Employment

Services

Will you or your supervisors be performing any collections?*

Yes
No

Will the collectors need training from MedScreens?

Yes
No

Are you interested in Random Drug Testing for your employees?*

Yes
No

Would you like MedScreens to manage your Random Program?

Yes
No

Does your company have a written drug testing policy?*

Yes
No

MS Law requires employers to have a written drug testing policy prior to performing drug test on employees. Any job applicant must be informed of the drug testing policy prior to being asked to submit his/her specimen. Current employees must be given thirty days prior notification that a drug testing policy has been developed. Would you be interested in assistance in developing a drug testing policy?

Yes
No

Is your company a Certified Drugfree Workplace?*

Yes
No

There are many benefits to being a Drugfree Workplace including a more efficient work environment, increased marketability to consumers and increased employee morale. Most worker's compensation insurance companies will offer a 5% discount on your worker's compensation insurance policy if your company is a Drugfree Workplace. Would you be interested in learning more about becoming a Certified Drugfree Workplace?

Yes
No

Please select the serices you would like set-up on your account.*

*Hold Control to select multiple services.

Will you be ordering testing kits/supplies from us?*

Yes
No

Is the shipping address different from the previously supplied address(es)?

Yes
No

Shipping Address

Street Address Address Line 2 City State ZIP Code

Will we be shipping to multiple locations?*

Yes
No

Please enter in the Additional comments section if there are more than two shipping addresses.

Shipping Address 2

Street Address Address Line 2 City State ZIP Code

Additional Comments

Current Open Positions

Account Set Up - Copy 1

Step 1 of 5

Company Information

Contact Information

Results

Services