Octagon Medical Services | The Solution for the collection, treatment and disposal of medical and hazardous waste to healthcare facilities in Canada

New clients please fill out the pick-up request form. Once received, we shall contact you, verify the information and begin the account process.

Existing clients, please use this form to make changes to your existing service.

Your Name:

Your Company:

Email Address:

Phone:

Do you have an account?
Yes
No

Account Number (if applicable):

This is a one time only request?
Yes
No

This is for a regular pickup?
Yes
No

Billing Address:

Location of Pickup:

Items for Pickup:

Special Instructions:

Pickup Request