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Within the field (cid:84) Non-regulated drug screen, (cid:84) Rapid drug screen, (cid:84) Human Performance, (cid:43), (cid:84) Other, (cid:84) HAZMAT (cid:84) Medical, Type of Substance Abuse Testing, (cid:84) Other, (cid:84) Preplacement (cid:84), Billing (check if applicable), (cid:84) Post-accident, (cid:84) Random, (cid:84) Employee to pay charges, (cid:84) Follow-up, and Special instructions/comments: type in the information that the program asks you to do.
The application will require data to quickly prepare the box Please print, Phone:, Date, Concentra now offers urgent care, (Copies of this form are available, and © 2008 Concentra Inc.
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