DO YOU REQUIRE DRUG TESTING?

Dr Douglas Cook offers full service drug testing for businesses,

companies, corporations, and DOT.
Services Provided are as follows:

• Certified Drug & Alcohol Screen Collectors

• Dot Urine Drug Screen Collections
• Non-Dot Urine Drug Screen Collections
• Breath Alcohol Collections
• Hair Analysis Collections
• After Hour Collections
• COMPLETE DOT PHYSICAL EXAMS
• On sit x-ray Interpretation
• Lung Capacity Testing
• Complete Blood Work
• Hernia Checks
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We have certified technicians on staff Monday – Thursday 8:30 – 5:00, Friday 8:30 – 3:00
Dr Douglas B. Cook, DC, Dr. Marvin Schlichting, DC, Dr. Andrew Harris, DC, Pam Rich, LPN,
Michele Adler

Company Information Requesting Services

Company Name___________________________________________________________

Address _________________________________________________________________

City _______________________State___________Zip Code_______________________

Contact Person (s)__________________________________________________________

Phone: _______________________Fax:________________________________________

Email_________________________________

X____________________________________ Date: _________________

Authorized Company Representative

* Please fax completed form to Dr. Cook’s Office at (580) 774-2843