Workplace Drug and Alcohol Testing Booking Form

Terms and Conditions of Service

Please fill in the form below to receive a quote. This is provided on a no obligation basis, and the terms and conditions of service (viewable by clicking this link) only become effective upon confirming and accepting the booking. Please note that our standard terms of business for payments/invoices are 14 days; a 20% charge will be added for late invoices/payments and by accepting cover, you are agreeing to these terms.

Workplace Drug and Alcohol Testing Booking Form

"*" indicates required fields

Client Details

Contact details*

Company Name / Point of Contact

Email*

Phone Number*

Test Requirements

Quantity of Tests required*

Do you have a workplace drug and alcohol testing policy in place?*

Yes

No, I would like help to implement

Type of Testing required*

Alcohol

Standard Panel - detects Opiates, Methamphetamine, Cocaine and Cannabis

Enhanced Panel - detects Opiates, Methadone, Benzodiazepines and Buprenorphine

Unsure ? contact me to discuss

Standard Panel - This is most commonly used in workplace drug testing. Enhanced Panel - This is most commonly used in community drug rehabilitation.

Date Requested

Please enter the date you would prefer. Please note that this date is subject to our availability, we will be in touch to confirm availability and quote.

Address for Test*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Additional Information

Please add names and Date of Births for all other people that require tests. Also add any extra information that you feel may be useful for the testing team.

Does anyone at the location have any COVID symptoms ?*

Yes

Additional Information

File Upload

Drop files here or

Max. file size: 256 MB.

Please upload any files that you think may be of use, we can accept PDF / Excel sheets with names etc.

Staff Access

Staff Portal Access

ePCR

Data Protection

A B Medical Services (UK) Ltd may hold data about submissions and /or inquiries made hereafter in line with the current Data Protection / GDPR legislation. We are registered as a data controller / processor with the UK ICO. A B Medical Services (UK) Ltd will never use your data without consent and will never share this data without explicit consent. Please refer to our full Data Protection policy.

Customer Information

Terms & Conditions of Service

Website Terms of Use / Privacy Policy

Complaint Policy

Data Protection Policy (GDPR)

Payments

Client IRF

Call: 03443 100 150

24/7 Contact: +44 (0)7590 542 513

E-mail: operations@ab-medical.co.uk

(UK) In a medical emergency dial 999 or 112