Controlled-RX
Compliance & Training
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Controlled-RX
Compliance & Training
Home
About
Services
Testimonials
New clients
Contact
Request
Service Request
Must have an active account with ATI to request a pick up using this form.
If you do not have an account with our company, follow the
new client
tab at the bottom of this page to create a new account.
Company Name
*
Contact Person
*
First Name
Last Name
Telephone
*
Email Address
*
Pick up Request
*
Please be as detailed as possible. Include type of waste, size of containers, qty, etc.
Thank you! A representative will contact you if we have any further questions.