DHS Referral Form

Please contact us at (269) 982-7200 to make a referral or use this form to submit your request. Thanks!

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5 Panel - Amphetamines, Cocaine, Marijuana, Methamphetamines, and Opiates
7 Panel - The above plus Methadone and Benzodiazepines
10 Panel - All of the above plus Barbiturates, PCP, and Oxycodone

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