Drug test consent form
A drug test consent form records that an applicant or employee agreed to be tested, knew why, and knew who would see the result. This template covers the type of test, the reason, the collection site, the medical review officer, confidentiality and what happens on a refusal. Read it below, fill in your policy details and send it before the collection appointment.
Updated November 5, 2026 · 3 min read
The contract
Gray blanks are yours to fill in before you send. Each signer fills in the blanks in their color.
- You, before sending
- Applicant or employee
- Company representative
Drug and Alcohol Test Consent Form
Company: Company name (the "Company"). Name of the person being tested: Name of person tested. Position applied for or held: Position.
1. Reason for the test
The Company is asking for this test for the following reason, under its written drug and alcohol testing policy: Reason for test (for example: pre-employment after a conditional offer, random selection, reasonable suspicion, after a workplace accident, or return to duty). The policy is available at Testing policy location.
2. The test
Type of test: Type of test (such as urine, oral fluid, hair or breath alcohol). The test screens for: Substances tested for. Testing is done by a licensed or certified laboratory. Any non-negative laboratory result is confirmed by a second, more specific test before it is reported.
3. Where and when
Collection site: Collection site. Please go to the collection site by Collection deadline and bring a government-issued photo ID. The Company pays for the test, and for an employee, the time spent on it is paid work time.
4. Medical review and prescriptions
A medical review officer, a physician independent of the Company, reviews any confirmed non-negative result before it is reported. The medical review officer may contact you privately to ask about prescriptions or other legitimate medical explanations. Do not list medications on this form or share them with your manager; tell only the medical review officer if contacted. If there is a legitimate medical explanation, the result is reported to the Company as negative, unless there is a safety concern the law allows the officer to report.
5. Who sees the result
The Company receives only the verified result. It will keep the result and this form confidential, separate from your personnel file, and share them only with people who need to know to make an employment decision, or as required by law. You may request a copy of your result from Contact for test results.
6. Refusal, tampering and retesting
Not going to the collection site by the deadline without a good reason, refusing to provide a specimen, or diluting, substituting or tampering with a specimen counts as a refusal. Under the Company's policy, a refusal or a verified positive result may lead to Consequence of a positive result. If your result is positive, you may ask, within Days to request a retest days of being told, for the split specimen or the original sample to be retested at another certified laboratory. The Company pays for a retest that comes back negative.
7. Your rights
You may explain or contest a result. Nothing in this form takes away any right you have under federal, state or local law, including any law that protects lawful off-duty conduct or limits testing for particular substances where you work. The Company will follow the law that applies where you work, even if it differs from this form.
8. Consent
I consent to the test described above. I authorize the collection site and the laboratory to collect and test my specimen, and the medical review officer to report the verified result to the Company. I understand the reason for the test and what a refusal or a verified positive result may mean.
Phone number for the medical review officer to reach me privately: Private phone
I have read this form and have had the chance to ask questions about the test and the Company's policy.
Applicant or employee
For the Company
Opens it in SignMaster as a template you can edit and send.
A starting point, not legal advice. Have a lawyer review it for your state and situation.
On this page
When you need written consent
Most states let private employers test applicants after a conditional offer, and employees after an accident or on reasonable suspicion, but the details vary widely: who can be tested, when, by which method, and what you may do with a positive result. A signed consent shows the person knew what they agreed to. Some states also require a written testing policy and advance notice before any test at all.
Federally regulated jobs are different. Truck drivers, pilots, pipeline workers and others covered by Department of Transportation rules are tested under 49 CFR Part 40, on the federal custody and control form. This template isn't for those tests.
What the template covers
- Who and why: the person's name and the reason: pre-employment, random, reasonable suspicion, post-accident or return to duty.
- The test: urine, oral fluid, hair or breath alcohol, and the substances your policy screens for.
- Where and when: the collection site and how soon the person needs to get there.
- Medical review: a medical review officer checks any non-negative result and talks to the person privately about prescriptions before you hear anything.
- Who sees the result: the employer gets a verified result, not a medical history, and results are kept apart from the personnel file.
- Refusal and tampering: what counts as a refusal and what follows.
- Retesting: the right to ask for the split specimen to be tested, and who pays.
Mistakes to avoid
- Asking about medications on this form. Questions about prescriptions are medical questions; under the ADA they belong with the medical review officer, not a manager.
- Ignoring cannabis rules. A growing number of states protect off-duty cannabis use or limit testing for it, and a few bar pre-employment cannabis tests for most jobs.
- Testing one person and not another in the same role. Follow your written policy so the choice of who is tested is consistent.
- Sharing results widely. Keep them with the few people who need them to make a decision.
- Using this form for drivers covered by DOT rules. Their tests follow federal procedures and federal forms.
Check your state before you test
Drug testing is one of the most state-specific areas of employment law, and cannabis rules change often. Section 7 of the template says the law where the person works wins over the form, and your testing provider can tell you which panels and notices your state allows.
How to send it with SignMaster
- 1
Open the template
Choose Use this template above. The person being tested signs first, and a company representative countersigns.
- 2
Fill in the test details
Type the reason, the type of test, the collection site and the deadline to get there into the gray blanks, along with your policy's location.
- 3
Send it ahead or sign on site
Email it with the conditional offer, or hand over a tablet with Sign in person when the person is with you.
- 4
Keep it private
If you email it, add an access code so nobody else who reads that inbox can open a message about a drug test.
- 5
File it with testing records
Both sides get the signed PDF. Store it with medical and testing records, apart from the general personnel file.
For a random testing round, bulk send can send each selected employee their own form, with a Collection deadline column filling that blank on each copy. Keep a record of how people were selected outside the form itself.
Questions? Answers.
Can an employer drug test without consent?
The person can usually refuse, but refusing has consequences under the employer's policy, such as a withdrawn offer. State law decides when testing is allowed and what notice you must give, so read your state's rules first.
Is the consent form a medical record?
The form itself isn't, but test results and anything about prescriptions should be kept confidential and separate from the personnel file, the way you'd treat other medical information.
Can it be signed electronically?
Yes, in most cases. The collection site will still have its own paperwork: this form covers consent and your policy, and the clinic's chain-of-custody form covers the specimen.
Does this work for DOT drug tests?
No. Department of Transportation tests follow 49 CFR Part 40 and use the federal custody and control form, with their own notice and consent rules.