After Hour
Testing Form

Helpful Links
See Holiday Hours
The deadline for online questionnaire submissions for employees being tested at our mobile units is a week prior to the start of the job. Be aware that we cannot access any forms after the deadline on the mobile units and paper copies will need to be completed.
Alliance Health Resources Mobile Division Ltd. | 2910 Center St
Deer Park, TX | 77536 | 281.479.6672

The following form is for office personnel and account setup purposes. It is not intended to be a means to contact Alliance Health Resources for emergency medical needs. If your matter is urgent, please call 911.

Company
This field is for validation purposes and should be left unchanged.
After Hours Drug and Alcohol Testing as well as Injury Care services are available. If you are interested in these services, please complete the following information to set up your company:
Company Name:*
Company Address*
Street Address City State ZIP Code
Contact Name*
First Last
Phone*
include Area Code
Email*

Your results may be sent to you by email. Please provide an email for which you can receive your results.
Please indicate the types of services you need:*

After Hour Testing Form

Helpful Links

After Hour
Testing Form