Referring Doctors
You may refer patients to our office by filling out our Referring Doctors Form. After you have completed the form, save a copy and email it back to us at info@omspb.com. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it. Please click on the underlined referring doctors form above to complete it.
Technical note
Acrobat Plug-in Our online form uses Adobe Acrobat Reader 8 or greater plug-in to conveniently submit the form from home or work. Please download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at least version 8 of the plug-in to successfully use our online form.
How to Submit: Each form has a submit button that will email the form back to us. If you use a desktop email program such as Microsoft Outlook, this button will open a new email and automatically attach your completed form. If you use an online email program such as Gmail then you must save a copy of your comleted form to your computer and attach it to the email as you would normally do and send it to info@omspb.com.