Blood & Drug Testing.
CHOOSE SERVICE NEEDED FROM LIST BELOW.
Donor's Name ( Who's Being Tested)
First Name
Last Name
Date Of Birth
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Last Four Of Social Security#:
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
WHAT (DRUG) TESTING SERVICE DO YOU NEED?
Please Select
Regular 5 Panel/ ETG Drug Test (Mobile)
Regular 10 Panel/ETG Drug Test (Mobile)
Regular 5 Panel/ ETG Drug Test
Regular 10 Panel/ETG Drug Test
5 Panel DOT Test
5 to 10 Panel Hair Test
Other
What Type Of Drug test do You need? Mobile Services Also Available
WHAT (BLOOD) TESTING SERVICE DO YOU NEED?
Please Select
NA
Cardio Fitness Blood Panel $350.00 (Athletes)
Chlamydia $ 59.00
Chlamydia & Gonorrhea $169.00
Gonorrhea $109.00
Hepatitis A $ 54.00
Hepatitis B $ 54.00
Hepatitis C $ 54.00
Herpes I $ 65.00
Herpes II $ 69.00
Syphilis $ 69.00
Other Blood Tests Available:
Where are we sending your results?
For Drug Testing We Can Send Results To You Or Your Lawyer or both.
Send Results To:
First Name
Last Name
Email
example@example.com
Testing Services
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( X )
Cardio Fitness Blood Panel $350.00 (Athletes)
Cardio Blood Testing 5 to 8 Tests In Panel
$
350.00
Quantity
1
2
3
4
5
6
7
8
9
10
Legal Shield
https://craig51.wearelegalshield.com/ Protect yourself from Child support for a low cost.
$
26.00
Quantity
1
2
3
4
5
6
7
8
9
10
Regular 10 Panel/ ETG Drug Test (Mobile)
Post Accidents Before 7:00 PM / Increases after 7:00 PM
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Regular 5 Panel/ ETG Drug Test
County & School Drug Testing 7:00 PM / Available After Hours
$
120.00
Quantity
1
2
3
4
5
6
7
8
9
10
Regular 10 Panel/ ETG Drug Test
County & School Drug Testing 7:00 PM / Available After Hours
$
135.00
Quantity
1
2
3
4
5
6
7
8
9
10
5 Panel DOT Test
$
140.00
Quantity
1
2
3
4
5
6
7
8
9
10
5 to 10 Panel Hair Test
$
145.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Send Results to this Email:
example@example.com
Send Results to this Email:
example@example.com
Signature
*
Please Up Load A Copy of Your ID For Drug Test:
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