Los campos en negrita rojo deben completarse en cada formulario.

Background Check Forms

Drugs and alcohol, despite your stance on either, have distinct effects on human biology—effects which have no place in the workplace. Chayce wants a safe and productive working environment for all associates and its clients. Chayce requires all applicants to participate in standard background checks and drug screens prior to possible employment. All necessary forms are below.

Fields in bold red must be completed on each form.

​         Oregon • Arizona • Utah • Texas • North Carolina • Ohio • Georgia • Alabama  • Nebraska


Concentra Drug Screen Form


  • Complete the necessary forms below (they are fillable!)--be sure to sign where indicated. 
  • Take the drug screen form to the Concentra facility most convenient for you.
  • Bring completed Background Check form and employment application with you when asked to come in.