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               Urine Drug Screen  
  
  
  
  
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               Reason for Test 
  
  
  • • •
  
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               UDS Dx 
  
  
  • • •
  
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               UDS Dx (free text) 
  
  
  
  
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| 
               COC 
  
  
  
  
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| 
               THC 
  
  
  
  
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               MET 
  
  
  
  
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               OPI 
  
  
  
  
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               OXY 
  
  
  
  
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               MDMA 
  
  
  
  
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| 
               Present pain meds 
  
  
  • • •
  
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               Compliance with meds treatment 
  
  
  
  
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| 
               Sent to Lab 
  
  
  
  
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               UDS Panel(s) Ordered for Confirmation 
  
  
  • • •
  
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| 
               Comments 
  
  
  
  
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