Confidential Toxicology Enquiry

Our qualified forensic toxicologist can assess your medication, supplements, and over-the-counter (OTC) medication to help clarify workplace drug test results. This service is strictly confidential – no information will be shared with your employer.

Complete your details below and provide any relevant medication information. We’ll review your enquiry and respond with a professional toxicology opinion. (Your information will remain strictly confidential and will not be shared with your employer.)

Name(Required)

Given Surname

Email(Required)

Phone

State(Required)

Legislation varies in different states.

Section 2 - Privacy Disclosure

Notice: The information provided here is classified as Sensitive Personal Information. It will only be used for toxicology review purposes and will not be disclosed to your employer.

Medication Disclosure (Confidential)

Please Indicate if your Enquiry is Related To:

Self-Disclosure (Employee reported before test)

Post-Test Verification (Reviewing result after non-negative)

Other - please list information in comments below

Reported Medication

(Please list all prescription medications, over-the-counter products, and supplements you are currently taking.)

Dosage & Frequency

(Please include the strength, amount, and timing of each medication. For example: “10mg, once daily at 8 PM.”)

Duration of Prescription

(Please enter the start and end dates for your prescription. For example: “01/12/2025 – 15/01/2026.”)

Additional Comments for Medication Enquiries

Optional – Contact Other Areas of Our Business

Please let us know if you’d like to hear from other teams:

I would like the Sales Team to contact me for additional services or product information.

I would like the Training Team to contact me for additional services or product information.

No thank you. Just confidential toxicology assistance at this stage.

Any other additional notes or comments

Confidential Toxicology Enquiry