Instructing party details
Organisation:
Address:
Postcode:
Case reference:
Contact name:
Telephone:
Email:
Filing deadline?
/
/
Donor details
Donor name:
Donor date of birth:
/
/
Sex assigned at birth:
Male
Female
Test type:
Drug Only
Alcohol Only
Drug and Alcohol
Sample type:
Head hair
Body hair
Nail
Blood
Time period (drugs):
1 Month
2 Month
3 Month
4 Month
5 Month
6 Month
7 Month
8 Month
9 Month
10 Month
11 Month
12 Month
Time period (alc):
1 Month
2 Month
3 Month
4 Month
5 Month
6 Month
7 Month
8 Month
9 Month
10 Month
11 Month
12 Month
Breakdown (drugs):
Overview
Monthly
Bi-Monthly
Quarterly
Breakdown (alc):
Overview
Monthly
Bi-Monthly
Quarterly
Expert witness report
Expert witness report needed?
Collection details
Collection:
Cansford collector
Other (enter details below)
Preferred collection date?
/
/
Additional payers
add payer
Organisation
Postcode
Contact name
Email
Further info
Notes:
How did you find us?
Unclassified
Google search
Campaign
Tender
Recommended by Solicitor
Split invoice
Recommended by Donor
Recommended by Local Authority
Recommended by Barrister
Recommended by Judge/Court
Collector Flyer/Collector
Take over case
Contract
Used before
Recommended by see notes
Recommended by Colleague
Recommended by another company
Supplier
Sols Changed names
Repeat Business
Changed address
Court order
Exhibition/Conference
Competitor
Hubspot
Contested sample
Additional results recipient
Police/Forensic
Sales Outreach
Cafcass
Marketing Email
Moved companies
Tested Before
Internet Forum
Created in error
Alcohol tests
Hair alcohol testing:
None
EtG
EtG/FAEE
Blood alcohol testing:
PEth
PEth incl. blood EtG
LFT
FBC
CDT
Drug tests
Cansford 9 common drugs
(Amphetamine, Benzodiazepines, Cocaine, Cannabinoids, Cocaine, Ketamine, Methadone, Methamphetamines, Opiates, Tramadol)
Cansford 18 common drugs
(Amphetamine, Antipsychotics, Antidepressants, Benzodiazepines, Buprenorphine, Cannabinoids, Cocaine, Cathinone, Hallucinogens, Hypnotic Sedatives, Ketamine, Mephedrone, Methadone, Methamphetamines, Propoxyphene, Opiates, Opioids, Tramadol)
Amitriptyline
Amphetamine
Antidepressants
Antipsychotics
Barbiturates
Benzodiazepines
Buprenorphine
Cannabis
Carbamazepine
Cathinones
Citalopram
Clenbuterol
Cocaine (incl Crack)
Cyclizine
Dimethyltryptamine
Gabapentin
GHB
Hallucinogenics
Hypnotic Sedatives
Ketamine
Mephedrone
Methadone
Methamphetamine
Methylphenidate
Mirtazapine
Mitragynine
NPS
Opiates (incl Heroin)
Opioids
Phenibut
Promethazine
Propoxyphene
Pregabalin
Propofol
Propranolol
Psilocin
Quetiapine
Sertraline
Steroids
Tramadol
Other
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