Clinic Test Appointment

Clinic Test Appointments

Upon submitting this form ParaMed Plus will send the required forms to the appropriate collection site for the test(s) you indicate below. Most clinic tests are performed on a walk-in basis.

Please have your employee wait to show up for their test at the specified site until you receive a confirmation email from ParaMed Plus with further instructions.

Please contact us if you have not received a confirmation via email within 24 hrs during normal business hours.
Company
Designated Employer Representative (DER)

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Driver Name

First NameLast Name
Test(s) Needed

Pre-employmentDOT PhysicalRandom SelectionReasonable SuspicionPost-AccidentFollow up
Driver D.O.B.

MonthDayYear
Required for pre-employment
Driver CDL# & State
Required for pre-employment
Please enter a clinic of your choice or add a location and we'll find the closest clinic for your driver's test(s).
Clinic
Clinic Location
(if applicable)
Or - find a clinic near this location

Street Address

Street Address Line 2

CityState

Zip Code
Todays Date

MonthDayYear
Date
Should be Empty:

Clinic Test Appointments