Join Us - AsapScreens App

Step 1
Step 2
Step 3

Step 1

Primary Contact

Business Name

Phone

Fax

Email

Address

City

State

ZIP Code

Step 2

Do you have qualified DOT urine specimen Collectors?*

Do you have qualified DOT breath alcohol technicians?*

Do you perform hair collections?

Do you stock instant rapid test kits?

Are you a Quest PPN?

Are you an e-screen provider?

Do you have FormFox installed and collect orders in FormFox?

Step 3

Which of these labs do you collect for?

LabCorp

Quest

Alere

Medtox

CRL

eScreen

Omega

Join Our Collector Network

Step 2

Step 3

Step 1

Primary Contact

Business Name

Phone

Fax

Email

Address

City

State

ZIP Code

Step 2

Do you have qualified DOT urine specimen Collectors?*

Do you have qualified DOT breath alcohol technicians?*

Do you perform hair collections?

Do you stock instant rapid test kits?

Are you a Quest PPN?

Are you an e-screen provider?

Do you have FormFox installed and collect orders in FormFox?

Step 3

Which of these labs do you collect for?

Do you do on-site mobile collections?

Do you work 24/7?

Do you have a phone # to call for after-hours collection?

What are your office hours for collections?

What is your POCT Fee?

What Is Your Hair Collection Only Fee?

What Is Your Urine Collection Only Fee?

Join Our Collector Network

Step 2

Step 3

Step 1

Primary Contact

Business Name

Phone

Fax

Email

Address

City

State

ZIP Code

Step 2

Do you have qualified DOT urine specimen Collectors?*

Do you have qualified DOT breath alcohol technicians?*

Do you perform hair collections?

Do you stock instant rapid test kits?

Are you a Quest PPN?

Are you an e-screen provider?

Do you have FormFox installed and collect orders in FormFox?

Step 3

Which of these labs do you collect for?

Do you do on-site mobile collections?

Do you work 24/7?

Do you have a phone # to call for after-hours collection?

What are your office hours for collections?

What is your POCT Fee?

What Is Your Hair Collection Only Fee?

What Is Your Urine Collection Only Fee?

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