SPORTS III EXP + DIURETICS

$342.00

Additional information

Substances Tested	Steroids

Anabolic Androgenic Agents:

1-Testosterone &/or Metabolite/ 1-Androstendiol/ 1-Androstendione Bolasterone Metabolite
Boldenone/ Boldione/ Quinbolone Metabolite
Calusterone Metabolite
Clenbuterol
Clostebol Metabolite
Danazol/ Ethisterone &/or Metabolite Dehydrochloromethyltestosterone (DHCMT) Metabolite Dihydrotestosterone/ Drostandiol &/or Metabolite Desoxymethyltestosterone
Metabolite
Drostanolone &/or Metabolite
Estra-4,9-dien-3,17-dione Metabolite
Fluoxymesterone Metabolite
Formebolone Metabolite
Furazabol Metabolite
4-Hydroxytestosterone/ Formestane Metabolite 6a-Methylandrostendione Metabolite
Mestanolone Metabolite
Mesterolone &/or Metabolite
Methandrostenolone (Methandienone, Dianabol) Metabolite Methandriol &/or Metabolite
Methasterone Metabolite
Methenolone &/or Metabolite
Methylnortestosterone Metabolite
Methyltestosterone Metabolite
Methyl-1-testosterone &/or Metabolite
Mibolerone &/or Metabolite
Nandrolone/ 19-Norandrostendione/ 19-Norandrostendiol Metabolite Norclostebol Metabolite
Norethandrolone/ Ethylestrenol Metabolite
Oxabolone Metabolite
Oxandrolone &/or Metabolite
Oxymesterone
Oxymetholone Metabolite
Prostanozol Metabolite
Stanozolol Metabolite,
Stenbolone &/or Metabolite
Testolactone Metabolite
Testosterone/ Androstendione/ Androstendiol/ DHEA (T/E Ratio >6) Trenbolone Metabolite

Masking Agents:

Probenecid
Epitestosterone (> 200 ng/mL)

Diuretics:

Acetazolamide
Bendroflumethiazide
Bumetanide
Canrenone/Spironolactone
Chlorothiazide
Chlorthalidone
Clopamide
Cyclothiazide
Dichlorphenamide
Ethacrynic Acid
Furosemide
Hydrochlorothiazide
Hydroflumethiazide
Polythiazide
Quinethazone
Trichlormethiazide

This field is hidden when viewing the form

Test Ordered

This field is hidden when viewing the form

Woo Product Category(Required)

This field is hidden when viewing the form

Test Name(Required)

This field is hidden when viewing the form

DOT or Non DOT

This field is hidden when viewing the form

Woo Product ID(Required)

This field is hidden when viewing the form

Age

Donor Information

The Donor is the person to be tested.

Drug testing services are unavailable for individuals under 18 years of age.

Select DOT Agency(Required)

CDL number(Required)

(For specimen tracking purposes)

State of Issuance(Required)

Donor Name(Required)

First Last

Must match ID

Phone(Required)

Date of Birth(Required)

Last 6 of SSN/ CDL Number(Required)

FOR FMCSA, PROVIDE CDL NUMBER AND STATE OF ISSUANCE. FOR NON-FMCSA, ANY UNIQUE NUMBER (E.G. CELL NUMBER) MAY BE USED.

Reason for Test(Required)

Remarks

Direct observation fee will be added to this order
Direct observation means that a same-sex observer goes into the bathroom with the donor for a urine collection. It is a manual process to locate a site with an available observer which may cause a delay in receiving your donor pass.

Does this test need to be directly observed?

Yes

This means that a same-sex observer goes into the bathroom with the donor for a urine collection. It is a manual process to locate a site with an available observer which may cause a delay in receiving your donor pass. THIS OPTION APPLIES ONLY TO URINE TESTS.

Choose One(Required)

Male Observer

Female Observer

Return to Duty and Follow Up Drug Tests are under direct observation as per DOT rules.

Address(Required)

Will be used to locate the closest testing location, or, for Proctored Oral Fluid tests, where the kit will be shipped.

Street Address Address Line 2 City State ZIP Code

Other Reason for Test

Hair Collection
Hair tests are typically cut from the scalp. In cases where enough head hair is not available, body hair (arms, underarms, chest, leg) can often be used. Not all collection sites will collect body hair.

Can Donor Provide Head Hair (min 2 inches)?(Required)

Yes

Results Delivery

You may have results sent to more than one individual. We receive them automatically, so do not enter our info.

Details for Results Delivery

How should we send the results?	Email address to send results	Who should we address the email to?	Fax number to send results	Who should we attention the fax to?	Actions

There are no Entries.

This field is hidden when viewing the form

How should we send the results?(Required)

This field is hidden when viewing the form

Email address to send results(Required)

This field is hidden when viewing the form

Fax number to send results(Required)

This field is hidden when viewing the form

To whose attention (fax)?(Required)

Test Requisition

The test requisition is the order for the test. If you are ordering for yourself, enter your information. If you are ordering a Proctored Oral Fluid test make sure to provide the Donor's email address, as that is where all of the notifications will go.

This field is hidden when viewing the form

Please send the test requisition form to:(Required)

Donor

Someone else

Following Persons will Receive Test Requisition

Name	Email address	Mobile Number	Actions

There are no Entries.

Test requisition form will be emailed to {Email:4}

Email address(Required)

Direct Observation Fee

Price:

Total

Subtotal
Extra
Total

847-657-7900

[email protected]

SPORTS III EXP + DIURETICS

Additional information

Test Ordered

Donor Information

Drug testing services are unavailable for individuals under 18 years of age.

Results Delivery

Test Requisition

Phone

Email

Testing Center