Health Services for Employers and Private Individuals
Contact
Dr. Donald Hull, Director
Gulf Coast Testing
12710-1 McGregor Blvd., Fort Myers, FL 33919
Phone: 239-281-5884 Fax: 239-432-0886
www.GulfCoastTesting.net
Gulf Coast Testing Questionaire
Please complete the form below if you would like to be contacted or have a specific question related to our health testing, drug testing, physical exam or other health-related services. Questions marked by * are required.
1.
Please select your interest in Gulf Coast Testing that best describes you:
I am an employer interested in pre-employment health exams and/or drug testing for employment purposes
I need a DOT Medical Certificate for my CDL license
I am a private individual needing a health exam and/or drug screen
I am a parent concerned about possible illicit drug use
2.
First Name: *
3.
Last Name: *
4.
Street Address:
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Street Address Continued:
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City:
7.
State:
8.
Zip:
9.
Phone: *
10.
Alternate Phone:
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Email: *
12.
Question:
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