COLLECTION SITES PROVIDING AFTER HOURS SERVICES COUNTY COLLECTION SITE PROCEDURES/PROTOCOLS ASHLAND SAMARITAN HOSPITAL 1025 CENTER STREET ASHLAND, OH 44805 Phone: 419-289-0491 ASHTABULA ST. JOSEPH EMERGENCY & DIAGNOSTIC CENTER 476 SOUTH MAIN STREET ANDOVER, OH 44003 Phone: 440-293-6111 AUGLAIZE JTDMH OCCUPATIONAL ER 200 ST. CLAIR AVENUE ST. MARY S, OH 45885 Fax: 419-394-9556 CONTACT: JESSICA BROWN @ 419-394-3387 ext. 2177 REASONABLE SUSPICION OR DOT POST ACCIDENT TESTING ONLY (NO RANDOMS OR FOLLOW UPS) For after hours emergency testing (DOT post accident & reasonable suspicion only), employee will need to be escorted to the ER and the accompanying exempt supervisor/manager will tell the ER staff that they are there for a reasonable suspicion drug and/or breath alcohol test. Must bring completed test notification form to the ER and let the ER staff know that there are Alere chain of custody forms there to conduct the test. CHAMPAIGN COMMUNITY MERCY OCCUPATIONAL HEALTH CENTER 904 SCIOTO ST URBANA, OH 43078 Fax: 937-484-6182 CONTACT: MARIANNE STANFILL, NURSE MANAGER After hours random and follow ups (pre-scheduled) Contact Marianne Stanfill @ 937-328-8733 After hours emergency testing (reasonable suspicion/dot post-accident only) through Mercy Memorial Hospital ER After hours random tests must be scheduled in advance during normal business hours. Employer must complete a test notification form and fax to site coordinator. The collection will be conducted through the hospital emergency room. Marianne will arrange for collection supplies to be delivered to emergency room and will instruct the agency on where to send the donor. escorted to the ER and the accompanying exempt supervisor/manager will need to let the ER staff know that they are there for a reasonable suspicion drug and/or breath alcohol test. Must bring completed test notification form to the ER and let the ER staff know that there are Alere chain of custody forms there to conduct the test. Tell coordinator that test must be conducted on an Alere chain of
CLARK CUYAHOGA ERIE COMMUNITY MERCY OCCUPATIONAL HEALTH CENTER 100 MEDICAL CENTER DR SPRINGFIELD, OH 45502 Fax: 937-328-8749 CONTACT: MARIANNE STANFILL, NURSE MANAGER After hours random and follow ups (pre-scheduled) Contact Marianne Stanfill @ 937-328-8733 After hours emergency testing (reasonable suspicion/dot post-accident only) through Springfield Regional Medical Center GLOBAL DRUG TESTING 4425 MAYFIELD RD. CLEVELAND, OH 44121 Fax: 216-297-9046 CONTACT: VANESSA BROWN, CENTER SUPERVISOR 216-297-9036 After hours random and follow ups (pre-scheduled) 216-403-2082 AFTER HOURS EMERGENCY (reasonable suspicion/dot post-accident) FIRELANDS REGIONAL MEDICAL CENTER EMERGENCY ROOM 1031 PIERCE STREET, SUITE A SANDUSKY, OH 44870 Phone: 419-557-7455 After hours random tests must be scheduled in advance during normal business hours. Employer must complete a test notification form and fax to site coordinator. The collection will be conducted through the hospital emergency room. Marianne will arrange for collection supplies to be delivered to emergency room and will instruct the agency on where to send the donor. escorted to the ER and the accompanying exempt supervisor/manager will need to let the ER staff know that they are there for a reasonable suspicion drug and/or breath alcohol test. Must bring completed test notification form to the ER and let the ER staff know that there are Alere chain of custody forms there to conduct the test. Tell coordinator that test must be conducted on an Alere chain of After hours random tests must be scheduled in advance during normal business hours using the main #. Test notification form must be completed and faxed to Vanessa Brown. Test will be conducted at the collection site. For after hours emergency testing, call Vanessa using the afterhours emergency # and tell her what type of test you need conducted. She will give further instructions. The employee will need to be escorted to the site and the accompanying exempt supervisor or manager must complete a test notification form and bring with them to the collection site After hours random testing must be scheduled in advance during normal business hours at the number indicated. Employer must complete a test notification form and fax to collection site. The collection will be conducted through the hospital ER For after hours emergency testing, employee is to be escorted to the ER and the exempt accompanying supervisor/manager will tell the ER staff that they are there for a reasonable suspicion or DOT post accident drug and/or breath alcohol test. A completed test notification form must be brought to the ER
FAIRFIELD FAIRFIELD MEDICAL CENTER 401 NORTH EWING STREET 2ND FLOOR LAB LANCASTER, OH 43130 Fax: 740-653-1694 CONTACT: RACHAEL ELDER OR BRANDY MOORE 740-689-6423 After hours random and follow ups (pre-scheduled) 740-687-8140 AFTER HOURS EMERGENCY GO TO ER After hours random testing must be scheduled in advance during normal business hours. Employer must complete a test notification form and fax to Rachel Elder or Brandy Moore. The collection will be conducted through the hospital ER escorted to the ER and the accompanying exempt supervisor/manager will need to let the ER staff know that they are there for a reasonable suspicion or DOT post accident drug and/or breath alcohol test. A completed test notification must be brought to the ER. FRANKLIN EMSI COLUMBUS, OHIO 1922 BETHEL RD COLUMBUS, OH 43220 Fax: 614-451-3888 CONTACT: BRIAN ELKINS 614-410-3927 MAIN # FOR PRE-SCHEDULED After hours random and follow up testing WITH 72 HOUR NOTICE 304-690-0220 AFTER HOURS EMERGENCY (CELL PHONE) After hours random testing must be scheduled 72 hours in advance during normal business hours using main #. Employer must complete a test notification form and fax to Brian Elkins. Test will be conducted at the collection site. For after hours emergency testing, call Brian Elkins using the after hours emergency number. Employer must complete a test notification form and bring with them to the collection site. Tell coordinator that test must be conducted on an Alere chain of. HAMILTON ODACS, INC* 8634 READING RD CINCINNATI, OH 45215 Fax: 513-761-1134 CONTACT: PHIL BARNETT *DOES AFTER HOURS TESTING ONLY 513-236-2102 24 HOUR NUMBER After hours random and follow ups (PRE-SCHEDULED) Reasonable suspicion/dot post-accident WITH 1 HOUR NOTICE After hours random testing must be scheduled in advance during normal business hours using the 24- hour number. Employer must complete a test notification form and fax to Phil Barnett after scheduling. Phil will give further instructions. After hours emergency testing - Employer will need to give 1 hour notice to Phil Barnett. Phil will give employer additional instructions at the time of the call. Employer must complete a test notification form and bring with them. Tell Phil that test must be conducted on an Alere chain of custody form for the State of Ohio
HARDIN HARDIN MEMORIAL HOSPITAL LAB 921 EAST FRANKLIN ST. KENTON, OH 43326 Phone: 419-675-8160 For after hours emergency testing, employee is to be escorted to the ER and the exempt accompanying supervisor/manager will tell the ER staff that they are there for a reasonable suspicion or DOT post accident drug and/or breath alcohol test. A completed test notification form must be brought to the ER. custody form for the Ohio Dept. of Administration/State of Ohio HIGHLAND HIGHLAND DISTRICT HOSPITAL LAB 1040 N. HIGH STREET, #2 HILLSBORO, OH 45133 Phone: 937-393-6398 AFTERHOURS RANDOM AVAILABLE UNTIL 8:00 PM IF QUALIFIED COLLECTOR SCHEDULED TO BE IN LAB MUST CALL MAIN # AHEAD OF TIME TO VERIFY LICKING OHIO HEALTH CONSORTIUM 1032 BUCKEYE AVENUE NEWARK, OH 43055 Fax: 740-344-4623 CONTACT: LARRY WILLIS 740-344-4622 After hours random and follow ups (pre-scheduled) 740-210-0188 PAGER for after hours emergency testing (reasonable suspicion/dot post-accident only) *SITE IS LOCATED IN LICKING COUNTY BUT CAN BE USED BY KNOX COUNTY AGENCIES the main #. Employer must complete a test notification form and fax to Larry Willis after scheduling. After hours emergency testing - Employer will need to call the after hours pager # and follow those instructions. Larry will give employer additional instructions at the time of the call. Employer must complete a test notification form and bring with them. LUCAS ST. LUKE S HOSPITAL ER 5901 MONCLOVA ROAD MAUMEE, OH 43537 Fax: 419-891-8048 419-891-8003 MAIN # FOR PRE-SCHEDULED AFTER HOURS RANDOM AND FOLLOW UP TESTING
MAHONING ON DEMAND DRUG TESTING* 102 WESTCHESTER DR. AUSTINTOWN, OH 44515 Phone: 330-270-3660 Fax: 330-953-3691 *DOES AFTER HOURS TESTING ONLY After hours random testing must be scheduled in advance by calling 330-270-3660 during normal business hours. Employer must complete a test notification form and fax to site prior to employee coming in for the test. After hours emergency testing - Employer will need to call 330-270- 3660 and answering service will take the call and will call the On Call representative. The On Call representative will call the employer back to determine what services are needed. On Call rep will give further instructions at time of the call. Employer will bring employee to collection site for the test. Employer must complete a test notification form and bring with them. MERIDIAN WORKLIFE 527 N. MERIDIAN RD. YOUNGSTOWN, OH 44509 Fax: 330-792-9393 330-797-0074 After hours random and follow ups (pre-scheduled) 330-550-9055 AFTER HOURS EMERGENCY After hours random testing must be scheduled in advance by calling 330-797-0074 during normal business hours. Employer must complete a test notification form and fax to site prior to employee coming in for the test. For after hours emergency call 330-550-9055 and coordinator will give instructions MARION MARION GENERAL HOSPITAL ER 1000 McKINLEY BLVD MARION, OH 43302 Fax: 740-383-7848 CONTACT: TAMIE LAMBERT 740-383-7802 After hours random and follow ups (pre-scheduled) 740-383-8559 AFTER HOURS EMERGENCY the appropriate number during normal business hours. Employer must complete a test notification form and fax to site prior to coming in for the test. After hours emergency testing, employer will need to call the after hours number # and let staff know that they need a reasonable suspicion or DOT post accident drug and/or BAT conducted. Staff will give further instructions at time of the call. Employer must complete a test notification form and bring with them.
MEDINA MERCER MEDINA GENERAL HOSPITAL 1000 EAST WASHINGTON ST MEDINA, OH 44256 Fax: 330-721-4907 PRE-SCHEDULED AFTER HOURS RANDOM TESTING ONLY USE MAIN # 330-721-4955 MERCER COUNTY COMMUNITY HOSPITAL 800 WEST MAIN ST COLDWATER, OH 45828 Fax: 419-678-5688 CONTACT: RHONDA MORNINGSTAR 419-678-5164 After hours random and follow ups (pre-scheduled) 419-578-5122 AFTER HOURS EMERGENCY (reasonable suspicion/dot post-accident only) REPORT DIRECTLY TO LAB AFTER 4:00 PM the main #. Staff will give further instructions at time of the call. Employer must complete a test notification form and fax to site prior to coming in for the test. appropriate number during normal business hours. Employer must complete a test notification form and fax to Rhonda Morningstar prior to coming in for the test. Coordinator will give further instructions. After hours emergency testing, employer will need to call the after hours number # and let staff know that they need a reasonable suspicion or DOT post accident drug and/or BAT conducted. Staff will give further instructions at time of the call. Employer must complete a test notification form and bring with them. MONTGOMERY MEDWORK OCCUPATIONAL 1435 CINCINNATI STREET DAYTON, OH 45417 Phone: 937-449-0820 Fax: 937-449-0881 CONTACT ON-CALL STAFF @ 937-409-4122 FOR BOTH PRESCHEDULED RANDOM / FOLLOW UP AND REASONABLE SUSPICION / DOT-POST ACCIDENT TESTING MEDWORK OCCUPATIONAL 10871 ENGLE RD VANDALIA, OH 45377 Phone: 937-264-0400 Fax: 937-264-0403 CONTACT ON-CALL STAFF @ 937-409-4122 FOR BOTH PRESCHEDULED RANDOM / FOLLOW UP AND REASONABLE SUSPICION / DOT-POST ACCIDENT TESTING the on-call staff number during normal business hours. Employer must verify which location employee will be coming to and complete a test notification form and fax to MedWork at that location after scheduling by phone. For after hours emergency testing, call 937-409-4122 and tell them that you need to come in for a reasonable suspicion or DOT post accident drug and/or BAT. On-call staff will give employer additional instructions at the time of the call. Employer must complete a test notification form and bring with them. Tell on-call person that test must be conducted on an Alere chain of
MUSKINGUM PIKE GENESIS OCCUPATIONAL HEALTH 800 FOREST AVE ZANESVILLE, OH 43701 Fax: 740-454-4008 CONTACT: JAN HERMAN OR SANDY KEFFER 740-454-4010 After hours random and follow ups (pre-scheduled) 740-454-4606 After hours emergency testing (reasonable suspicion/dot post-accident) CALL TO ALERT HOSPITAL LAB STAFF YOU ARE COMING. GO TO GOOD SAMARITAN MEDICAL CENTER LAB *SITE IS LOCATED IN MUSKINGUM COUNTY BUT CAN BE USED BY GUERNSEY COUNTY AGENCIES PIKE COUNTY COMMUNITY HOSPITAL* 100 DAWN LANE WAVERLY, OH 45690 Phone: 740-947-6350 *DOES AFTER HOURS TESTING ONLY After hours random testing must be scheduled in advance through Genesis Occupational Health during normal business hours. Employer must complete a test notification form and fax to Jan Herman or Sandy Keffer. The collection will be conducted through Good Samaritan Medical Center lab. escorted to the ER and the accompanying exempt supervisor/manager will need to let the ER staff know that they are there for a reasonable suspicion or post accident drug and/or breath alcohol test. Employer must complete a test notification form and bring with them to the ER. PUTNAM ST. RITA S PUTNAM COUNTY AMBULATORY CARE CENTER 601 STATE ROUTE 224 GLANDORF, OH 45848 Phone: 419-538-6628 Fax: 419-226-9265 CONTACT: BRENDA RICHLAND MEDCENTRAL WORKABLE 335 GLESSNER AVE MANSFIELD, OH 44903 Fax: 419-526-8905 PRE-SCHEDULED AFTER HOURS RANDOM/FOLLOW UP TESTING CALL MAIN # 419-526-8444 the appropriate number during normal business hours to make arrangements for after hours collections at MedCentral Mansfield Hospital
ROSS SANDUSKY ADENA MEDICAL CENTER 272 HOSPITAL DRIVE CHILLICOTHE, OH Fax: 740-941-5157 CONTACT: NANCY LITLE PRE-SCHEDULED AFTER HOURS RANDOM/FOLLOW UP TESTING CALL MAIN # 740-779-7297 MEMORIAL HOSPITAL 710 CLEVELAND AVE FREMONT, OH 43420 Fax: 419-334-6637 CONTACT: HEALTHLINK PRE-SCHEDULED AFTER HOURS RANDOM/FOLLOW UP TESTING CALL MAIN # 419-334-6657 the main number. Employer must complete a test notification form and fax to Nancy Litle after scheduling by phone. Nancy will give further instructions escorted to Adena Medical Center at the address listed, and the accompanying exempt supervisor/manager will need to let the staff know that they are there for a reasonable suspicion or post accident drug and/or breath alcohol test. Employer must complete a test notification form and bring with them to the site. Tell collector that test must be conducted on a Alere chain of the appropriate number during normal business hours to make arrangements for after hours collections at Memorial Hospital SCIOTO BROWN CLINIC 1661 STATE ROUTE 522, UNIT 2 WHEELERSBURG, OH 45694 Fax: 740-574-8918 CONTACT: BONNIE DRAKE 740-574-8728 After hours random and follow ups (pre-scheduled) 740-250-9715 After hours emergency testing (reasonable suspicion/dot post-accident) IF NO ANSWER, LEAVE MESSAGE. IF NO RESPONSE AFTER 15 MINUTS, CALL ANSWERING SERVICE AT 740-574-8728 TO TELL THEM YOU ARE TRYING TO REACH BONNIE DRAKE TO SCHEDULE AN EMERGENCY TEST the appropriate number. Employer must complete a test notification form and fax to site prior to coming in for the test. For after hours emergency testing, call Bonnie Drake @ 740-250- 9715 and follow the directions to the left. Tell her you need to bring someone in for a reasonable suspicion or DOT post accident drug and/or breath alcohol test. Staff will give the employer additional instructions at the time of the call. Employer must complete a test notification form and bring with them.