Home - New Account

Florida Drug Free Workplace - New Account Application


Company Name:
Primary Contact:
Position:
Secondary Contact:
Position:
Phone:
Fax:
Billing Address:
City:
State: Zip:
Mailing Address:
City:
State: Zip:
1st Contact Email:
Please retype your 1st Contact Email below.
2nd Contact Email:

O.M. Management will contact you within 48 hours with additional questions pertaining to your program setup, such as:

  • Which medical center your company will be using for your Workers Compensation Medical Treatment?
  • Who will pay for the rehabilitation if an employee tests positive. Employer or Employee?
  • Who will be the official Drug Program Manager? (Usually someone in Human Resources)
  • Who will receive your drug test results?
  • Is the company contracted with an outside EAP company to provide assistance to employees?