Select Testing Location(Required)Select LocationSulphur, LouisianaLake Charles, LouisianaDeRidder, LouisianaLeesville, LouisianaNederland, TexasDeer Park, TexasCorpus Christi, TexasMcAllen, TexasRequested By(Required) Email(Required) Contact Phone(Required)Company(Required) Date(Required) MM slash DD slash YYYY Testing InformationEmployee Name(Required) PO# SS#(Required) Position(Required) Reason For Test(Required)After marking your reason for test you will then need to select required testing below. PRE-ACCESS/ENTRY PRE-EMPLOYMENT REASONABLE CAUSE FOLLOW-UP RANDOM PERIODIC / ANNUAL RETURN TO WORK POST-ACCIDENT Other Lab Tests SMAC / CBC (LIVER) CBC URINALYSIS BLOOD LEAD / ZPP URINE PHENOL BLOOD BENZENE COVID AG NASAL SWAB COVID PCR NASAL SWAB OTHER Fit Test OSHA RESPIRATOR QUESTIONNAIRE (PFT Review) PULMONARY FUNCTION 1/2 FACE FULL FACE Lab Test Other(Required) Other(Required) Drug Screens NON DOT DISA DOT HAIR TEST QUICK TEST ORAL FLUID Audiometry BASELINE COMPARISON Alcohol Testing NON DOT DOT BREATH DISA SALIVA Hair Test Option(Required) 5 10 Quick Test Option(Required) 5 9 10 Physical Exam DOT/CDL BASIC EXAM CRANE OPERATOR FCE COAST GUARD EXAM RETURN TO WORK FIT FOR DUTY Other Other(Required) Other Services EKG CHEST X-RAY LUMBAR X-RAY VISION (TITMUS) JAEGER ISHIHARA IMMUNIZATION OTHER Chest X-Ray Views 1 2 Lumbar X-Ray Views 2 3 5 Immunization Details Other Details CAPTCHANotice: Authorization will expire 10 days after submission date.PhoneThis field is for validation purposes and should be left unchanged.