Refusal to Test Directions- Drug & Alcohol Testing

It is crucial to address any refusals to test immediately to ensure compliance with federal regulations and employer policies. If an employee or candidate we send engages in any of the actions outlined below, please contact NMS Health immediately.

What Constitutes a Refusal to Test?

Refusal to test includes any of the following actions during a drug testing process:

1. Failure to Appear

   • Failure to report for a test after being directed to do so by the employer.

2. Failure to Remain at the Testing Site

   • Leaving the testing site before the testing process is complete.

3. Failure to Provide a Urine Sample

   • Refusal to provide a urine sample for any federally required test.

4. Failure to Permit Observation or Monitoring

   • Refusal to allow observation or monitoring during a urine sample collection in situations where direct observation is required.
     (Note: Most collections occur privately; direct observation is limited to specific cases.)

5. Failure to Provide Sufficient Urine

   • Inability to provide an adequate sample without a valid medical explanation, as determined through a required medical evaluation.

6. Failure to Take a Second Test

   • Refusal to take a second test when instructed.

7. Failure to Undergo Medical Evaluation

   • Refusal to comply with a medical evaluation required under “shy bladder” procedures.

8. Providing Adulterated or Substituted Specimens

   • Providing a specimen verified by the Medical Review Officer (MRO) as adulterated or substituted.

9. Failure to Cooperate

   • Examples include:
     • Refusing to empty pockets when directed by the collector.
     • Acting confrontationally in a way that disrupts the collection process.
     • Failing to wash hands after being instructed to do so.

10. Failure to Follow Observer’s Instructions (Direct Observation Only)

    • Refusal to:
      • Raise clothing above the waist.
      • Lower clothing and underpants.
      • Turn around for the observer to check for devices that could interfere with the process.

11. Possession of a Device

    • Possessing or wearing a prosthetic or other device designed to interfere with the collection process.

12. Admission of Tampering

    • Admitting to the collector or MRO that the specimen was adulterated or substituted.

Immediate Action Required

If any of the above situations occur:

• Contact NMS Health immediately:
  • Phone: 609-588-6800
  • Email: clientservices@nmshealth.com
  • Live Chat: www.nmshealth.com

Your prompt communication ensures proper handling of the situation and maintains compliance with testing regulations.