Proteus – Quick Pickup Please enable JavaScript in your browser to complete this form.Pickup Location: *LayoutLocation Type *OfficeLong Term Care FacilityLTC facility notes: Please fill out at least two fields. LTC facility contact:Who the courier can ask for upon arrival.Section or division name: Are of facilty courier shoudl navigate to for the pickup.Patient Name: Service type *PICKUP TODAY ONLYFUTURE PICKUP(S)TODAY AND FUTURECANCEL TODAY ONLY*Future options are for placing “as needed” pickups in advance.LayoutFuture PICKUP date 1Future PICKUP date 2Future PICKUP date 3Future PICKUP date 4Future PICKUP date 5Requested by: *PhoneEmail *Orders placed after the call by time will scheduled for tomorrow. Do you want to be notified if your order is scheduled for tomorrow and not today?Notify meSpecial notes for the driverEx. The box is hidden behind the HVAC unit on the side of the building.Custom Captcha *What is 7+4? Submit Share this:TwitterFacebookLike this:Like Loading...
