BACKGROUND

In order to conduct drug and alcohol testing, the services of a Medical Review Officer (MRO) are required.

Clinic staff conducting drug and alcohol collections require specialized training/certification including DOT/Non-DOT, POCT, BAT and Oral Fluid.

*There are no Canadian DOT-Non-DOT regulations, we follow current U.S. regulations

Drug testing policies and programs are developed by companies and organizations to define their own official position and management strategies for drug and alcohol testing. Not every drug and alcohol use policy includes or is required to include a drug and alcohol testing program. However, any such program must comply with Canadian federal and provincial human rights legislation and health and safety regulations. Canadian drug testing procedures have been derived from existing American drug testing programs.

*DriverCheck has its own MRO as do most of the consortia we provide services to; however, we have engaged Canadian MRO to provide MRO services to accompany drug and alcohol testing services to both our existing and new customer customers (i.e., recently launched truck safety store on the MedWorks platform).

*MedWorks facilitates service requests for drug and alcohol collection and testing for individual companies/ customers who require these services.

*Canadian MRO works with many labs including Dynacare, with whom MedWorks has a contract.

MEDWORKS PROCESS

MedWorks Corp booking team receives a request from a company or individual for any of the below mentioned testing.

BOOKING COORDINATION WITH CLINICS/COMPANY

MedWorks Corp Booking team will create an estimate on QuickBooks. (Status pending) Note: Individuals requesting testing via the ‘Truck Safety Store’ will be expected to pay up front (a disclaimer on that site states that additional charges may apply).

MedWorks Corp booking team will coordinate the price with MedWorks Sales & Account Manager, confirm it with Company, and book the appointment at any of MedWorks Occ health clinic

*Pricing must include the collection cost, lab testing cost, test kit cost (only if an oral fluid collection kit is required), and the shipping cost by courier.

*Note: Dynacare provides Purolator waybills to send specimens collected to the lab and invoices MedWorks at cost.

Once the order is confirmed by the Company, MedWorks Corp Booking team will change the status of Estimate to ACCEPTED on QuickBooks.

BOOKING at a DYNACARE Location

For Booking at a Dynacare location: Please refer to the Dynacare booking document on BOX. It includes the Dynacare booking process along with Dynacare collection locations (Ontario and Quebec).

BOX Folder: ALL Files> MedWorks Internal Working Files>Process Details Drug & Alcohol Testing

BELOW IS THE BOOKING PROCESS FOR REFERENCE:

This new Ontario service will provide a central point of contact for the booking of drug & alcohol testing appointments. These collections include:

Complete all required information on a National Drug Testing Appointment Booking Form* (client generated booking forms will be accepted in place of the Dynacare form however must include all the required information by Dynacare).

* A sample partly prefilled form can be found in BOX. The Booking Team will need to choose the contract # and if the sample is DOT or Non-DOT. Until we can gauge the number of bookings at Dynacare locations, we will not be providing pre-printed CCFs to Dynacare locations. Luke Hoy has confirmed that we can request the Dynacare location to amend one of their existing CCFs to accommodate our request. It is key to complete the appointment form accurately and completely so that the Dynacare location is aware to use an amended CCF and has the information to do so.

In the event an appointment must be cancelled, please contact NDT Customer Care by email or phone no later than 1 hour before the scheduled booking time. If the appointment is not cancelled within this time, a no-show/cancellation fee will be applied.

*To obtain a booking form, or for any questions please do not hesitate to reach out to Dynacare by email at [email protected] or by telephone at 877.679.6935 X5778.

FORM: National Drug Testing Appointment Booking Form

FORMS: (Forms are in Box Folder)- Folder: ALL Files> MedWorks Internal Working Files>Process Details Form Name: National Drug Testing Appointment booking form

ORDER PLACEMENT FOR DOT/ Non-DOT CUSTODY CONTROL FORMS & SUPPLIES for Partner Clinics:

Once there are trained/certified collection staff at MedWorks designated partner clinics, the MedWorks RN will place the first order for DOT and Non-DOT Custody Control Forms, and collection supplies (test kits and waybills) for the collection sites (i.e. Clinic location where the appointment has been booked).

FORMS: (Forms are in Box Folder)- Folder: ALL Files> MedWorks Internal Working Files>Process Details Drug & Alcohol Testing

Form Name: MedWorks_Order Form

*After the initial supplies are delivered, the Clinic will be responsible for ordering additional supplies (if needed) from Dynacare using the order form.

SHIPMENT OF SUPPLIES TO CLINIC BY DYNACARE

After MedWorks RN has placed the order, Dynacare will ship the (Custody Control forms, and collection kits, waybills) to the Clinic directly.

APPOINTMENT

Email To: [email protected]

Fax Details: 705-999-8228 ; Contact Person Trevor Gillmore

*These details are to be provided to the clinic

*Fax details are in Box folder too

BOX Folder: ALL Files> MedWorks Internal Working Files>Process Details Drug & Alcohol Testing

File Name: Secure Fax Verification_MedWorks Completed

The ‘Employer’ copy of the Custody Control form must be uploaded to ‘BOX’. The Booking Team will retrieve the ‘Employer’ copy and upload it to the requesting company’s ‘BOX’.

*SAMPLE CUSTODY CONTROL FORM:

Pre-printed Custody Control Forms (CCFs) are provided by Dynacare. There are several types of forms including DOT and Non-DOT forms. Typically, these forms have 5 copies. The certified collector completes the form as part of the collection process and following the collection is responsible to distribute the copies accordingly in a timely fashion:

Copy 1- LAB (with the sample)

Copy 2 – MRO (to be faxed or emailed directly to Canadian MRO immediately following the collection)

Copy 3 – Collector (Clinic required to retain this copy)

Copy 4 – Employer (upload to ‘BOX’ for Booking Team to forward to customer)

Copy 5 – Donor (Clinic to give to the employee /candidate providing the sample)

RESULTS TIMELINE:

BILLING:

*The MRO makes the final determination as to whether a sample is positive.

CANCELLATIONS/NO SHOW FEE (For appointments booked at Dynacare)

In the event an appointment must be cancelled, please contact NDT Customer Care by email or phone no later than 1 hour before the scheduled booking time. If the appointment is not cancelled within this time, a no-show fee will be applied.

CANCELLATION/ NO SHOW FEE: $20