Request to opt out of the EOHN Scheduling program

** IMPORTANT **
By completing this form you are indicating you wish NOT to participate in the EOHN Scheduling program. Opting out of the EOHN Scheduling program does NOT change your status as an eScreen contracted collection site.

Please enter your clinic I.D. number and your opt out code in the following fields and click submit. You will not receive any scheduled drug test events in the future.

Clinic ID Number

Code

If you have questions, are having trouble with this site, or cannot locate the requested opt out information requested above, please call eScreen Client Services at (800) 881-0722, option 5.