Drug and Alcohol Test Consent Form

The drug and alcohol test consent form allows a 3rd party, usually an employer, to conduct a quick medical examination. The test will usually require the patient to supply a hair or urine sample. Afterwards the results of the test will be made known to the patient and, if positive, the employee or individual who’s been tested may face consequences if the company operates a drug-free work environment.

Random Drug Testing Consent (Adobe PDF, Microsoft Word) – For an employee that allows themselves to be drug tested at random.

How to Write

Step 1 – Download in Adobe PDF or Microsoft Word (.docx).

Drug and Alcohol Test Consent Form – Adobe PDF – MS Word

Step 2 – Enter your name at the top and that of the company. Ensure you read through the entirety of the form before providing any information however.

Step 3 – Before you print off the document and hand it back to your employer, HR officer, or whoever is performing the drug test, supply the following info:

• Signature (once printed)
• Date
• Name
• Street address
• SSN
• Home phone number
• Email address
• Zip code