Consent to Drug Test
I hereby consent to undergo drug testing as requested by my employer, [Company Name], as part of the company's substance abuse policy. I understand that this test will be conducted by a qualified medical professional or a designated laboratory and may include the collection of urine, blood, saliva, hair, or other bodily fluids as deemed necessary.
Acknowledge and Agreement
I acknowledge and understand the following:
1. Purpose of the Test: The primary purpose of this drug test is to maintain a safe, productive, and drug-free workplace environment. The results of this test may be used to determine my employment status, including, but not limited to, hiring decisions, continued employment, or disciplinary action.
2. Test Results: I understand that the results of the drug test will be kept confidential and will only be disclosed to authorized personnel. I also understand that I have the right to receive a copy of the test results upon request.
3. Right to Refuse: I understand that I have the right to refuse to take the drug test. However, I acknowledge that refusal to submit to the test may result in disciplinary action, including termination of employment, as per the company's policies.
4. Positive Test Results: I understand that if the results of the drug test are positive, I may be subject to disciplinary action, up to and including termination of employment, in accordance with the company's policies.
5. Retesting: In the event of a positive result, I understand that I have the right to request a retest of the same sample at a laboratory of my choice and at my own expense, within a reasonable time frame.
6. Consent to Release Information: I authorize the testing laboratory and/or medical professional to release the results of my drug test to the company's designated representative.
Employee Certification
By signing below, I certify that I have read, understood, and voluntarily agree to the terms of this consent form.