Drug & Alcohol Appointment Request

Complete the following form to request a drug & alcohol testing appointment.  Please note that a completed form does not constitute a booked appointment.  A Health Conservation Consultants representative will be in touch with you via the contact information provided to finalize all appointment details.  You can also phone to book your appointment by calling: 1-877-920-TEST(8378)

Client Information

 

Company Information

 

Appointment Details

  • Appointments should be scheduled between 8:00am and 4:30pm, Monday - Friday. After hours rates will apply for emergency testing required outside of these times.
  • Regular business hours are Monday-Friday 8am-5pm. Appointments that are required to be scheduled outside of this time will be subject to after hours rates.
 

Requested Testing

 

Verification