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Substance Abuse Urgent Care resume in Dallas, TX, 75225 - April 2024

T Other

Type of Substance Abuse Testing

T Preplacement T Reasonable cause

T Post-accident T Random

T Follow-up

Special instructions/comments:

Authorized by: Title: Please print

Phone: Date

Employer: Date of Birth: Location Number:

Work Related Physical Examination

T Injury T Illness T...


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