Once this information has been received, you will be contacted to process payment and book the appointment.
We can only begin making arrangements for your request upon the return of this form. Please note, all independent testing must be booked within the collection site’s regular business hours. Do not arrive at the collection facility until instructed to do so by a CannAmm agent once the appointment date and time have been confirmed. In addition, payment is required at the time of booking by credit card. We do accept pre-paid credit cards.
Independent Request Form For Drug and Alcohol Testing Services
"*" indicates required fields
Additional Information
** Test type selections include the Canadian Model V6.1 drugs and respective cut-off levels below.
Canadian Model V6.1 Requirements
Panel Drug Test |
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EXPRESS URINE: 5 Panel (Semi-Syn OPI) (Urine only) |
5 Panel (Semi-Syn OPI) (Urine and Oral Fluid) |
5 Panel (Semi-Syn OPI) + Fentanyl (Urine only)
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10 Panel (Semi-Syn OPI) (Urine only) |
12 Panel (Semi-Syn OPI) (Urine and Oral Fluid) |
12 Panel (Semi-Syn OPI) + Fentanyl (Urine only)
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IllicitSubstancesTested For |
Marijuana (THC) |
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Cocaine |
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Amphetamine/ Methamphetamine |
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MDMA (ecstasy) |
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Opiates (Codeine/Morphine) |
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6-Acetylmorphine (Heroin) |
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Phencyclidine (PCP) |
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Hydrocodone/ Hydromorphone |
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Oxycodone |
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Oxymorphone |
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Benzodiazepines |
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Barbiturates |
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Methadone |
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Propoxyphene |
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Methaqualone |
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Fentanyl |
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Compliance Category |
Independent Test Type |
Construction Owners Association of Alberta Canadian Model V6.1 (COAA V6.1) Compliant | URINE: 5 Panel (Semi-Syn OPI) & Breath |
ORAL FLUID: 5 Panel (Semi-Syn OPI) & Breath | |
CLRA-BC Compliant- BC Policy | ORAL FLUID: CLRA-BC Panel (Oral Fluid) w/ Breath Alcohol |
COAA V6.1 Compliant with Additional Drugs | ORAL FLUID: 12 Panel (Semi-Syn OPI) & Breath |
URINE: 5 Panel (Semi-Syn OPI) + Fentanyl & Breath | |
URINE: 10 Panel (Semi-Syn OPI) & Breath | |
URINE: 12 Panel (Semi-Syn OPI) & Breath | |
URINE: 12 Panel (Semi-Syn OPI) + Fentanyl & Breath | |
Imperial Oil Compliant | URINE: 10 PANEL (IOL) & Breath |
Other Options (NOT COMPLIANT TO BOTH COAA V6.1 & BC POLICY) | EXPRESS URINE: 5 Panel (Semi-Syn OPI) & Breath |
EXPRESS URINE: 12 Panel (Semi-Syn OPI) & Breath |
Test Method Not Recognized Under the Canadian Model V6.1
*Note: currently there is no instant oral fluid device with FDA approval that also tests to the approved cut-off levels.
Receiving Results
Important Information For Appointment