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Referral Form

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Employee name: *

Company name: *

DER: *

E-mail address: *

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Authorized by: *

DOT

NDOT

Pre-Employment

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Post Accident

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Please advise which test are to be performed, (i.e. Drug Screen, Physical, Alcohol Breath, Hair Follicle, WorkSTEPS) *

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Genesis Drug Testing
4100 San Bernardo Ave
Suite A6
Laredo, TX 78041

Phone: 956-523-0017

Email: genesisdrugtesting_1@yahoo.com

Genesis Drug Testing
2000 SE Loop 410

Suite # 127

San Antonio, TX 78220

Phone: 210-337-0017

Email: gdt2@att.net

Genesis Drug Testing

1713 HWY 97

Pleasanton, TX 78064

Phone: 830-569-8443

Email: gdt3@att.net

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