Refer A Patient

Choosing OMS Group means choosing expertise, care, and comprehensive solutions.

Patient Information

Patient First Name

Patient Last Name

Date of Birth

Gender

Address

Street

City

Province

Postal Code

Patient Email

Patient Phone

Patient Alt. Phone

Patient Contact Method

Referring Doctor

Referred By

Office Email

Office Phone

Radiographs / Photographs

Radiograph/Photo Upload

Treatment Areas

Diagnosis

Details

Procedures or Consultations Requested

Other

Dental Implants

Implant Type

Straumann Nobel Per Surgeon Recommendation Other

Other Implant Type

Additional Details

Insurance

Does the patient have dental insurance?

Yes No

Subscriber's Full Name

Date of Birth

Patient's Relationship to Subscriber

Dental Insurance Company

Group #

Division #

ID/Certificate #

Employer

Desired OMS Group Location

Vancouver Burnaby Richmond

Meet our Surgeons

With a wealth of expertise in oral and maxillofacial surgery, our team of highly skilled and experienced surgeons are dedicated to ensuring your best results.

Get to know the talented individuals who are committed to delivering top-quality treatments and personalized solutions for your unique needs.

OMS Group is dedicated to providing cutting-edge, patient-centered oral and maxillofacial surgical treatments with a strong emphasis on comfort and advanced technology.