For New Employer Accounts

Account Setup

One-time setup. Simple employee ordering. Create your employer account once by submitting your company information, selecting the occupational health services you want access to, and securely adding a payment method for future billing.

After your account is established, sending an employee takes only a minute. Before each visit, complete the short Employee Authorization form with the employee's information and requested services.

One-Time Account SetupCreate your employer account, select the services you'll need, and securely add a credit card for future billing.

Submit Employee AuthorizationComplete a quick authorization before each visit. Simply tell us who you're sending and what services they need.

Send Your EmployeeEmployees may walk in during business hours or arrive for a scheduled appointment.

Create your employer account

Choose the services needed *

DOT Physical — $79 DOT Drug Test — $55 Non-DOT Drug Test — $55 DOT Breath Alcohol Test — $55 Fingerprint Livescan Level 2 — $93 Need a consortium account? →

Company contact

Company name *

Person to contact *

Phone *

Email *

Cardholder and billing address

First name on card *

Last name on card *

Address line 1 *

Address line 2

City *

State *

ZIP code *

Authorized signature *

Sign using your mouse, trackpad, or finger.

Secure card authorization

Your card is securely collected by Square. HealthRoute never stores the card number.

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I authorize HealthRoute to securely save this card with Square for future services requested by my company. *