I understand that,
according to Hillsdale Hospital policy which I have read and understand, following a conditional offer of employment, I am required to submit to a pre-placement urinalysis, blood testing, or other screening. I understand that the analysis will be conducted by a qualified testing laboratory. I also understand if I refuse to consent, this will be viewed as my withdrawal from consideration for employment.
The purpose of this analysis is to determine the absence or presence of illicitly controlled substances. I understand a documented chain of specimen custody will be followed to ensure the identity and integrity of my specimen throughout the collection and testing process.
If I am offered a position of employment by Hillsdale Hospital, I hereby consent to collection of a specimen of my urine an/or blood for purposes of performing a drug screening. Furthermore, I hereby release and hold harmless Hillsdale Hospital and its employees and agents from the request to furnish my specimens, the testing of my specimens, and the disclosure of the testing results.