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.

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A 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 a MRO assessment of a non-negative AOD test or workplace AOD concern - this is usually submitted as a management referral from the employer or manager 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 the requester of the assessment.

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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.

*By submitting the referral, I confirm all documentation provided for review has been lawfully obtained and distributed. I confirm consent is provided by the requester for the MRO to obtain any relevant testing or results documentation for the purpose of conducting the MRO assessment, including auditing and providing an MRO verified report

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.