Order a Return-to-Duty Drug Test

1. Parties to the agreement

The parties are the driver named in this order and HealthRoute, acting as the Third-Party Administrator authorized to perform DOT drug and alcohol testing program compliance services, including Clearinghouse reporting support.

2. Services provided by HealthRoute

1. Report applicable drug and alcohol testing results to the Drug and Alcohol Clearinghouse in compliance with 49 CFR Part 382 and 49 CFR Part 40.
2. Maintain confidentiality and privacy of test results in accordance with applicable federal drug and alcohol testing regulations.
3. Complete DOT-required reporting in a timely manner after the required information is available.
4. HealthRoute is not the Designated Employer Representative, Substance Abuse Professional, employer, or consortium agent unless separately agreed in writing.

3. Driver responsibilities

1. Submit to required DOT drug or alcohol testing when requested.
2. Provide accurate and complete information related to any drug or alcohol test.
3. Cooperate with reporting requirements and respond promptly to requests for information or documentation.
4. Notify HealthRoute promptly of contact or program changes that may affect reporting. The return-to-duty process is not complete once the driver returns to safety-sensitive work; the driver must follow the SAP follow-up testing plan while working in a safety-sensitive position.

4. No consortium agreement

This contract does not create a consortium arrangement. The driver is not required to participate in a consortium, and this agreement does not obligate the driver to use HealthRoute’s random testing, education, program management, or other services outside the reporting function described here.

5. Drug and alcohol testing compliance

HealthRoute’s role under this agreement is limited to reporting and coordination support for the return-to-duty order unless another written agreement says otherwise. HealthRoute is not responsible for random testing, scheduling unrelated tests, or monitoring other DOT drug and alcohol testing compliance obligations unless separately agreed in writing.

6. Confidentiality and data protection

1. HealthRoute will handle drug test results and personal information with confidentiality and in accordance with applicable privacy laws and federal regulations.
2. HealthRoute will not disclose information without the driver’s written consent unless disclosure is required by law or by federal DOT drug and alcohol testing regulations.

7. Termination

Either party may terminate this agreement with thirty days written notice. After termination, HealthRoute will continue to fulfill any required reporting obligations for tests already ordered or completed until the driver provides written notice of a change in testing program or employer.

8. Indemnification

The driver agrees to hold HealthRoute harmless from claims, liabilities, or expenses arising from the driver’s failure to comply with DOT drug and alcohol testing regulations. HealthRoute agrees to hold the driver harmless from claims arising from HealthRoute’s failure to complete required reporting as required by law.

9. Payment for services

The driver or paying party agrees to pay the fee shown in the secure payment section of this order. Payment is due at submission unless HealthRoute approves another payment arrangement in writing.

10. Miscellaneous

1. This agreement may be amended only in writing and signed by both parties.
2. This agreement is governed by the laws of the State of Florida.
3. If any provision is found invalid or unenforceable, the remaining provisions remain in full force and effect.

11. Acknowledgment

By signing electronically below, the driver or authorized paying party acknowledges that they understand and agree to the terms of this agreement.