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URINALYSIS TOXICOLOGY SUBMISSION FORM Montana Department of Justice LAB USE ONLY Forensic Science Division Mailing P.O. Box 16170 Missoula, MT 59808 Physical 2679 Palmer Street Missoula, MT 59808
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How to fill out urinalysis toxicology submission form

01
Step 1: Obtain the urinalysis toxicology submission form from the designated provider or laboratory.
02
Step 2: Fill out your personal information, including your name, date of birth, and contact details.
03
Step 3: Provide the reason for the urinalysis test, whether it is for employment purposes, clinical diagnosis, or other purposes.
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Step 4: Specify the type of test required, such as drugs of abuse screening or specific substance testing.
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Step 5: Indicate the date and time the sample was collected.
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Step 6: Complete the medical history section, including any medications or substances you currently or have previously taken.
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Step 7: Sign and date the form to confirm the accuracy of the information provided.
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Step 8: Submit the completed form along with your urine sample to the appropriate laboratory or provider.

Who needs urinalysis toxicology submission form?

01
Individuals who require a urinalysis toxicology test for various purposes, including employment screening, clinical diagnosis, forensic investigations, or monitoring substance abuse.
02
Medical professionals, such as doctors, nurses, and laboratory technicians, who perform and interpret urinalysis toxicology tests.
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Pharmaceutical companies or research institutions conducting studies related to drug metabolism and detection.
04
Law enforcement agencies involved in drug enforcement and monitoring programs.
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The urinalysis toxicology submission form is a document used to collect and report urine test results for the detection of drugs and other substances.
Individuals or organizations involved in drug testing programs, including employers conducting workplace drug tests, are typically required to file this form.
To fill out the form, provide details such as the individual's personal information, the testing date, the type of substances tested, and any specific instructions as required by the testing agency.
The purpose of the form is to formally document test results and ensure compliance with regulations concerning drug testing and monitoring.
Required information typically includes the subject's name, date of birth, test date, types of tests conducted, results, and the name and certification of the laboratory conducting the analysis.
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