SPORTS III EXP + DIURETICS

$342.00

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

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Test Ordered

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Test Name(Required)

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Woo Product ID(Required)

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Panel Code(Required)

Donor Information

Select DOT Agency(Required)

CDL number(Required)

(For specimen tracking purposes)

State of Issuance(Required)

Donor Name(Required)

First Last

Phone(Required)

Date of Birth(Required)

Last 6 of SSN/ CDL Number(Required)

FOR FMCSA, PROVIDE CDL NUMBER AND STATE OF ISSUANCE.

Reason for Test(Required)

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.

Choose One(Required)

Male Observer

Female Observer

Return to Duty and Follow Up Drug Tests are under 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?(Required)

Yes

Results Delivery

Details for Results Delivery

How should we send the results?	Email address to send results	Fax number to send results	Actions

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How should we send the results?(Required)

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Email address to send results(Required)

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Fax number to send results(Required)

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Who should we attention the fax to?(Required)

Test Requisition

The test requisition is the order for the test. 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.

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Please send the test requisition form to:(Required)

Donor

Someone else

Following Persons will Receive Test Requisition

Name	Email address	Mobile Number	Actions

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

Email address(Required)

Direct Observation Fee

Price:

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