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Urinalysis and Breath Analysis Consent Form and Certificate Of Receipt of Leeward Community Colleges Commercial Motor Vehicle (CMV) Operation Training Programs Drug and Alcohol Policy Statement I

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How to fill out urinalysis and breath analysis

01

Urinalysis: 1. Collect a urine sample in a clean container. 2. Label the container with your name and date of collection. 3. Follow any specific instructions given by your healthcare provider. 4. Take the sample to the laboratory for analysis.

02

Breath Analysis: 1. Prepare the breath analysis device according to the manufacturer's instructions. 2. Blow into the device for the specified amount of time. 3. Wait for the results to be displayed on the device. 4. Record the results and share them with your healthcare provider.

Who needs urinalysis and breath analysis?

01

Urinalysis and breath analysis are needed by individuals who are undergoing medical testing or monitoring.

02

They are also used by healthcare providers to diagnose and monitor conditions such as urinary tract infections, diabetes, drug or alcohol use, and respiratory problems.

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What is urinalysis and breath analysis?

Urinalysis is a test that examines the content of urine to assess a person's health or detect specific conditions. Breath analysis is a method used to measure substances in the breath, often to determine the presence of alcohol or drugs.

Who is required to file urinalysis and breath analysis?

Individuals in safety-sensitive positions, such as transportation and aviation professionals, are typically required to file urinalysis and breath analysis.

How to fill out urinalysis and breath analysis?

To fill out urinalysis and breath analysis forms, individuals must provide personal identification information, the date and time of the test, and other required data as specified by the testing authority.

What is the purpose of urinalysis and breath analysis?

The purpose of urinalysis and breath analysis is to detect the presence of drugs and alcohol, ensuring safety in the workplace and compliance with regulations.

What information must be reported on urinalysis and breath analysis?

Information that must be reported includes the individual’s name, the type of test performed, date and time of collection, test results, and any relevant comments from the tester.

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