Home » FedEx UPS Pick Up Form

FedEx/UPS Pick Up Request

FedEx/UPS Pick Up Request

URL
This field is for validation purposes and should be left unchanged.
Only complete this if you are requesting FedEx / UPS pickup.
Facility Name*
Facility Address*
Street Address Address Line 2 City State ZIP Code
Point of Contact*
(First + Last Name)
Pick Up Date*
MM slash DD slash YYYY
Pick Up Time*

: Hours

Minutes

AM/PM

(3 hour window)

Get In Touch

We would love to hear from you! Whether you are a health care provider or patient, our expert team is here to answer all your questions.