Drug & Alcohol Testing

The Zakim Bridge

Drug Testing

Dr. John Burress, Principal, identified and encouraged the addition of Fentanyl to drug testing panels in 2017. This change has been acknowledged by Harvard University and fentanyl drug testing has been incorporated into the Harvard Safety Handbook documenting standard testing procedures.

Burress J, Swotinsky R; Reasonable Suspicion: Fentanyl Case Report and Discussion; ACOEM MRO Newsletter, July 2017.

DOT Drug Testing Options

All of our clinicians are certified in DOT drug and alcohol testing.  Certification in drug and alcohol testing is required by the Department of Transportation (49 CFR Part 40.33).  Recertification is required every 5 years.

OccMedCIC provides the following services:

  • DOT Collection Only: when your company has a contracted lab and Medical Review Officer (MRO) for Federal DOT drug screens, but your driver is not near a designated location, we can help.  Send the driver with your Federal Chain of Custody Form (CCF) or send a few of your CCFs to us and we will perform the drug screen and send it to your designated lab for testing.  Results will be sent to your Medical Review Officer.
  • DOT Drug Screen with our MRO: OccMedCIC’s physicians are certified Medical Review Officers.  Request a DOT Drug Screen with our MRO when you are not contracted with a lab or other MRO.  We will set up your company in our database, perform the drug screen and report the results to your Designated Employer Representative (DER)
  • DOT Observed Specimen: An observed specimen is obtained only as per the procedures outlined in 49 CFR Part 40.  OccMedCIC has a process in place to perform this test as per DOT regulations.
  • Non-DOT Drug Testing Options with our MRO can be formatted to your company’s testing requirements.  The panels that are most often requested are:
    • nonDOT 10 Panel (Marijuana, Amphetamines, Cocaine, Opiates, PCP, MDMA, Oxycodone, Barbiturates, Benzodiazepines, Methadone, Methaqualone & Propoxyphene)
    • nonDOT 12 Panel (10 panel including Hydrocodone, Hydromorphone and Oxycodone)
    • nonDOT 12 Panel with Fentanyl and Ketamine
    • Rapid Drug Screens are completed and resulted within 1 hour of the drug screen.  These are most often requested with a post-offer physical exam.  We offer a 6-Panel and a 12-Panel Rapid Drug Screen test.  Lab confirmation is required for any non-negative Rapid drug screen result.
    • NonDOT Collection Only: when your company has a contracted lab and Medical Review Officer (MRO) for non-Federal, non-DOT drug screens but your driver is not near a designated location, we can help.  Send the driver with your Non-Federal Chain of Custody Form (CCF) or send a few of your Non-Federal CCFs to us and we will perform the drug screen and send it to your designated lab for testing.  Results will be sent to your Medical Review Officer.

In general, results on drug screens that are sent to the lab for testing are available within three business days. Our MROs comply with Federal DOT regulations regarding validating positive drug screen results.  This usually takes approximately seven days extra.  Our team of medical assistants monitors results daily.

Alcohol Testing

Breath Alcohol Testing

  • nonDOT Breath Alcohol Testing
  • DOT Breath Alcohol Testing