CONSORTIUM ENROLLMENT

RELIABLE & ACCURATE RESULTS

SonicTest Labs is the trusted lab screening partner for many businesses, schools, court systems, DOT-regulated organizations and corporations. Do you need to order a consortium enrollment? Fill out the form below.

Company Name:

Date:

Main Contact Name:

Billing Contact:

Mailing Address:

Physical Address:

Billing Address:

Email:

Who referred you to our Consortium?

#Of Employees:

Authorized to receive drug screen results and preferred method: (Please list below or attach in a separate pdf)

Choose File
Upload supported file (Max 15MB)

Phone/Fax/Email:

Phone/Fax/Email:

Phone/Fax/Email:

Type of Business:

Employee Name:

Social Security or Employee ID #:

Are you currently enrolled in a random Drug Testing Program?

If Yes, Consortium Name:

Type of testing your company requires:

PLEASE NOTE: ALL DOT EMPLOYEES MUST PROVIDE PROOF OF A NEGATIVE DRUG TEST, OR PREVIOUS CONSORTIUM ENROLLMENT, BEFORE THEY WILL BE ENROLLED IN THE CONSORTIUM PROGRAM. 

TO USE A PREVIOUS DRUG TEST, IT MUST HAVE BEEN TAKEN WITHIN 30 DAYS PRIOR TO JOINING THE CONSORTIUM.

With my signature, I hereby agree to participate in SonicTest Labs consortium and further agree to abide by its rules, policies and procedures. Upon receipt of my signed application and payment, SonicTest Labs will forward me a complete membership package, which will include proof of membership and rules and regulations.

Authorization Signature:

Date:

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