therapy needed at this time. Drugs are not problem. Depression & counseling is what we are recommending. Nurse Practitioner.