603 E Washington St., Suite 200
Indianapolis, IN 46204
Phone: 1-800-358-8450, 317-262-2200
Fax: 317-262-2222


ACI/COATS Alliance
Policy Overview
Complete Policy
Program Administrator Information
Program Services & Fees
Account Set-up Form
Submitting Results For Database Entry
Verifying Card Status
Diluted Test Procedures
Refusal to Test Procedures
Handling Policy Violations
SAP Resources
Sample ACI/COATS Card
Training Opportunities

Refusal To Test Procedures & Documentation
Protocol if an employee refuses to submit to a required test
All situations described below are considered a "refusal" for the ACI/COATS drug testing program. Written documentation of a "refusal to test" should be provided to the program administrator, Midwest Toxicology Services. The "refusal" will be entered into the database and a written "refusal" report will be issued to you. An on-line form is available to document a refusal and transmit to Midwest Toxicology Services.

ACI/COATS cover letter submitting «outside test» results Refusal to test documentation form (pdf format)
Refusal Situations:
  1. Failing to appear for any required test within a reasonable time or failing to remain at the testing site until the testing process is complete. This includes:
    1. The employee refuses to report to the collection facility after being instructed by the appropriate supervisor.
    2. The employee reports to the collection facility, but refuses to provide a specimen.
    3. The employee reports to the collection facility, says he can't go or tries but doesn't provide an adequate specimen; leaves without providing an adequate specimen.
  2. Failing to provide an adequate specimen within the required time (2 hours) unless a legitimate medical explanation exists. This determination of whether a valid medical explanation exists rests with the Medical Review Officer.
  3. Failing to undergo a medical examination or evaluation to meet medical explanation requirements in item 2 above.
  4. A test result is issued as an adulterated or substituted test result.
  5. Failing to cooperate with any part of the testing process (e.g., refuse to empty pockets when so directed by the collector, behaves in a confrontational way that disrupts the collection process).
  6. Failing to permit an observed collection if required.
Suggested Protocol In Handling Refusals
  1. If any of the refusal situations described above occur, verbally inform the refusing employee that the consequences of his/her action will result in a refusal being entered into the ACI/COATS database. The refusal will carry the same consequences as having a positive test. Document all details using the on-line form and transmit to Midwest Toxicology by email or fax. If you are unable to fax or email this information, call MTS to provide the information.
  2. If an unusual situation occurs that you are unsure of how to handle contact MTS: 1-800-358-8450 or 1-317-262-2200
    • Charlotte Ray - ext. 204
    • Sharon Allen - ext. 203
    • Tiffany Ellefson - ext. 205
 
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ACI/COATS Alliance |  Policy Overview |  Complete Policy |  Program Administrator Information
Program Services & Fees |  Account Set-Up Form |  Submitting Results For DB Entry |  Verifying Card Status
Diluted Test Procedures |  Refusal To Test Procedures |  Handling Policy Violations
SAP Resources |  Sample ACI/COATS Card |  Contact Us