Specify The Best Time To Call You:*

---12pm-3pm Weekday3pm-7pm Weekday

Length Of Your Hair:*

---1/2 inch1 inch1,1/2 inch2 inch3 inch4 inchLong

Hair Type:*

---ThickThin

Drug Used #1:*

---THCMethExstasyCocaine/CrackPCPAlcoholOpiatesOxycodoneHeroinMethadoneSuboxone

How Many Times Did You Use Within Last 90 Days:*

---Daily2 months1 month1 week3 days1 day

Last Date Of Use:*

Drug Used #2:

---THCMethExstasyCocaine/CrackPCPAlcoholOpiatesOxycodoneHeroinMethadoneSuboxone

How Many Times Did You Use Within Last 90 Days:

---90 Days - Daily60 Days - 2 months30 Days - 1 month7 Days - 1 week3 days1 day

Last Date Of Use:

Drug Used #3:

---THCMethExstasyCocaine/CrackPCPAlcoholOpiatesOxycodoneHeroinMethadoneSuboxone

How Many Times Did You Use Within Last 90 Days:

---90 Days - Daily60 Days - 2 months30 Days - 1 month7 Days - 1 week3 days1 day

Last Date Of Use:

Approximate Date Of Drug Test:*