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hi Im Tim Teleca from in-out labs we are a national provider of employee drug testing services today were going to talk about a refusal to test so whats a refusal to test well a refusal to test can be determined in three different ways one could be the MRO so during the interview with a donor lets say a test result goes to medical review office to the Medical Review officer the MRO speaking with the donor determines that this specimen was substituted or adulterated the donor basically admits to it the MRO could call that a refusal to test employer employer determined refusals are when an employer tells an employee youve been selected for a random test you must go now and the employee does not go when he was told even waits till the next day thats a refusal to test and theres a collection site refusal where the donor leaves the collection site before completing the process so lets say its a temperature out of range meaning the urine is too cold or too hot its pretty clear that