Order Drug Testing Forms

Requester Name (required)
[text* COC-requester-name]

Email Address (required)
[email* COC-requester-email]

Phone Number (required)
[tel* coc-requester-tel placeholder "123-456-7890"]

Company Name (required)
[text* coc-requester-company]

Location / Department
[text coc-requester-location]

Mailing Address - No PO Boxes for FedEx (required)
[text* coc-requester-address]

Address 2
[text coc-requester-address2]

City (required)
[text* coc-requester-city]

State (required)

ZIP Code (required)
[text* coc-requester-zip]

Quantity Needed:


Urinalysis - DOT (Department of Transportation)


Method of Delivery:
 US Mail or FedEx Ground (No Charge) FedEx Overnight AM FedEx Overnight PM FedEx 2nd Day

FedEx Billing Number
[text coc-fedex]

Other comments or special instructions

If no FedEx number is given, we will bill all FedEx charges on your regular invoice.

If you are in the Dallas area and would like same day delivery via courier, please call us to make arrangements - 972-701-8603.

Note: Orders received after 3:00pm CST will be processed the next business day.