
Appendix: Drug-Testing Forms
The forms on the following pages are recommended for drug-testing programs. These may be duplicated and/or adapted for individual agency use. The source of each form is indicated at the bottom of each page. Those from the American Probation and Parole Association (forms 1-14) are from Drug Testing Guidelines and Practices for Juvenile Probation and Parole Agencies, published by the Office of Juvenile Justice and Delinquency Prevention in 1992. Those from the American Correctional Association and Institute for Behavior and Health, Inc. (forms 15-18) are from Prototype Drug Testing Program for Juvenile Detainees, published by the American Correctional Association in 1991.
American Probation and Parole Association forms
Form 1: Instructions to Juvenile Offenders
Form 2: Drug-Testing Agreement
Form 3: Request for Drug Test(s)
Form 4: Substance/Medication Screen Record
Form 5: Specimen Collection Checklist
Form 6: Specimen Container Seal and Label
Form 7: Chain of Custody Form
Form 8: Urinalysis Report
Form 9: Positive Drug Test Statement
Form 10: Authorization for Release of Drug Test and Result Information
Form 11: Urinalysis Test Record
Form 12: Probationer/Parolee Status Report
Form 13: Agency Monthly Drug-Testing Summary Log
Form 14: Drug-Testing Control Log
American Correctional Association/Institute for Behavior and Health, Inc.
Form 15: Urine Test Consent Form
Form 16: Chain of Custody Form for Onsite Drug Testing
Form 17: Drug Test Request Form for Onsite Testing Program
Form 18: Record of Drug Test Results

Drug Identification and Testing in the Juvenile Justice System |
May 1998 |
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