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4. Fax this form to both of the following locations Revised 8/30/16 Fax 501-202-7260 Attn Bernice HUMAN RESOURCES Fax 501-603-1317 Attn OHR. DRUG SCREEN AUTHORIZATION FORM ALL FIELDS ARE REQUIRED TO BE COMPLETED The University of Arkansas for Medical Sciences Department of gives permission to have SAP App or SAP Employee and last four of SSN for position tested by Baptist Health Occupational Health. Date PHOTO ID REQUIRED FOR ALL DRUG SCREENS DRUG SCREEN PANEL REQUESTED Check Appropriate Test...
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