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 OlympasMedical Services, Ltd.dba: OPASSpecialized Care: Pain Management Addiction Medicine Medical Acupuncture Preventive Medicine Psychiatric Consults COLA LaboratoryJ. Kimber Rotchford M.D. Medical DirectorMejah Soong, M.D. Psychiatric Consultant1136 Water StreetSuite 107Port Townsend, WA 98368-6728360.385.4843 Fax: 360.379.1441OPAS.usStaff@opas.usOMS Urine Drug Screen OrderDATE: Patient Name: DOB: Current Medications: Suitable Diagnoses: Z79.899RX:Please provide on demand by above mentioned patient or this office a urine drug screen for the following drugs of abuse:OPI, OXY, MTD, AMP, BZO, COC, BUP,Fentanyl.In addition provide presumptive testing for ethylglucuronide (Etg) at 500ng/ml cutoffs with quantitative urine creatinine levels If the screening/presumptive results using immunoassay methods are not consistent with the patient’s current medications as above listed, perform appropriate quantitative/confirmatory testing for the substance in question. Please fax all results to 360.379.1441 asap and if any further communications indicated please call the office or my cell 360.531.0963 and leave a message and I should be back in touch by the end of the next business day.. Thank you. James K. Rotchford, M.D., M.P.H.FACPM, FAAMA, DAAAM, DAAPMDEA: FR4259099 NPI: 1144261298 ................
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