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Federal Drug Testing Custody and Control Form

Email address: Daytime Phone No. ( ) Evening Phone No. ( ) Date of Birth / / (Mo/Day/Yr) After the Medical Review Offc r receives the test results for the specimen id ntif d by this form, he/she may contact you to ask about prescriptions and over-the-counter medications you may have taken.Therefore, you may want to make a list of those ...

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