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Occupational Medicine

Expert Medical Review Officer advice when a screen comes back non-negative.

KINNECT's AMROA-accredited MROs review non-negative drug and alcohol results, consult with the worker about any declared prescribed medication, and give your team a clear, defensible fitness-for-work answer — anywhere in Australia, by telehealth.

Quick answer

The short version

KINNECT's Medical Review Officers (MROs) are AMROA-accredited Occupational Health Doctors who independently interpret non-negative drug and alcohol screening results — particularly where a worker has declared prescription medication. The MRO speaks with the worker, reviews the laboratory chain of custody and issues one of three outcomes (Verified Negative, Verified Negative with safety concerns, or Verified Positive) so you can make a defensible, legislation-aware fitness-for-work decision. Available anywhere in Australia by telehealth, with appointments during business hours and by arrangement 24/7.

What is an MRO?

A doctor who specialises in interpreting drug and alcohol results.

A Medical Review Officer is a doctor who has undertaken specialist training and is accredited by the Australian Medical Review Officers Association (AMROA). MROs help employers interpret non-negative alcohol and other drug test results and bring expert knowledge of medications and their side effects to every decision.

If you don’t have an MRO, KINNECT’s service ensures your organisation has timely access to the right information to manage workers who return a confirmed positive result — without taking the call alone.

KINNECT’s MROs have
  • Independently certified in interpreting drug and alcohol results
  • Specialist knowledge of substance-use disorders
  • Knowledge of the relevant legal standards and regulations
  • Practical knowledge of your workplace's specific regulations

MROs are independent practitioners who adhere to privacy, confidentiality and record-keeping standards under the relevant legislation.

The benefits

What you get when KINNECT is your MRO.

Independent specialist review that protects the worker, the workplace and your decision.

  • Flexible appointments

    Appointments during business hours — and by special arrangement 24/7 — anywhere in Australia via telemedicine.

  • Prompt teleconsultations

    Rapid teleconsults with the worker to review declared use of prescribed medication against the laboratory result.

  • Compliance-aware advice

    Specialist information that keeps your decision compliant with the legislation that applies to your workplace.

  • Clear, defensible outcome

    A precise determination of whether the declared medication use is legitimate or illicit — and what that means for fitness for work.

How it works

From non-negative result to a clear answer.

Four steps. Most cases turn around inside business hours.

  1. 01

    Request an MRO service

    You receive a lab report showing a non-negative screening with declared prescribed medication use, and ask KINNECT to arrange an MRO service.

  2. 02

    Teleconsult with the worker

    Our MRO reviews the supplied information and consults with the individual by phone — discussing any declared medication use and clarifying what evidence is needed to inform the assessment.

  3. 03

    MRO assessment

    The MRO completes a review of the chain of custody and laboratory report and determines whether the result represents legitimate therapeutic use, an innocuous source, or illicit use.

  4. 04

    MRO issues a report

    The MRO submits a written outcome — one of three categories — directly to your nominated contact, so the situation can be managed in line with your drug and alcohol policy.

Three possible outcomes

Every MRO assessment ends with one of three results.

Clear language so the person managing the worker knows exactly what to do next.

Outcome 1

MRO Verified Negative

No concerns about fitness for work.

The worker’s legitimate medication use presents no immediate risk should they perform their role. The outcome is shared with you directly so the activity (e.g. a pre-employment assessment) can continue.

Outcome 2

MRO Verified Negative — with safety concerns

Legitimate use, but a potential workplace risk.

Use is verified, but the MRO recommends a separately scoped fitness-for-work review for further expert advice about the individual’s specific role. An updated fitness-for-work certificate is issued.

Outcome 3

MRO Verified Positive

Not legitimate therapeutic use of a lawfully prescribed medication.

The worker should be managed in line with your company’s AOD policy and procedures. KINNECT facilitates the MRO finding being conveyed directly to your nominated contact.

MRO vs Fitness for Work

How an MRO service differs from a Fitness for Work assessment.

They’re often used in related circumstances, but they answer different questions. Use the right tool for the right decision.

MRO Service

Is the prescribed use legitimate?

Scope is limited to whether there is legitimate therapeutic use of a prescribed medication and whether that use represents a workplace safety risk.

Fitness for Work

Can this worker safely perform their role?

A more detailed assessment of immediate and longer-term workplace safety risks — the reasons behind the medication use plus any other relevant clinical considerations.

Specialist MRO services

Expert MRO support for emerging prescription medicines.

As the prescribing landscape changes, so do the questions employers need answered. Our MROs stay current so you can too.

MRO services for Medicinal Cannabis

Whether the declared use of prescribed medicinal cannabis is legitimate therapeutic use or being used to mask recreational use — and what that means for safety-critical roles.

  • Review AOD policy and procedures
  • Assess legitimacy of declared use
  • Quantify material safety risk for the specific role

MRO services for MDMA & Psilocybin

The TGA has approved MDMA and psilocybin for specific treatment-resistant mental health conditions. Specialist MRO review establishes whether the underlying condition is compatible with the role.

  • Review AOD policy and procedures
  • Assess risk where the underlying condition is incompatible with safety-critical work
  • Coordinate further specialist advice when needed
Meet our Medical Review Officers

Specialist clinicians you can name.

KINNECT employs AMROA-accredited MROs with decades of frontline experience in safety-critical industries.

  • Dr. Graeme Edwards

    Senior Consulting Physician — Occupational & Environmental Medicine

    Over 25 years working as a consultant and medical adviser for a wide variety of companies and industries. Bachelor of Medicine, Bachelor of Surgery and Bachelor of Medical Science from The University of Queensland, with a thesis specialisation in Neuroanatomy and Neurophysiology.

  • Dr. Benjamin Lam

    Occupational Medicine Physician

    Working in the field of Occupational Medicine since 2013. Experience spans mining, rail and oil and gas, performing pre-employment medicals, workplace rehabilitation reviews and Medical Review Officer services.

Frequently asked

Medical Review Officer questions, answered.

What is a Medical Review Officer (MRO)?
A Medical Review Officer is an independent doctor who reviews non-negative drug and alcohol screening results to determine whether a detected substance has a legitimate medical explanation.
When do I need an MRO?
When a worker returns a non-negative result and you need an impartial medical interpretation before making a fitness-for-work decision.
What does the MRO process involve?
You provide the laboratory report, the MRO reviews the chain of custody and result, speaks with the worker by phone about any medication or supporting evidence, and then issues a formal written outcome.
What outcomes can an MRO return?
Verified Negative (legitimate use, no immediate risk), Verified Negative with safety concerns (legitimate use but a potential risk that may require a separately scoped fitness-for-work review), or Verified Positive (no legitimate therapeutic explanation).
Can you review prescription and newer medications?
Yes. Reviews include declared prescribed medication as well as medicinal cannabis, MDMA and psilocybin.
How is the service delivered and how quickly?
MRO services are delivered by telehealth Australia-wide, available during business hours and 24/7 by arrangement.
Is KINNECT’s MRO service accredited?
Yes. Our Medical Review Officers are AMROA-accredited (Australian Medical Review Officers Association).
Make a referral

Need an MRO on your team?

Whether you have a non-negative result to action today, or you’d like a standing MRO service in place before the next one lands, we’ll get you to the right specialist fast.

Medical Review Officer Services | KINNECT