Clinic-based drug tests

The goal of clinic-based drug tests is to reduce the costs and risks of drug use in the workplace. 

Checkr partners with eScreen to offer clinic-based drug test options. To add drug test to your account, contact Checkr. You can order your first test about 7-10 business days after you add drug tests to your account.

This article has the sections below:

• Substances tested
• Collection process
• Results
• Candidate experience

Substances tested

The most common panels include the tests below:

If you need a more specific panel, contact Checkr. 

Collection process

The sample collection process follows the workflow below:

1. You send an invitation to the candidate.
2. The candidate selects a test location and receives their test pass.
3. The candidate contacts the clinic to schedule their appointment.
4. The candidate completes their appointment before the pass expires. If you need to, you can update the clinic location for the candidate or send an updated pass from their report in the Checkr Dashboard.
5. After the test, the clinic submits a sample to the lab. The lab processes the sample and submits the results to eScreen. A certified medical review officer (MRO) reviews the results.
6. Final results appear on the Checkr Dashboard for your review.

Medical review officer (MRO) process for non-DOT drug tests

An eScreen medical review officer reviews drug test results. Non-negative results (such as pending results or inconclusive results) require additional followup with the candidate. The process includes the steps below:

1. The MRO reviews the result with the candidate. 
2. The MRO determines whether the candidate takes prescription medications that would show evidence of the tested substance. If needed, the MRO verifies that prescription with the pharmacy. 
3. If the MRO needs to contact the candidate, they make 3 attempts within 1 business day.
   If the MRO can't contact the candidate during this time, results don’t change for an additional 72 business hours to give the candidate time to respond.
   If the candidate doesn't respond, the result appears in the final report as “Positive-UTCD” (Unable To Contact Donor).

This process is specific to non-DOT (Department of Transportation) drug tests. Help me understand MRO reviewed results of a drug test.

Results

Checkr usually shows results within 3 days of the candidate completing the appointment. MRO review extends the average turnaround time up to 10 business days. 

To prevent delays, work with your candidate to ensure:

• The candidate calls the clinic to confirm the appointment. 
• The candidate downloads the test pass and brings it to the appointment. Completing the test requires the test pass. The clinic can't help with lost or misplaced passes. 
• The MRO follow-up happens promptly.

To review results, open the candidate’s report and click Health test. For more details, you can also download the Health test PDF from the Report information section of the candidate's report.

Checkr receives results as negative or positive:

• Negative indicates that the test showed no evidence of the tested substance.
• Positive indicates that the test showed evidence of one or more of the tested substances.

Get help

Checkr can't expedite reports for drug tests. Checkr also can't change a test's result. If a candidate wants to dispute drug test results, they can contact the MRO directly at 888-382-2281. 

For more information, refer to What if the candidate challenges the results of their drug test?

Visit the Drug tests section of the Help Center for answers to common questions. 

Contact Checkr about the topics below:

• How to find a clinic near the candidate
• Report status questions

Candidate experience

After receiving the invitation, the candidate does the steps below:

1. Enter personal information.
2. Acknowledge receipt of applicable forms and authorizations, including those below:
   • Summary of Your Rights Under the Fair Credit Reporting Act (FCRA)
   • Acknowledgment and authorization for a background check
   • Other state and required disclosures as applicable
3. Consent to the test.
4. Select a test location.
5. Confirm the appointment with the clinic, and schedule the test before the listed date.
6. Download and print the pass.
7. Bring the pass to the clinic for the test.