Drug screen

"*" indicates required fields

Company Information

Donor Information

Test Information

Certification and Consent

I certify that the specimen provided is my own and has not been substituted or adulterated. I further agree and grant permission for the testing of my specimen for the presence of drugs and/or alcohol. Also, I hereby give permission for the release of the results of these test to my employer/prospective employer and/or their authorized healthcare professionals.

O'Mahony Safety will securely retain all relevant information from this test for a specified period, as outlined in our GDPR Privacy Policy. For more details, please refer to our privacy policy available at omahonysafety.ie.


I certify that I collected the specimen provided by the aforementioned donor and that it was not substituted or adulterated to the best of my knowledge.


Drug Testing

Drug Tests Results*

Additional Urine Sample Collected:*

Refusal to Supply:*

Alcohol Testing

Alcohol Tests Results*

Preliminary Test Results

Results*

Confirmation

Specimen Sent to Lab for GC/MS Confirmation:

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