Name: Omega Ceramics Dental Lab
Address: 5 Bond Street, South Yarra, VIC, 3141, AU
Telephone: +61 3 9826 6877

Case intake form

START YOUR CASE

Complete the form below and submit your case directly to Omega. Your details will be sent straight to our team for review.

Required

Dentist name

Practice name

Phone

Practice address

Required

Patient initials / reference

Restoration type

Arch

Tooth number(s)

Preferred delivery date

Shade requirements

Case priority

Preferred next step

Required

Special instructions / case notes