We offer DOT physicals, fingerprinting and background checks by appointment only

Keys Consortium Information

How it works

It’s Easy to Join


  1. Fill out New Member form on our home page and press the "Submit" button.
  2. An invoice will be emailed to pay online, or you can pay in the office at the time of your screening.
  3. Payment must be received before we order or complete your drug screen. 
  4. Schedule your drug screening if necessary.
  5. Receive your test results and compliance letter within 5-10 business days (positive tests delay this timeframe).




  1. New members pay $175 for the year.
  2. Existing members pay $95 yearly.
  3. If you test at a facility other than the Tavernier office, there will be an additional charge of $20 added to your renewal fee making it $115 yearly.
  4. Business members have the option of purchasing the compliance kit for and additional fee of $20.
  5. Membership dues go towards lab fees, MRO fees, correspondence fees and other.
  6. Membership covers initial testing, random tests throughout the year, correspondence for proof of membership and general guidance to navigate the USCG compliance requirements.
  7. Membership does not cover post-accident testing, saliva alcohol swabs, postage or substantial staffing hours dedicated to a single members correspondence. (Saliva alcohol swabs can be requested from our office. They are not sold for a profit)



Directions


  1. Please read each part of the membership form below. This information is reiterated in our New Membership form and requires signature.
  2. Once you fill out this form, we will receive your information via email and follow up with you for payment and testing, if necessary.
  3. Note: If you only need to make a payment, contact us by email at customerservice@keysmobilemedical.com and we will send you an invoice to pay online.
  4. A pre-employment drug screen is required for any person joining a drug testing program unless he/she has been tested within the past 6 months or has been subject to random testing for at least 60 days within the past 6 months.
  5. If you are not required to take a pre-employment test, please enclose original documentation with application.
  6. If you need a drug screen we will provide you with a collection site in your area, please fill out the application accordingly.



Membership Agreement

The Keys Consortium will provide each member:


  1. A specimen collection site near the applicant’s location.
  2. Computer generated random selection.
  3. Random notification by mail, email or telephone
  4. Medical Review Officer (MRO) services.
  5. Help with a Drug free workplace policy.
  6. Record keeping of all positive test results for five years, and negative results for one year.
  7. A membership letter
  8. Information on substance abuse and counselor referral service.
  9. Verification confirming program compliance for employers, licensing renewals, and upgrades.



New membership or Renewal of your membership shall be deemed as consenting to the following agreement.

Members must:


  1. Properly follow random testing instructions.
  2. Promptly notify Keys Consortium of any change in mailing or email address, phone number, employer change, or membership status.
  3. Follow guidance provided by Keys Consortium.
  4. Members shall not hold Keys Consortium liable arising out of or in connection with a member’s failure to comply with DOT policy or breech of this agreement.
  5. Failure to comply with provisions of this agreement will result in Coast Guard notification and possible termination from program.



Last Updated: October 16, 2026


US Coast Guard Requirements

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Company Policy Letter

Each firm must have a written policy on drug and alcohol use. This must be signed by all members and a copy must posted. We will supply you with a compliant policy.

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Employee Training

1 hour of training on drug and alcohol use/abuse for each employee is required. We provide the necessary video and written materials with paid membership.

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Medical Review Officer

All results must be reviewed by a certified MRO. The Keys Consortium provides a MRO that reviews each test result. In case of a positive the MRO will interview the donor by telephone to determine if there is a valid reason for the results.

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Record Keeping

Records must be kept for all test results, negatives for 1 year, positives for 5 years. Keys Consortium maintains all test results for you. We also complete the annual MIS form for each client in good standing.

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SAMHSA Certified Labs

Testing must be done by a lab that meets DOT/HRS standards. Keys Consortium tests are done in strict accordance with the DOT/HRS by certified collection site technicians and processed by a SAMHSA certified lab

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Pre-Employment Testing

A negative test result must be provided prior to membership into any drug testing program. A test is not necessary if proof of a negative result is provided from within 6 months of membership date with no positive result during that 6 month period or during the previous 185 days proof of membership in another compliant drug program in good standing for at least 60 days

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Random Testing

All members are required to be randomly tested at a rate of 50% of the testing pool. Selection must be statistically valid so that there is an equal chance for any member to be selected. Keys Consortium administers a valid program for all members. All random tests are covered with membership, regardless of number of times a member is selected. Keys Consortium combines multiple local business and sole operators into on central pool and 50% of this pool is selected and tested throughout the calendar year. 

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Reasonable Cause Testing

Under 46 CFR § 16.250, marine employers must require drug testing when a covered crewmember is reasonably suspected of using a dangerous drug. The decision must be based on direct observation of specific, current physical, behavioral or performance indicators of probable drug use. Where practicable, two supervisors should observe the individual. The crewmember must be informed and directed to provide a urine specimen as soon as practicable. The testing direction and any refusal must be recorded in the vessel’s official logbook, if one is required. Contact Keys Consortium for testing coordination.

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Periodic Testing

Under 46 CFR § 16.220, drug-testing requirements apply to specified Merchant Mariner Credential applications, including original issuance, certain upgrades and officer endorsement renewals. An additional test may not be necessary if the applicant provides satisfactory evidence of a qualifying negative test within the previous six months with no subsequent positive results, or participation in a USCG-required random testing program for at least 60 days during the previous 185 days without a failed or refused test. Keys Consortium provides supporting documentation after verifying eligibility.  

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Serious Marine Incident Testing

Under USCG regulations in 46 CFR Part 4, Subpart 4.06, marine employers must arrange drug and alcohol testing for individuals directly involved in a serious marine incident. Alcohol testing is required within 2 hours unless incident-related safety concerns prevent it; testing must then occur as soon as those concerns are addressed, but is not required beyond 8 hours. Drug-test specimens must be collected within 32 hours, or as soon as incident-related safety concerns permit. Employers must document required testing that was not completed. Contact Keys Consortium promptly for testing coordination.

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NOTE

The use of the term U.S. Coast Guard does not imply an endorsement from the U.S. Coast Guard.