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About Us
Services
Employer Protocol
Employer Authorizations
Locations
Contact Us
Cart
0
Home
About Us
Services
Employer Protocol
Employer Authorizations
Locations
Contact Us
Covington (985) 892-3360 • Franklinton (985) 839-2200
Employer Protocol
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Company Name
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Company Address
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Contact Name
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First Name
Last Name
Contact Email
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Contact Phone
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Invoicing/AP Email
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Physicals
DOT Physicals (CDL)
Non-DOT Physicals
Coast Guard Physicals
Agility Testing
Functional Capacity Testing
Drug Screens
Non-DOT (Our house account)
DOT (Our house account)
Hair Drug Screens (Our house account)
Collections Only (Your COC)
Instant 10 Screens
Instant 12 Screens
Hair Collections
Oral Collections
Breath Alcohol Testing
Non-DOT
DOT
Other Occupational Services
Audiograms
Pulmonary Function Testing
Qualitative Fit Testing (Company supplied mask)
Qualitative Fit Testing (Clinic supplied mask)
Quantitative Fit Testing
EKG's
Xrays
Bloodwork
Vaccines (TDAP or FLU)
Visual Acuity (Snellen)
Color Vision (Ishihara)
Other service (Specify test(s) in box below)
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