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Drug Test Consent Form Template

Streamline Employee Authorization with Our Drug Test Consent Form

Navigating employee compliance can be tough, especially when it comes to conducting drug tests. This Drug Test Consent Form Template helps you obtain clear and documented consent from your employees, ensuring legal protection and a drug-free work environment. With this template, you can efficiently manage consent, simplify the onboarding process, and promote workplace safety while adhering to legal requirements. Plus, it's fully customizable and WCAG-aligned, so you can easily modify it to fit your specific needs. Try out the live template to see how it can work for you!

Use this Template (FREE) Live Preview
Full legal name
Date of birth
Home address
Phone number
Email address
Government-issued ID number (optional)
Parent/Guardian full name (if under 18)
Are you under 18 years of age?
Yes
No
Company/Organization name
Job title or position
Reason for test
Pre-employment
Random
Post-accident
Reasonable suspicion/cause
Return-to-duty
Follow-up
Periodic/annual
Other
Please Specify:
Specimen type to be collected
Urine
Saliva (oral fluid)
Hair
Blood
Breath alcohol
Other
Please Specify:
Collection site/location
Scheduled collection date
Authorized recipient of results (name/title)
I authorize my test results to be released to the authorized recipient listed above
Yes
No
Are you currently taking any prescription or over-the-counter medications or supplements that may affect test results?
Yes
No
List current medications or relevant substances (optional)
Provide details about relevant medical conditions (optional)
Do you have any medical conditions relevant to sample collection (e.g., kidney disorders, difficulty providing sample)?
Yes
No
I have read and understand the testing process, including possible retesting and confirmation procedures
Yes
No
I understand that refusing to test, adulterating, or tampering may be treated as a violation of policy
Yes
No
I consent to provide a specimen for the purpose of drug and/or alcohol testing
Yes
No
I authorize the collection site, laboratory, and Medical Review Officer to handle my specimen and results in accordance with applicable laws
Yes
No
I acknowledge that positive results, verified by the Medical Review Officer, may be disclosed to the employer/organization named above
Yes
No
I certify that the information I have provided in this form is true and complete
Yes
No
I agree to sign and receive documents electronically
Yes
No
Type your full name as your electronic signature
Signature date
Witness/Collector name
Witness/Collector signature date
Signer relationship
Self (Applicant)
Parent/Guardian
Legal Representative
Other
Please Specify:
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paper art illustration featuring a drug test consent form template with text and design elements relevant to FormCreatorAI

When to use this form

Use this consent when you need a clear OK before any screening. It fits pre-employment, random, post-accident, and return-to-duty checks for employees, contractors, and volunteers. Candidates sign before you schedule urine, saliva, hair, or breath tests. The form sets who receives results, how identity is verified, and what happens if someone refuses. For onboarding that also includes criminal history, pair it with a GCIC Consent form. If you capture broader service permissions, keep language consistent with a Client consent form. Similar to a Surgery informed consent form, it explains the scope and privacy so people know what they agree to. The outcome: faster scheduling, a clean chain of custody, and fewer disputes.

Must Ask Drug Test Consent Questions

  1. Do you consent to drug and/or alcohol testing and authorize collection and analysis of your specimen(s)?

    This gives you clear, documented permission to test and process samples. It protects your program and reduces challenges or refusals.

  2. Which test methods and panels do you authorize (urine, saliva, hair, breath; 5-panel, 10-panel)?

    Being specific prevents confusion about what will be tested. It also helps labs follow the right protocol without delays.

  3. Who may receive your results (employer, MRO, and named contacts), and how may we contact them?

    Explicit release and recipient details keep you compliant with privacy rules. You avoid misdirected reports and speed up decision-making.

  4. What is your legal name, date of birth, and government-issued ID type and number?

    Identity verification supports chain-of-custody and prevents mix-ups. It ensures the right results are matched to the right person.

  5. Have you read the testing policy and understand the consequences for refusal, tampering, or a positive result?

    Confirmation shows informed consent and sets expectations. It reduces disputes later and supports fair, consistent enforcement.

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