Bid Request

We are in the process of developing an interactive web form so that you can submit a bid request directly through this website. However until our web designers get it done, please use the attached interactive PDF form. Please make sure that when you have the form filled out completely, you click on the black mouse pointer icon at the bottom right of the form. This will send the completed form to us directly.
Thank you!
Barrington Medical Recycling

(X-RAY BID REQUEST)






    X-Ray Film Purge Survey












    For Stored Film Only:


    Location of Film:

    Files Stored:


    Would you prefer Barrington Medical’s full service staff to handle the sorting / purging (no
    additional cost)?

    Would you prefer your facilities staff to handle the sorting and purging for film pick-up only?

    Barrel Program

    When you have completed the form, please click the submit button.