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Drug Checking Directory
Thank you for your interest in being added to our drug checking directory! We really appreciate all that you guys do! Please fill out the below information, and reach out to us if you have any questions!
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* Indicates required question
Email
*
Your email
Name of organization
*
Your answer
Location
*
Your answer
Website link (if none put none)
*
Your answer
Contact person (this is for our purposes in case we may need to reach out, this is private information)
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Your answer
Contact person's email (this is an email we can reach you at, this is also private information)
*
Your answer
Public contact name (this will be the contact posted publicly on the drug checking directory, put none if you would rather not have this listed)
*
Your answer
Public contact email (an email that people will contact you at, this will also be publicly available, put none if there is none)
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Your answer
Services offered (check all that apply)
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FTS
FTIR
GCMS
LCMS
NMR spectroscopy
Raman Spec
Paper spray mass spec
Benzodiazepine test strips
Reagent testing
Other:
Required
Submission type (check all that apply)
*
Person to Person drop off
Collection Boxes
Mail Based submission sample
Outreach/ Staff collection
Other:
Required
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