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Required Package

This package is for students who wish to have a drug test performed along with a background check. You will receive an email from Viewpoint Screening within 24 hours (1 business day) after you finish placing your online order regarding your drug test. This email will contain a code needed to have your drug test performed. You will be instructed to visit a nearby drug test collection site, where you will need to present this code along with a valid ID.

Background Check:Criminal Records (10 year history, all jurisdictions)
Federal Criminal Records
Nationwide Criminal Database
Nationwide Sexual Offender Registry
North Carolina Child Abuse & Neglect
US Patriot Act / OFAC
Healthcare Fraud & Abuse (OIG/GSA)
Residency History Report
Social Security Validation
Drug Test:'10 Panel + Expanded Opiates' Lab Based Urinalysis
Price:$64.00




 
 
I have read, understand and agree to the Viewpoint Screening Disclaimer and Refund Policy.

You are placing an order for the PHYSICAL THERAPY program. Click "Confirm" to continue.

If this is not the correct program, go back to the previous page and select the correct package.

Confirm
Applicant Information
Do not place an order on someone's behalf. This form must be filled out by the individual who requires Viewpoint Screening services.  
First Name*:  
Last Name*:
Middle Name:
Alias/Maiden Name 1:
Please Note: If you DO NOT have an alias name, leave this field blank. Only provide if you have used an alias within the last 7 years.
Alias/Maiden Name 2:
Please Note: If you DO NOT have an alias name, leave this field blank. Only provide if you have used an alias within the last 7 years.
Alias/Maiden Name 3:
Please Note: If you DO NOT have an alias name, leave this field blank. Only provide if you have used an alias within the last 7 years.
Social Security Number*:
-
-

Please Note: If you have not been issued a valid U.S. SSN then enter all zeros (000-00-0000) instead.
Date of Birth*:
/
/
(mm/dd/yyyy)
Gender*: Male        Female
Phone Number*: (111-111-1111)
E-Mail Address*: IMPORTANT Your email address will be your user name to log in. If you have placed a previous order, it is recommended to use the same email address to prevent separate logins. Separate logins will contain separate results / medical documents, and cannot be combined.

Please make sure you are entering your correct email address. You will be unable to log in or receive communications from Viewpoint Screening if your email address is not valid.
 
Type E-mail address.


Re-type E-mail address.

Please make sure you are entering your correct email address. You will be unable to log in or receive communications from Viewpoint Screening if your email address is not valid.
 
Current Residential Address:
Address*:
City*:
State or U.S. Territory*:

For an international address, select "International" and select the foreign Country name below.
Country*:
Zip Code*:
ZIP Code Look Up Tool
Please Note: If you have an international address that does not require a Zip Code, please fill in "00000".

Changes cannot be made once you have placed your order. Please make sure you have provided correct information.
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