Please use this form for requesting an assessment and opinion to be conducted by a Medical Review Officer (MRO) following an Alcohol and Other Drug (AOD) test.

===

An MRO (Medical Review Officer) assessment and verification report is usually requested after any non-negative AOD test result or workplace AOD concerns in personnel. It involves an MRO reviewing, auditing & verifying any lab results, clinically assessing the donor, and if indicated, speaking with their treatments providers to review any medical conditions or prescription medications.

A typical MRO assessment process is as follows:

• A referral is made requesting for an MRO assessment of a non-negative AOD test or workplace AOD concern - this is usually submitted as a management referral from the employer, manager, or representing solictor of the personnel involved
• The MRO will review and validate any test results - this may involve contacting the administering testing service and/or testing laboratory
• The MRO will contact the donor to perform a clinical review and if applicable, contact the donor's treatment providers to review and validate any clinical information relevant to the case
• A MRO report will be produced with a MRO-verified outcome result and recommendations. This will be provided directly to the requester and/or entity commissioning the report
• The process of MRO verification and reporting usually takes around 2-3 days, depending on the availability to schedule a review with the donor and liaising with relevant parties

Please note - the scope for a MRO review is for independent verification and validation of an AOD outcome or concern. Whilst some recommendations are provided, it does not encompass a comprehensive fitness for work (FFW) assessment which is a more complex assessment and would need assessment of the personnel's role as well as other considerations such as the organisation's Alcohol & Other Drug (AOD) policy. A formal MRO report is a legal document which, if required, may be presented in a legal setting. The associated costs of the MRO review are invoiced to and payable by the requester of the assessment.

*An MRO report can only be comissioned by an authorised requester such as the employing PCBU, or a legal representative of the donor. 

===

For more information regarding MRO assessments or for other quieries relating to AOD policy, testing, or implementation, please refer to our website https://sabrehealthclinic.com/alcohol-drug-management or email MRO@sabrehealth.co.nz directly.

Details of the Referral:

Please provide as much detail as possible pertaining to the referral, for example:

• Circumstances leading to the requirement for the MRO assessment
• Type and outcome of AOD testing performed (eg. Random, Post-Incident, Reasonable-Cause etc)
• Supporting clinical or employment related information
• Employer specific questions or concerns to be answered in the MRO report

Supporting Documentation:

The MRO assessment will involve reviewing and validating supporting documentation.

Typical documents provided in a referral include:

• Testing Agency Documents (Eg: TDDA 1.1 and 1.2 form - or equivalent AOD Chain of Custody Forms)
• Laboratory results and analysis report (Eg: Hill Laboratory Certificate of Analysis)
• Clinical Notes, Treatment Provider Documents/Correspondence, Relevant Prescriptions
• Safety / Incident / Investigation Reports (if applicable)
• Employee/Personnel ID - for confirmation of identity during review
• JTA/PD/Role Descriptions (if applicable - for safety-sensitive roles)
• Any other relevant documents to be considered in the MRO assessment

Please get in contact with us at MRO@sabrehealth.co.nz if further clarification regarding supporting documentation is required.