Consent for Drug Screen

First Name
Client first name

Last Name
Client last name

I understand that I can be tested for Drugs and/or Alcohol at any time, for any reason, per my agreement with Ryse Recovery LLC. I am aware and have full knowledge that the person(s) administering the test(s) are my peers and not medical personnel. I am also aware that if I test positive, refuse compliance or attempt to cheat/circumvent the test in any way, I will be evicted from the Resilience Recovery House and required to leave the premises (15 min) immediately. My signature below indicates my understanding and consent.

Signature:
Signature

Date:
Date