Name: Physicals and DOT Medical Cards
SKU: PHY
Availability: InStock

Physicals and DOT Medical Cards

$125.00

"*" indicates required fields

Type of Exam*

DOT with Medical Card

Non-DOT

Employer Name*

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Page ID (Do Not Delete)

Full Name*

First Last

ID Number*

Last 6 of SSN, Drivers License Number, Employee ID, Passport # or Military ID

Date of Birth*

Employee Email Address*

Evening Phone*

Day Phone*

Address*

We will schedule your exam at a location as close as possible to you. Please provide an address for that purpose.

Street Address Address Line 2 City State ZIP Code

Before booking your appointment we will confirm our closest in-network location with you.
In the event our closest in-network location is not acceptable, we will either offer an out-of-network option ($39 extra), or refund your payment.
Cancellations subject to a $25 cancellation fee.

ePhysical Reason*

Comments

Use this field to write any comments/message you have for the order.

Need a Drug Test Too? (DOT)

5 Panel DOT Drug Test ($82)

5 Panel DOT Like ($82)

If selected, we will select Pre-employment as the Reason for the test. If it's a different reason, please enter in the comments section.

Need a Drug Test Too? (Non-DOT)

5 Panel DOT Like ($82)

5 Panel Urine ($75)

10 Panel Urine ($75)

If selected, we will select Pre-employment as the Reason for the test. If it's a different reason, please enter in the comments section.

Comments

5 Panel DOT Drug Test

Price:

5 Panel DOT Like

Price:

5 Panel DOT Like

Price:

5 Panel Urine

Price:

10 Panel Urine

Price:

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Physical & DOT Medical Card
DOT Drug Test
Total

SKU: PHY Category: DOT Compliance

Description
Additional information

Description

DOT or non DOT pre-employment physical at a location near you.

Additional information

DOT or Non-DOT	Non DOT
Lab	Alere