Drug and occupational health

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. 

Visit the Drug and occupational health 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.

Occupational health screenings help you evaluate your candidates’ fitness for certain jobs. Checkr’s partner, eScreen, offers screenings in the categories below.

• Drug use
• Hearing & vision
• Immunizations
• Respiratory and pulmonary function
• Tuberculosis (TB)
• X-rays

Some locations have laws about occupational health screenings and employment. Consult your legal counsel about your compliance obligations.

Ordering

To add occupational health screenings to your account, contact Checkr. You can order your first occupational health screening 7-10 business days after Checkr adds them to your account. You can order drug and occupational health screenings separately or together.

Occupational health screenings are available as standalone searches and as add-ons. To add occupational health screenings as a standalone search, contact Checkr.

Screening process

Most occupational health screenings follow the process below: 

1. Checkr emails the candidate, inviting them to complete the screening.
2. The candidate selects a screening location and prints their screening pass.
3. The candidate contacts the screening location to schedule their appointment.
4. The candidate completes their screening before the screening pass expires. 
   • If necessary, you can update the screening location for the candidate. You can also send the candidate an updated screening pass from “Pending reports” in the Checkr Dashboard.
5. The screening location sends the results to Checkr’s vendor, eScreen. eScreen does administrative review of occupational health screenings to ensure that they’re complete. If results are incomplete, eScreen contacts the clinic for corrections.
6. Review the screening results in the Checkr Dashboard.

If a screening is delayed because of missing paperwork, Checkr contacts the candidate to request the necessary documents.

Review screening results

To review results, open the candidate’s report and select Health Screening. You can also download a more detailed screening report from the "Report information" section of the candidate's report.

Turnaround time 

After the candidate completes their screening, the average turnaround time to receive the result is less than 3 days. To prevent delays, ensure that your candidate calls the screening location to verify availability and has their screening pass.

Screening locations that keep electronic records complete screenings faster than those that keep paper records.

Candidate experience

The candidate provides the personally identifying information (PII) below:

• Birth date
• Email address
• Full name
• Phone number
• Social Security number (SSN)

The candidate then reads and acknowledges receipt of applicable forms and authorizations:

• A Summary of Your Rights Under the Fair Credit Reporting Act (FCRA)
• Disclosure Regarding Background Investigation
• Other state and required disclosures as applicable
• Authorization for a background check

After the candidate signs the authorization form, they download and print their screening pass. Candidates must have their screening pass when they report to the screening location for their screening.

If you applied for a job and want to know your background check’s status, log in to the Checkr Candidate Portal.

In the Checkr Dashboard, you can update a candidate's screening pass for a drug test or occupational health screening. 

Select the candidate's situation.

Checkr’s partner eScreen works with a certified medical review officer (MRO) who reviews drug tests. The MRO is a licensed physician with special certification to receive, review, and evaluate drug test results.