Support Your Supervisors When They Suspect Impairment at Work
When a supervisor reasonably suspects an employee may be under the influence of drugs or alcohol at work, you need a clear, consistent process and access to fast, professional testing.
goMDnow helps employers carry out reasonable suspicion (also called “for cause”) drug and alcohol testing in a way that is policy-based, consistent, documented, and supportive of workplace safety and compliance.
Order tests online, send employees to a nearby clinic, and receive secure results with proper documentation.
Fast, On-Demand Ordering: When a concern arises, you can order reasonable suspicion tests as soon as possible after observations are made.
DOT & Non-DOT Testing Options: We support both DOT-regulated and non-DOT reasonable suspicion testing, using appropriate procedures and test panels.
Nationwide Collection Sites: Employees can test at one of 20,000+ clinics nationwide, near your worksite, terminal, or their location.
Drug & Alcohol Testing Available: Order drug tests, breath alcohol tests (BAT), or both, depending on your policy and applicable regulations.
Lab-Based Results & MRO Review: Tests are processed by certified laboratories, with Medical Review Officer (MRO) review for applicable drug tests.
Documentation for Your Records: We provide results and documentation to support your reasonable suspicion decision and policy compliance.
or Call 980-655-4455 for any queries and assistance regarding Post-Accident & Post-Injury Drug Testing.
Reasonable suspicion testing (sometimes called for-cause testing) is performed when a trained supervisor has specific, objective reasons to believe an employee may be under the influence of drugs or alcohol while on duty.
These determinations are based on observable indicators such as:
Reasonable suspicion must always be based on documented observations not rumors or assumptions.
For DOT-regulated safety-sensitive employees, including CDL drivers, federal rules allow reasonable suspicion testing under specific circumstances.
Supervisors making reasonable suspicion determinations must generally have training on recognizing signs and symptoms of drug and alcohol use and must be able to clearly document observations.
goMDnow supports DOT reasonable suspicion testing by providing DOT-compliant drug testing, breath alcohol testing where applicable, DOT-experienced collection sites, lab processing, MRO review, and proper documentation.
Employers remain responsible for following current DOT rules and company policy. We assist with carrying out the testing correctly and efficiently.
For non-DOT employers, reasonable suspicion testing is guided by your written drug and alcohol policy, applicable state laws, and supervisor training.
This type of testing helps address potential impairment, enhance workplace safety, support disciplinary decisions, and reduce liability risks.
goMDnow helps you select appropriate non-DOT test panels, access nationwide collection sites, and establish consistent, documented testing procedures.
Reasonable suspicion testing may include lab-based urine drug testing and breath alcohol testing, depending on DOT status, company policy, and the situation involved. We help you determine the correct testing setup.
Testing is most effective when performed as soon as reasonably possible after observations are made and supported by documented, contemporaneous evidence and your written policy.
Employers should follow internal policies, legal guidance, and DOT requirements (if applicable) regarding timing and procedures.
While goMDnow provides professional testing and reporting, employers maintain control over written policies, supervisor training, documentation, and internal employment decisions.
Our services complement your internal process and help ensure testing is performed professionally and consistently.
Do we need a written policy?
Yes. A written policy helps ensure fairness, consistency, and legal defensibility.
Can we test for both drugs and alcohol?
Yes. Many employers test for both depending on observed behavior and policy requirements.
How fast are results available?
Drug test results are typically available within 1–3 business days after lab receipt.
Alcohol test results are usually immediate.
Preparing ahead of time makes it easier to act quickly and consistently when concerns arise. Our team can help you set up testing access, align with your policy, and be ready when needed.
Call 980-655-4455 or reach out through our website to discuss reasonable suspicion testing options for your workplace.