Section Menu Recent News Dr. Madhura Myla: Calm in the Heart of the Storm August 25, 2025 Three Times the Love: Two Moms Reflect on Life with Triplets and the NICU That Carried Them Through August 25, 2025 OHTLMC's New Commercial Puts Community at the Heart of Its "Top 100 Rural Hospital" Success August 25, 2025 Gloria Whitehead Named Summer 2025 Recipient of Vicki M. Stogsdill Nursing Award August 21, 2025 Tips for Smoother Mealtimes as the School Year Begins August 21, 2025 View More Employer Services New Company Form To initiate your account setup and receive your protocol instructions, please fill out the new company form below. Denotes required fields Company Name Number of Employees Address Address Address 2 City State? ZIP Code? Phone? Fax? Billing address is same as above. Billing Address Billing Address Address 2 City State? ZIP Code? Billing phone and fax are the same as above. Billing Phone? Billing Fax? Designated Employer Rep: First Name Last Name Phone? Fax? Email Ok to receive results, work status, etc? Yes No Preferred contact method for results: Email Fax Secondary Contact: First Name Last Name Phone? Fax? Email Ok to receive results, work status, etc? Yes No Preferred contact method for results: Email Fax Work Comp Carrier Adjuster/Contact Phone? Fax? Work Comp Carrier Address Address Address 2 City State? ZIP Code? Company has: DOT employees only Non-DOT employees only Both DOT and Non DOT employees Services Needed Pre-Employment Physical Drug Screen DOT Physical Please list what is included in your physical requirements (ex: audio, drug screen, PFT, BAT, EKG, etc.) Please list what drug screen panel, or if it is a collect (if it is a collect please list: lab, courier and any special instructions) Please list what is included in your physical requirements (ex: audio, drug screen, BAT, PFT, EKG, etc.) Post-Accident Drug Screen Breath Alcohol Test Post-accident drug screen preference: All new injuries If requested only Please list what drug screen panel, or if it is a collect (if it is a collect please list: lab, courier and any special instructions) Post-accident breath alcohol test preference: All new injuries If requested only Only within 8 hours of injury Special instructions/notes Random Drug Screen Breath Alcohol Test Please list what drug screen panel, or if it is a collect (if it is a collect please list: lab, courier and any special instructions) Reasonable Suspicion Drug Screen Breath Alcohol Test Please list what drug screen panel, or if it is a collect (if it is a collect please list: lab, courier and any special instructions) Other Services Please list any other services needed. Leave this field blank
Three Times the Love: Two Moms Reflect on Life with Triplets and the NICU That Carried Them Through August 25, 2025
OHTLMC's New Commercial Puts Community at the Heart of Its "Top 100 Rural Hospital" Success August 25, 2025
