Drug Screening and Alcohol Testing Services

Capital Region Medical Center's clinics provide confidential drug screening and alcohol testing according to applicable laws and the policy of your company.

Getting Results
Motor Carriers Rules and Regulations
Working Partners


Maintaining a safe workplace is a priority in today's fast-paced world. Capital Region Medical Center offers pre-employment, post-accident, random and reasonable cause urine drug testing. We use a lab that is approved by the National Institute of Drug Abuse (NIDA), certified by the Substance Abuse and Mental Services Administration (SAMHSA) and approved by the National Highway Transportation Safety Administration (NHTSA) for substance abuse testing.

CRMC follows all requirements of the Drug-Free Workplace Act of 1990, the Federal Department of Transportation and other applicable laws.

CRMC recommends that employers use the Medical Review Officer (MRO) service.

DOT Drug Screening for Drivers

Drivers who are regulated by the Department of Transportation (DOT) must abide by drug testing guidelines. All drivers must be put in a random pool. All drug screen results (positive or negative) must be reviewed by a Medical Review Officer (MRO). By law, a DOT urine drug test can only test for five drugs:

  • Marijuana
  • Cocaine
  • Opiates (including morphine and codeine)
  • Phencyclidine
  • Amphetamines (including methamphetamine)

Breath Alcohol

This test is conducted using an evidential breath tester to detect alcohol concentration in the breath. Employees are subject to a confirmation test when the result of a screening test is 0/020 or greater.

Post-Accident Drug Screening

A drug test following an accident should be done as close to the time of injury as possible. Instruct medical personnel of the type of test you are requesting.

Random Drug Screening

Random drug and alcohol testing programs are required by Department of Transportation (DOT) regulation. The drivers must be selected using a scientifically valid selection method. You must drug test at least 50 percent of your average number of driver positions annually and alcohol test 25 percent. All drivers must have an equal chance of getting drawn in every selection.

CRMC can place your drivers in a large consortium with DrugFree Inc., a company that will be responsible for your random selection and reporting. Random selection also can be used with non-DOT regulated employees.

Reasonable Cause

This type of test is done when a supervisor has reason to believe an employee DOT or non-DOT is under the influence of a controlled substance. It is suggested that you escort the employee immediately to the collection site and provide an escort home. (A taxi is an acceptable means of escort.)

Collection Only

This service is for companies that have an agreement with a third-party administrator or a laboratory. It provides for the collection of drug screen samples only and does not include any testing procedures. Please make your collection kits and chain of custody's available to the clinic prior to collection.

Medical Review Officer (MRO) Service

An MRO is an independent physician whom interprets the laboratory results and reports positive results to your company only after verifying that there are no valid medical explanations for the positive result. All DOT screens must go through an MRO. It also is suggested that all non-DOTs go through an MRO so that all positives can be proved.

Getting Results

To ensure security and confidentiality, drug screen results can be reported directly to your secured fax or by mail. To have an account set up for your company or for additional information, please call Tiffany Rutledge at (573)644-7878 or e-mail