CommunityMed OccMed – Schedule Drug screen – CommunityMed Family Urgent Care

Please confirm your details and complete the additional information below.
NOTE: You will receive a confirmation email and text after you have registered that will contain your Drug screen Appointment Confirmation.
IF YOU DO NOT RECIEVE THE CONFIRMATION OUTLINED ABOVE, THEN YOU DO NOT HAVE AN APPOINTMENT

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Todays Date

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Decimal Time

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Min Time

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Visit Auth Code

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Visit Details

pull in visit details from visit screen

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CompanyID

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Recipient Name

First Last

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Phone

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Company Name

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Clinic iD single clinic

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Drug screen Allowed Clinics

Please verify the details below:
Employer:
Name:
Cell No:
Email:
If this is not correct, please contact the front desk when you arrive.

Select Clinic for Drug Screen

Drug Screen Visit Date(Required)

Select a Drug Screen Appointment Time(Required)

Enter your home Address(Required)

Street Address Address Line 2 City State ZIP Code

Enter your Social Security Number(Required)