Clinic-based drug screenings

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

Checkr partners with eScreen to offer clinic-based drug screening options. To add drug screening to your account, contact Checkr. You can order your first screening about 7-10 business days after you add drug screenings 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 screening location and receives their screening 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 screenings

An eScreen medical review officer reviews drug screening 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 screenings. Help me understand MRO reviewed results of a drug screening.

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 screening pass and brings it to the appointment. Completing the screening requires the screening 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 Screening. For more details, you can also download the Health Screening PDF from the Report information section of the candidate's report.

Checkr receives results as negative or positive:

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

Get help

Checkr can't expedite reports for drug screenings. Checkr also can't change a screening's result. If a candidate wants to dispute drug screening 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 screening?

Visit Checkr’s Drug and Occupational Health FAQs 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 notifications, 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 screening. 
4. Select a screening location. 
5. Confirm the appointment with the clinic, and schedule the screening before the listed date.
6. Download and print the pass.
7. Bring the pass to the clinic for the test.