www.stericycle.com Open in urlscan Pro
151.101.15.10  Public Scan

URL: https://www.stericycle.com//en-us/marketing/hipaa?utm_campaign=P-SS15-0819&utm_medium=email&utm_source=Eloqua
Submission: On August 23 via api from US

Form analysis 2 forms found in the DOM

POST /en-us/marketing/hipaa/_jcr_content/root/container/pagesection_57975463/columnrow/pagesection/container_copy.form

<form method="POST" action="/en-us/marketing/hipaa/_jcr_content/root/container/pagesection_57975463/columnrow/pagesection/container_copy.form" enctype="multipart/form-data" data-recaptchasitekey="6LfrVLIaAAAAAAXITOp0kZDmKaUjciDyodYVm3id"
  data-component-type="form"
  data-utm-sources="https://www.google.com/,https://www.google.ca/,https://www.youtube.com/,https://www.bing.com/,https://www.yahoo.com/,https://duckduckgo.com/,https://www.startpage.com/,https://www.qwant.com/,https://swisscows.com/,https://www.searchencrypt.com/,https://www.onesearch.com/,https://www.givewater.com/,https://www.ekoru.org/,https://www.ecosia.org/,https://unsplash.com/,https://www.dogpile.com/,https://www.excite.com/,https://www.info.com/,https://www.metacrawler.com/,https://www.ask.com/,https://www.gigablast.com/,https://metager.org/,https://www.baidu.com/,https://www.lycos.com/,https://yandex.com/,https://archive.org/,https://www.wolframalpha.com/"
  id="318" class="cmp-form aem-Grid aem-Grid--12 aem-Grid--default--12">
  <input type="hidden" name=":currentPagePath" value="/content/stericycle/us/en/marketing/hipaa">
  <input type="hidden" name="EloquaFormName" value="RequestFreeQuoteForm">
  <div class="text aem-GridColumn aem-GridColumn--default--12">
    <div class="cmp-form-text form-floating" data-cmp-required-message="(Required)">
      <input class="cmp-form-text__text form-control" data-cmp-hook-form-text="input" type="text" id="form-text-1451959743" placeholder=" " name="CompanyHealthcareFacility" required="">
      <label for="form-text-1451959743">Company Name (Required)</label>
    </div>
  </div>
  <div class="text aem-GridColumn aem-GridColumn--default--12">
    <div class="cmp-form-text form-floating" data-cmp-required-message="(Required)">
      <input class="cmp-form-text__text form-control" data-cmp-hook-form-text="input" type="text" id="form-text-303179097" placeholder=" " name="FirstName" required="">
      <label for="form-text-303179097">First Name (Required)</label>
    </div>
  </div>
  <div class="text aem-GridColumn aem-GridColumn--default--12">
    <div class="cmp-form-text form-floating" data-cmp-required-message="(Required)">
      <input class="cmp-form-text__text form-control" data-cmp-hook-form-text="input" type="text" id="form-text-808617540" placeholder=" " name="LastName" required="">
      <label for="form-text-808617540">Last Name (Required)</label>
    </div>
  </div>
  <div class="text aem-GridColumn aem-GridColumn--default--12">
    <div class="cmp-form-text form-floating" data-cmp-required-message="(Required)">
      <input class="cmp-form-text__text form-control" data-cmp-hook-form-text="input" type="text" id="form-text-1785944239" placeholder=" " name="zipPostal" required="">
      <label for="form-text-1785944239">ZIP Code (Required)</label>
    </div>
  </div>
  <div class="text aem-GridColumn aem-GridColumn--default--12">
    <div class="cmp-form-text form-floating" data-cmp-required-message="(Required)">
      <input class="cmp-form-text__text form-control" data-cmp-hook-form-text="input" type="email" id="form-text-1990898901" placeholder=" " name="EmailAddress" required="" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,4}$">
      <label for="form-text-1990898901">Email Address (Required)</label>
    </div>
  </div>
  <div class="text aem-GridColumn aem-GridColumn--default--12">
    <div class="cmp-form-text form-floating" data-cmp-required-message="(Required)">
      <input class="cmp-form-text__text form-control" data-cmp-hook-form-text="input" type="number" id="form-text-1936030655" placeholder=" " name="BusinessPhone" required="">
      <label for="form-text-1936030655">Business Phone (Required)</label>
    </div>
  </div>
  <div class="text ss-vertical-space--no-space ss-vertical-space--bottom-x1 ss-alignment--right aem-GridColumn aem-GridColumn--default--12">
    <div
      data-cmp-data-layer="{&quot;text-7486398ea4&quot;:{&quot;@type&quot;:&quot;stericycle/components/content/text&quot;,&quot;repo:modifyDate&quot;:&quot;2021-06-04T11:21:49Z&quot;,&quot;xdm:text&quot;:&quot;<p><a href=\&quot;/content/stericycle/us/en/privacy-policy.html\&quot;>Privacy Policy</a></p>\r\n&quot;}}"
      id="text-7486398ea4" class="cmp-text">
      <p><a href="/en-us/privacy-policy">Privacy Policy</a></p>
    </div>
  </div>
  <div class="button ss-alignment--center aem-GridColumn aem-GridColumn--default--12"><button type="SUBMIT" id="form-button-30395142" class="cmp-form-button btn btn-primary" role="button">Request Free Quote</button></div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-708230275" name="CampaignPromoCode">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-307868501" name="Rurl">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-1234005462" name="Stream">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-1048931808" name="SubStream">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-702786469" name="RecordType">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-203309832" name="Web2Lead">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-222797027" name="closedLoopID1">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-675748243" name="STR_hp">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-1263476266" name="EloquaFormName">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-1092350414" name="FormURL" value="https://www.stericycle.com/en-us/marketing/hipaa">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-1232947305" name="DataSource">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-190595454" name="C_webCountry1">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-1268768558" name="C_webLanguage1">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-120139507" name="C_timestamp1">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-460754325" name="leadSourceMostRecent1">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-995652863" name="lSMediumUnformatted11">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-941208217" name="utm_campaign" value="P-SS15-0819">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-429058904" name="utm_content">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-56878181" name="utm_medium" value="email">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-26544991" name="utm_source" value="Eloqua">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-379113181" name="utm_term">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-978516701" name="uTMName1">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-1171469311" name="contactSubmissionDate1">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-1698159474" name="elqCookieWrite1">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-1303766938" name="elqSiteID1">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-1481480022" name="googleAdwordsClickID1">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-733883261" name="googleAnalyticsVisitorID1">
  </div>
  <div class="hidden aem-GridColumn aem-GridColumn--default--12">
    <input type="hidden" id="form-hidden-470631548" name="uTMFormURL1">
  </div>
</form>

POST /content/experience-fragments/stericycle/us/en/site/modal/master/_jcr_content/root/container/modal.form

<form method="POST" data-component="modal-form-container" action="/content/experience-fragments/stericycle/us/en/site/modal/master/_jcr_content/root/container/modal.form" data-recaptchasitekey="6LfrVLIaAAAAAAXITOp0kZDmKaUjciDyodYVm3id"
  enctype="multipart/form-data">
  <input type="hidden" name=":currentPagePath" value="/content/stericycle/us/en/marketing/hipaa">
  <input type="hidden" name="EloquaFormName" value="RequestFreeQuoteForm">
  <div class="cmp-modalform__step" data-step-number="1" id="318-step-1">
    <div id="contentcontainer-cb2bf45909" class="cmp-container">
      <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 ">
        <div class="text aem-GridColumn aem-GridColumn--default--12">
          <div
            data-cmp-data-layer="{&quot;text-f1b528219b&quot;:{&quot;@type&quot;:&quot;stericycle/components/content/text&quot;,&quot;repo:modifyDate&quot;:&quot;2021-04-23T12:07:36Z&quot;,&quot;xdm:text&quot;:&quot;<p>Fill out the form or call <a href=\&quot;tel:847-943-6069\&quot;>847-943-6069</a> to start protecting your business today.&amp;nbsp;</p>\r\n<p>We are available Monday-Friday from 8am to 5pm.</p>\r\n&quot;}}"
            id="text-f1b528219b" class="cmp-text">
            <p>Fill out the form or call <a href="tel:+18554195799">855-419-5799</a> to start protecting your business today.&nbsp;</p>
            <p>We are available Monday-Friday from 8am to 5pm.</p>
          </div>
        </div>
        <div class="title aem-GridColumn aem-GridColumn--default--12">
          <div
            data-cmp-data-layer="{&quot;title-8655c82580&quot;:{&quot;@type&quot;:&quot;stericycle/components/content/title&quot;,&quot;repo:modifyDate&quot;:&quot;2021-03-08T19:42:15Z&quot;,&quot;dc:title&quot;:&quot;Which solution interests you?&quot;}}"
            id="title-8655c82580" class="cmp-title">
            <h4 class="cmp-title__text">Which solution interests you?</h4>
          </div>
        </div>
        <div class="options aem-GridColumn aem-GridColumn--default--12">
          <fieldset class="cmp-form-options cmp-form-options--radio">
            <legend class="cmp-form-options__legend">Which solution interests you?</legend>
            <label class="cmp-form-options__field-label">
              <input class="cmp-form-options__field cmp-form-options__field--radio" name="ServiceInterest" value="Medical Waste Services" type="radio">
              <span class="cmp-form-options__field-description">Medical Waste Services</span>
            </label>
            <label class="cmp-form-options__field-label">
              <input class="cmp-form-options__field cmp-form-options__field--radio" name="ServiceInterest" value="Compliance Solutions Training" type="radio">
              <span class="cmp-form-options__field-description">Compliance Solutions Training</span>
            </label>
            <label class="cmp-form-options__field-label">
              <input class="cmp-form-options__field cmp-form-options__field--radio" name="ServiceInterest" value="Pharmaceutical Waste Solutions" type="radio">
              <span class="cmp-form-options__field-description">Pharmaceutical Waste Solutions</span>
            </label>
            <label class="cmp-form-options__field-label">
              <input class="cmp-form-options__field cmp-form-options__field--radio" name="ServiceInterest" value="Sharps Management Solutions" type="radio">
              <span class="cmp-form-options__field-description">Sharps Management Solutions</span>
            </label>
          </fieldset>
        </div>
      </div>
    </div>
    <div class="cmp-modalform__step--buttons">
      <div class="linkcalltoaction ss-buttonstyle-primary">
        <button type="button" id="318-button-continue-step-1" class="btn btn-primary" role="button" name="Continue"> Continue </button>
      </div>
    </div>
  </div>
  <div class="cmp-modalform__step" data-step-number="2" id="318-step-2">
    <div id="contentcontainer-202ffd7ed9" class="cmp-container">
      <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 ">
        <div class="text aem-GridColumn aem-GridColumn--default--12">
          <div
            data-cmp-data-layer="{&quot;text-2750dd225e&quot;:{&quot;@type&quot;:&quot;stericycle/components/content/text&quot;,&quot;repo:modifyDate&quot;:&quot;2021-04-23T12:07:36Z&quot;,&quot;xdm:text&quot;:&quot;<p>Fill out the form or call <a href=\&quot;tel:847-943-6069\&quot;>847-943-6069</a> to start protecting your business today.&amp;nbsp;</p>\r\n<p>We are available Monday-Friday from 8am to 5pm.</p>\r\n&quot;}}"
            id="text-2750dd225e" class="cmp-text">
            <p>Fill out the form or call <a href="tel:+18554195799">855-419-5799</a> to start protecting your business today.&nbsp;</p>
            <p>We are available Monday-Friday from 8am to 5pm.</p>
          </div>
        </div>
        <div class="text aem-GridColumn aem-GridColumn--default--12">
          <div class="cmp-form-text form-floating" data-cmp-required-message="(Required)">
            <input class="cmp-form-text__text form-control" data-cmp-hook-form-text="input" type="text" id="form-text-62571333" placeholder=" " name="FirstName" required="">
            <label for="form-text-62571333">First Name (Required)</label>
          </div>
        </div>
        <div class="text aem-GridColumn aem-GridColumn--default--12">
          <div class="cmp-form-text form-floating" data-cmp-required-message="(Required)">
            <input class="cmp-form-text__text form-control" data-cmp-hook-form-text="input" type="text" id="form-text-1818297155" placeholder=" " name="LastName" required="">
            <label for="form-text-1818297155">Last Name (Required)</label>
          </div>
        </div>
        <div class="text aem-GridColumn aem-GridColumn--default--12">
          <div class="cmp-form-text form-floating" data-cmp-required-message="(Required)">
            <input class="cmp-form-text__text form-control" data-cmp-hook-form-text="input" type="email" id="form-text-466808606" placeholder=" " name="EmailAddress" required="" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,4}$">
            <label for="form-text-466808606">Email Address (Required)</label>
          </div>
        </div>
      </div>
    </div>
    <div class="cmp-modalform__step--buttons">
      <div class="linkcalltoaction ss-buttonstyle-secondary">
        <button type="button" id="318-button-back-step-2" class="btn btn-secondary" role="button" name="back"> Back </button>
      </div>
      <div class="linkcalltoaction ss-buttonstyle-primary">
        <button type="button" id="318-button-continue-step-2" class="btn btn-primary" role="button" name="Continue"> Continue </button>
      </div>
    </div>
  </div>
  <div class="cmp-modalform__step" data-step-number="3" id="318-step-3">
    <div id="contentcontainer-7c7b1f3f84" class="cmp-container">
      <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 ">
        <div class="text aem-GridColumn aem-GridColumn--default--12">
          <div
            data-cmp-data-layer="{&quot;text-64f1826da4&quot;:{&quot;@type&quot;:&quot;stericycle/components/content/text&quot;,&quot;repo:modifyDate&quot;:&quot;2021-04-23T12:07:36Z&quot;,&quot;xdm:text&quot;:&quot;<p>Fill out the form or call <a href=\&quot;tel:847-943-6069\&quot;>847-943-6069</a> to start protecting your business today.&amp;nbsp;</p>\r\n<p>We are available Monday-Friday from 8am to 5pm.</p>\r\n&quot;}}"
            id="text-64f1826da4" class="cmp-text">
            <p>Fill out the form or call <a href="tel:+18554195799">855-419-5799</a> to start protecting your business today.&nbsp;</p>
            <p>We are available Monday-Friday from 8am to 5pm.</p>
          </div>
        </div>
        <div class="text aem-GridColumn aem-GridColumn--default--12">
          <div class="cmp-form-text form-floating" data-cmp-required-message="(Required)">
            <input class="cmp-form-text__text form-control" data-cmp-hook-form-text="input" type="text" id="form-text-73081915" placeholder=" " name="BusinessPhone" required="">
            <label for="form-text-73081915">Business Phone (Required)</label>
          </div>
        </div>
        <div class="text aem-GridColumn aem-GridColumn--default--12">
          <div class="cmp-form-text form-floating" data-cmp-required-message="(Required)">
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            <label for="form-text-1454485283">Company Name (Required)</label>
          </div>
        </div>
        <div class="text aem-GridColumn aem-GridColumn--default--12">
          <div class="cmp-form-text form-floating" data-cmp-required-message="(Required)">
            <input class="cmp-form-text__text form-control" data-cmp-hook-form-text="input" type="text" id="form-text-1632235937" placeholder=" " name="zipPostal" required="">
            <label for="form-text-1632235937">ZIP Code (Required)</label>
          </div>
        </div>
        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
          <input type="hidden" id="form-hidden-1959978364" name="CampaignPromoCode">
        </div>
        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
          <input type="hidden" id="form-hidden-2121904857" name="Rurl">
        </div>
        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
          <input type="hidden" id="form-hidden-1613469140" name="Stream">
        </div>
        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
          <input type="hidden" id="form-hidden-1815616592" name="SubStream">
        </div>
        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
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        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
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        </div>
        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
          <input type="hidden" id="form-hidden-791085465" name="STR_hp">
        </div>
        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
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        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
          <input type="hidden" id="form-hidden-1861348037" name="DataSource">
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          <input type="hidden" id="form-hidden-1490964706" name="C_webCountry1">
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          <input type="hidden" id="form-hidden-758107731" name="C_webLanguage1">
        </div>
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          <input type="hidden" id="form-hidden-1950040360" name="C_timestamp1">
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        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
          <input type="hidden" id="form-hidden-417465222" name="leadSourceMostRecent1">
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        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
          <input type="hidden" id="form-hidden-984615678" name="utm_content">
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        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
          <input type="hidden" id="form-hidden-1660427269" name="utm_medium" value="email">
        </div>
        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
          <input type="hidden" id="form-hidden-432117849" name="utm_source" value="Eloqua">
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        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
          <input type="hidden" id="form-hidden-2057448063" name="utm_term">
        </div>
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          <input type="hidden" id="form-hidden-1833166910" name="uTMName1">
        </div>
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          <input type="hidden" id="form-hidden-1964688497" name="elqCookieWrite1">
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          <input type="hidden" id="form-hidden-282206617" name="elqSiteID1">
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        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
          <input type="hidden" id="form-hidden-1726397141" name="googleAdwordsClickID1">
        </div>
        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
          <input type="hidden" id="form-hidden-1148476638" name="googleAnalyticsVisitorID1">
        </div>
        <div class="hidden aem-GridColumn aem-GridColumn--default--12">
          <input type="hidden" id="form-hidden-397393477" name="uTMFormURL1" value="https://www.stericycle.com/en-us/marketing/hipaa">
        </div>
      </div>
    </div>
    <div class="cmp-modalform__step--buttons">
      <div class="linkcalltoaction ss-buttonstyle-secondary">
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HIPAA COMPLIANCE SOLUTIONS YOU CAN DEPEND ON


STERI-SAFE® HIPAA, YOUR ONE-STOP HIPAA COMPLIANCE RESOURCE

We offer flexible HIPAA training to ensure your staff safeguards patient
protected health information (PHI). Our personalized approach and accessible
HIPAA resources make it easy to stay compliant while being aware of your risks
of non-compliance.

We customize our solutions to meet your business needs day-to-day and during
unexpected situations.

 * NEW! Online Access to Training and Documentation: Reduce the risk of HIPAA
   violations with our online customer portal, MyStericycle.com. Stay on top of
   HIPAA requirements through our new online trainings, self-risk assessment
   tools, customizable HIPAA policy templates, and new Privacy and Security
   Manuals.
    
 * Waste Assessment and Expert Compliance Review: Your dedicated Stericycle
   HIPAA expert* will conduct a walkthrough of your facility to identify gaps
   and risks with your medical waste and HIPAA program using our proprietary
   evaluation.
    
 * Annual HIPAA Training: Our in-house HIPAA expert will help facilitate HIPAA
   security and awareness training, so your employees are up to date with how to
   keep patient protected health information secure.
    
 * Service Level Solutions Tailored to Your Needs: Offering on-site and online
   training support, along with site-level reporting and tools to build and
   update comprehensive practice and risk management plans.
    
 * Convenient and Simple Regulated Medical Waste Disposal: With any Steri-Safe
   solution, you also get access to compliant pickup, treatment and disposal of
   your medical waste.
    
 * COVID-19 Management Guidance for Re-Opening: A step-by-step guidebook and
   timeline for a safe transition back to work complete with online
   trainings and an OSHA-required respiratory protection plan for N95 respirator
   usage.

Your Patient Privacy. We protect what matters.

*Included in our preferred level service offering.

BOOK YOUR COMPLIANCE CONSULTATION NOW

FOR A FREE QUOTE CALL 844-876-3748 OR COMPLETE THE FORM

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