General Terms and Conditions

InOut Labs (OOTW, Inc. dba InOut Labs) may update this Agreement from time to time without notice to you. You can review the most current version of the Agreement at any time on the web site. Your continued usage of InOut Labs services will mean you accept those changes. is a website owned by OOTW, Inc. dba InOut Labs.

Last updated 9/15/2023

Testing Procedures: All drug and alcohol testing performed by InOut Labs shall be in accordance with Federal and State laws for non-regulated testing and within SAMHSA guidelines and 49 CFR Part 40 for DOT regulated testing.

Test Results: Client authorizes InOut Labs to act as an intermediary in the transmission of drug and alcohol testing information from Medical Review Officer (MRO) or Breath Alcohol Technician (BAT) to the Client, with the exception of positive alcohol results which will come directly from the BAT.

Confidentiality: Strict confidentiality will be adhered to at all times for the protection of the donor and Client. The only disclosures that will be made will be to Designated Employer Representative(s) (DER), Medical Review Officer (MRO) or laboratory, through written permission of the donor or formal court order, unless required by law or legal action.

Indemnification: The Client shall hold harmless InOut Labs and any certified laboratory, medical review officer (MRO) or collection site providing services to the Client pursuant to this Agreement, from any claim, loss, liability, damage, detriment or obligation arising from any matter other than their willful misconduct or gross negligence.

Attorney Fees: If any contested action is brought to enforce, modify, interpret or void the provisions of this agreement, then the prevailing party shall be entitled to reasonable attorneys’ fees as well as appropriate relief.

Email Communications: We will communicate with you primarily via email, including transmission of test results. As emails can be intercepted, disclosed, used, or otherwise communicated by an unintended third party, or may not be delivered to each of the parties to whom they are directed, we cannot ensure that emails from us will be properly delivered and read only by the addressee. Therefore, we disclaim and waive any liability associated with email communications.

Client is expected to check for email messages regularly. We cannot be responsible if you miss an important notification because you fail to check your email.

Policy on Marijuana: InOut Labs and its service agents follow all DOT guidelines even on Non-DOT specimens. Additionally, we do not accept medical marijuana as a valid reason for a positive test. Client may choose to override the InOut Labs marijuana policy by stating in their company policies that a positive for this test is acceptable, or remove marijuana from the test panel.

Additional Fees – If a test is assessed additional fees by the lab or MRO, Client is responsible for paying them. Results will be released only upon payment.

  • Split specimen drug tests: $250
  • D&L Isomer or 6-MAM Testing $99
  • Additional Test Required: THC-V $225 per test + $25 MRO Review Fee
  • Aliquot Testing $250 per test
  • Interpreter Fee $5 per minute
  • Downgrading a DOT test to NDOT $100
  • Post Accident, After Hours and Direct Observation tests may have additional charges.
  • A collection site or MRO-determined Refusal to Test is a test result, and there are no refunds.
  • Second collections for shy bladder, adulterated, substituted or temperature out of range will be invoiced as non-Random tests.
  • Out-of-Network Collections: $20. Concentra begins at $40 and can be higher depending on the location. Best to avoid.

In-Network vs. Out-of-Network Collections
In-Network drug tests include all collection fees. Examples of In-Network sites are Quest Diagnostics and Labcorp Patient Service Centers, Quest Diagnostics Preferred Partner Network (PPN) sites, and Alere E-Screen collection sites. In-Network sites can generally handle both paper and electronic CCFs.

Out-of- Network sites are used when In-Network sites are inconvenient, unavailable, or a breath alcohol test or direct observation is needed. Paper Custody and Control Forms (CCFs) provided by InOut Labs are required for all out-of-network collections. Examples of out-of-network test sites are Concentra, hospitals, private doctors, many urgent cares facilities, most after hours sites and emergency rooms. Out-of-Network collections have additional costs.

On Site, Short Notice Collections: InOut Labs contracts with a number of on-site collectors who handle our emergency post-accident, reasonable suspicion and other after hours collections. If you call our office after hours at 847-657-7900, you will be connected to the dispatch center. This service is available 24/7/365.

The following fees are in addition to any test fees in the contract.

$150-200/hour, with a 2-hour minimum, including travel time.

On Site Scheduled Collections: Fees are per individual agreement. Contact our office for a quote.

Contesting Positive Drug Test Results: Regulated employees have the right under DOT to contest positive drug test results by having the split specimen tested at a different lab. Split sample test fees are describe above.

Records: InOut Labs will maintain on behalf of the Client certain documentation, including, but not limited to positive test results, negative test results, refusal to test results, custody and control forms (CCFs) and Alcohol Testing Forms (ATFs). InOut Labs provides this service as a convenience to Client and is not the primary repository for Client’s documents. In the event that InOut Labs maintains paperwork on behalf of the client, InOut Labs will provide copies of any requested documentation to client within two (2) business days of request made by the DOT, federal agency, or client.

Expert Witness, Litigation Packages and MRO consultations available. Fees provided upon request.