Medium

Available on

Apple Android Windows

Drug Testing Lab Report Mobile App

This Drug Testing Lab Report contains nine sheets: Account Information, Diagnosis Codes, Patient Information, Photo Log, Patient Authorization, Point-Of-Care Results & Order Tests, Prescribed Medications, Tests, and Additional Comments or Special Instructions. Medications include: Fioricet, Flexeril, Gabapentin, Halcion, Hydrocodone, Hydromorphone, Kadian, Klonopin, and many more. This application includes a photo log to capture driver's licenses and insurance cards. The Patient Authorization can also be changed to meet your laboratory's needs.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Drug Testing Lab Report Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico date

    Date Collected

  • Ico time

    Time Collected

  • Ico textbox

    Collector Name

  • Ico dropdown

    Tempurature read within 4 minutes, and is in range of 32.

  • Ico decimal

    If no, actual temp.

  • Ico dropdown

    Bill to

  • Ico textbox

    Other

  • Ico textbox

    Member/insured ID#

  • Ico textbox

    Group #

  • Ico textbox

    Name of insured/Responsible party

  • Ico textbox

    Diagnosis Codes (enter all that apply)

  • Ico textbox

    Last name

  • Ico textbox

    First name

  • Ico textbox

    MI

  • Ico dropdown

    Sex

  • Ico date

    Date of birth

  • Ico textbox

    SS/AR #

  • Ico textbox

    Street address

  • Ico textbox

    City

  • Ico dropdown

    State

  • Ico textbox

    Zip

  • Ico integer

    Phone number

  • Ico textbox

    Patient # / EMR #

  • Ico camera

    Front

  • Ico camera

    Back

  • Ico multiline

    Notes

  • Ico dropdown

    Item

  • Ico checkbox

    Consent/Insurance Release: I voluntarily consent to the collection and testing of my specimen and...

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