diff --git a/.env.jinja b/.env.jinja
index 4c11fe6..764d21f 100644
--- a/.env.jinja
+++ b/.env.jinja
@@ -56,5 +56,5 @@ APPLE_TOPIC={{ app_id }}
 
 # compose configuration - files and project name:
 COMPOSE_PATH_SEPARATOR=;
-COMPOSE_FILE=compose.yaml{% if use_ofelia %};compose.ofelia.yaml{% endif %}{% if db_use_adminer %};compose.adminer.yaml{% endif %}
+COMPOSE_FILE=compose.yaml{% if use_ofelia %};compose.ofelia.yaml{% endif %}{% if use_orms %};compose.orms.yaml{% endif %}{% if db_use_adminer %};compose.adminer.yaml{% endif %}
 # COMPOSE_PROJECT_NAME=opal_${ENVIRONMENT}
diff --git a/.envs/orms.env.jinja b/.envs/orms.env.jinja
new file mode 100644
index 0000000..8c582ae
--- /dev/null
+++ b/.envs/orms.env.jinja
@@ -0,0 +1,101 @@
+# WEB SERVER SETTINGS
+BASE_PATH=/var/www/orms
+BASE_URL=https://${APP_HOST}:${HTTPS_PORT}/orms
+IMAGE_PATH=/var/www/orms/images
+IMAGE_URL=https://${APP_HOST}/orms/images
+LOG_PATH=/var/www/orms/logs
+
+# DATABASE CONNECTION SETTINGS
+# ORMS database settings
+ORMS_DATABASE_USER=${DB_USER}
+ORMS_DATABASE_PASSWORD=${DB_PASSWORD}
+ORMS_DATABASE_HOST=${DB_HOST}
+ORMS_DATABASE_NAME=OrmsDatabase
+ORMS_DATABASE_PORT=${DB_PORT}
+
+# Log database settings
+LOG_DATABASE_USER=${DB_USER}
+LOG_DATABASE_PASSWORD=${DB_PASSWORD}
+LOG_DATABASE_HOST=${DB_HOST}
+LOG_DATABASE_NAME=OrmsLog
+LOG_DATABASE_PORT=${DB_PORT}
+
+# FIREBASE SETTINGS
+# URL of the Firebase realtime database (NOTE! The slash is required after .com)
+FIREBASE_CONFIG_PATH=/config/firebase-config.json
+FIREBASE_BRANCH=/dev3/${INSTITUTION_CODE}/orms/
+
+# OPAL INTERFACE ENGINE (OIE) SETTINGS
+# Setting to enable/disable OIE communication
+OIE_ENABLED=0
+#OIE_URL=https://${OIE_HOST}:${OIE_PORT}
+OIE_URL=
+OIE_USERNAME=
+OIE_PASSWORD=
+
+# SMS SETTINGS
+# Setting to enable/disable SMS messages
+SMS_ENABLED=0
+SMS_PROVIDER=twilio
+SMS_LICENCE_KEY=
+SMS_TOKEN=
+SMS_REMINDER_CRON_ENABLED=0
+SMS_INCOMING_SMS_CRON_ENABLED=0
+
+# NEW OPAL ADMIN SETTINGS
+NEW_OPAL_ADMIN_HOST_INTERNAL=http://admin:8000
+NEW_OPAL_ADMIN_HOST_EXTERNAL=https://${APP_HOST}:${HTTPS_PORT}
+NEW_OPAL_ADMIN_TOKEN={{ orms_token }}
+
+
+LEGACY_OPAL_ADMIN_HOST_INTERNAL=http://admin-legacy:8080
+# API settings for direct requests from orms to legacy OA endpoints
+LEGACY_OPAL_ADMIN_API_USERNAME=orms
+LEGACY_OPAL_ADMIN_API_PASSWORD={{ orms_password }}
+LEGACY_OPAL_ADMIN_HOST_EXTERNAL=https://${APP_HOST}:${HTTPS_PORT}/opalAdmin
+
+# SETTINGS FOR THE WEIGHTS
+# Setting to enable/disable sending weights PDF to the OIE
+SEND_WEIGHTS=0
+
+# SETTINGS FOR THE VIRTUAL WAITING ROOM
+# Setting for enabling cron job
+VWR_CRON_ENABLED=0
+
+# MESSAGE TRANSLATIONS
+FAILED_CHECK_IN_MESSAGE_EN = "There is a problem checking in for your appointment(s). If you have an appointment today, please go to the reception to complete the check-in process."
+FAILED_CHECK_IN_MESSAGE_FR = "Une erreur s'est produite lors de l'enregistrement pour votre/vos rendez-vous. Si vous avez un rendez-vous aujourd'hui, veuillez vous rendre à la réception pour terminer le processus d'enregistrement."
+UNKNOWN_COMMAND_MESSAGE_EN = "You have not been checked-in. To check-in for an appointment, please reply with the word \"arrive\". No other messages are accepted."
+UNKNOWN_COMMAND_MESSAGE_FR = "Vous n\'avez pas été enregistré(e). Pour vous enregister pour votre rendez-vous, svp repondez \"arrive\". Aucun autre message ne sera accepté."
+
+# List of the email addresses (a.k.a., recipients) who should get an email when new appointment type detected
+# The list should be separated by comma (e.g., ",") with no space
+EMAIL=
+
+# List of long codes
+# TODO: investigate what list values we need to provide
+# The list should be separated by comma (e.g., ",") with no space
+# REGISTERED_LONG_CODES=
+
+# SMTP MAILER SETTINGS
+# ORMS sends emails in 2 cases:
+#  - An error occurs in a cron
+#  - A new appointment code / clinic code combination is detected.
+#    This was supposed to be used to notify the staff that there's
+#    a new appointment type that should be enabled for SMS
+RECIPIENT_EMAILS=
+EMAIL_HOST=
+EMAIL_USER=
+EMAIL_PASSWORD=
+EMAIL_SENT_FROM_ADDRESS=
+EMAIL_PORT=587
+
+DATABASE_USE_SSL=${DB_USE_TLS}
+{% if db_use_tls -%}
+# Path to your CA public key file; used for DB connections if DATABASE_USE_SSL is enabled
+SSL_CA=${DB_CERTS}
+{% endif -%}
+
+# Source System host for appointment location updates from orms (kiosk/vwr/sms patient checkins)
+SOURCE_SYSTEM_SUPPORTS_CHECKIN=0
+SOURCE_SYSTEM_HOST_EXTERNAL=
diff --git a/README.md b/README.md
index 50155b2..47f0402 100644
--- a/README.md
+++ b/README.md
@@ -75,7 +75,7 @@ Prepare a directory for these files with the following contents:
 
 - `firebase-admin-key.json`: The private key of the service account used by the [Firebase Admin SDK](https://firebase.google.com/docs/database/admin/start#admin-sdk-authentication)
 - `apn.crt` and `apn.key`: The public and private certificates for the Apple Push Notification service.
-    The private key cannot be password-protected
+    The private key cannot be password-protected.
 
 ### Details
 
@@ -226,6 +226,13 @@ Some questions are conditional based on your answer to a previous question.
     It is an alternative to using the cron daemon on the host.
     *Ofelia* sends emails for any failing job.
 
+1. **Do you want to use the room management component (ORMS)?**
+
+    [ORMS](https://github.com/opalmedapps/#:~:text=opal%2Drms) provides a virtual waiting room.
+    Patients can check-in for an appointment via a kiosk.
+    Clinical staff can see checked in patients and call them to a room.
+    The called patients can be displayed on a TV screen.
+
 1. **The Firebase project name**
 
     The name of the Firebase project that is used for communication with the mobile app.
diff --git a/compose.orms.yaml b/compose.orms.yaml
new file mode 100644
index 0000000..1b6dc20
--- /dev/null
+++ b/compose.orms.yaml
@@ -0,0 +1,49 @@
+services:
+    memcached:
+        image: memcached:1.6.40-alpine3.23
+        environment:
+          - TZ=${TIMEZONE}
+    orms:
+        image: ghcr.io/opalmedapps/opal-rms:main
+        restart: unless-stopped
+        depends_on:
+          - memcached
+          - db
+        env_file:
+          - $PWD/.envs/orms.env
+        environment:
+          - PHP_MEMORY_LIMIT=512M
+          - TZ=${TIMEZONE}
+        volumes:
+          - type: bind
+            source: $PWD/config/firebase/web-config.json
+            target: /config/firebase-config.json
+            read_only: true
+        labels:
+          - "ofelia.enabled=true"
+          - "ofelia.job-exec.vwr-appointments.schedule=@every 3s"
+          - "ofelia.job-exec.vwr-appointments.command=php php/cron/generateVwrAppointments.php"
+          - "ofelia.job-exec.vwr-appointments.no-overlap=true"
+          - "ofelia.job-exec.vwr-appointments.user=www-data"
+          # - "ofelia.job-exec.incoming-sms.schedule=@every 5s"
+          # - "ofelia.job-exec.incoming-sms.command=php php/cron/processIncomingSmsMessages.php"
+          # - "ofelia.job-exec.incoming-sms.no-overlap=true"
+          - "ofelia.job-exec.appointment-reminder.schedule=0 0 18 * * *"
+          - "ofelia.job-exec.appointment-reminder.command=php php/cron/generateAppointmentReminders.php"
+          - "ofelia.job-exec.checkout.schedule=0 30 23 * * *"
+          - "ofelia.job-exec.checkout.command=php php/cron/endOfDayCheckout.php"
+    admin:
+      environment:
+        - ORMS_ENABLED=True
+        - ORMS_HOST=https://${APP_HOST}/orms
+    admin-legacy:
+      environment:
+        - ORMS_ENABLED=1
+        - ORMS_HOST=https://${APP_HOST}/orms
+    listener:
+      environment:
+        - ORMS_ENABLED=1
+        - CHECKIN_ROOM=OPAL PHONE APP
+        # URL notified when a questionnaire is completed
+        - QUESTIONNAIRE_COMPLETED_URL=http://orms:8080/orms/php/api/public/v1/patient/notifyNewQuestionnaireResponse
+        - ORMS_CHECKIN_URL=http://orms:8080/orms/php/api/public/v1/patient/checkInToLocation
diff --git a/config/traefik/dynamic-config/services.yaml.jinja b/config/traefik/dynamic-config/services.yaml.jinja
index 81bed78..f07cf48 100644
--- a/config/traefik/dynamic-config/services.yaml.jinja
+++ b/config/traefik/dynamic-config/services.yaml.jinja
@@ -56,6 +56,17 @@ http:
       tls: {}
     {%- endif %}
 
+    {% if use_orms -%}
+    orms:
+      rule: {% raw %}'Host(`{{ env "APP_HOST" }}`) && PathPrefix(`/orms`)'{% endraw %}
+      entryPoints:
+        - web-secure
+      middlewares:
+        - redirect-missing-slash
+      service: orms
+      tls: {}
+    {%- endif %}
+
   middlewares:
     redirect-root:
       redirectRegex:
@@ -113,3 +124,10 @@ http:
         servers:
           - url: http://adminer:8080
     {%- endif %}
+
+    {% if use_orms -%}
+    orms:
+      loadBalancer:
+        servers:
+          - url: http://orms:8080
+    {%- endif %}
diff --git a/copier.yaml b/copier.yaml
index b98b419..1e591ae 100644
--- a/copier.yaml
+++ b/copier.yaml
@@ -175,6 +175,11 @@ use_ofelia:
   help: Do you want to use Ofelia as a job scheduler to run period jobs?
   default: true
 
+use_orms:
+  type: bool
+  help: Do you want to use the room management component (ORMS)?
+  default: false
+
 firebase_project_name:
   type: str
   help: The Firebase project name
@@ -223,6 +228,12 @@ interface_engine_token:
   default: "{% if run_setup %}{{ random_token(20) }}{% endif %}"
   when: false
 
+orms_token:
+  type: str
+  default: "{{ existing_secret('.envs/orms.env', 'NEW_OPAL_ADMIN_TOKEN') or random_token(20) }}"
+  when: false
+
+
 admin_token:
   type: str
   default: "{{ existing_secret('.envs/admin-legacy.env', 'NEW_OPALADMIN_TOKEN') or random_token(20) }}"
@@ -238,6 +249,11 @@ labs_password:
   default: "{% if run_setup %}{{ random_password(20) }}{% endif %}"
   when: false
 
+orms_password:
+  type: str
+  default: "{% if run_setup %}{{ random_password(20) }}{% endif %}"
+  when: false
+
 _message_after_copy: |
   Your project "{{ project_name }}" has been created successfully!
 
@@ -354,11 +370,19 @@ _tasks:
   - command: |
       echo "Running init_db script to initialize DB..."
       ENVIRONMENT="{{ environment }}" DB_ROOT_USER="{{ db_root_user }}" DB_ROOT_PASSWORD="{{ db_root_password }}" DB_HOST="{{ db_host }}" DB_PORT="{{ db_port }}" DB_USER="{{ db_user }}" DB_PASSWORD="{{ db_password }}" DB_NAME=admin bash ./scripts/init_db.sh
+  - command: |
+      echo "Running init_orms script to initialize ORMS DB..."
+      ENVIRONMENT="{{ environment }}" DB_ROOT_USER="{{ db_root_user }}" DB_ROOT_PASSWORD="{{ db_root_password }}" DB_HOST="{{ db_host }}" DB_PORT="{{ db_port }}" DB_USER="{{ db_user }}" DB_PASSWORD="{{ db_password }}" DB_NAME=admin bash ./scripts/init_orms.sh
+    when: "{{ use_orms }}"
   # run admin
   - docker compose up -d admin
   # Migrate schemas and initialize data
   - command: |
-      LISTENER_TOKEN="{{ listener_token }}" LISTENER_REGISTRATION_TOKEN="{{ listener_registration_token }}" INTERFACE_ENGINE_TOKEN="{{ interface_engine_token }}" INTERFACE_ENGINE_PASSWORD="{{ labs_password }}" ADMIN_TOKEN="{{ admin_token }}" ADMIN_PASSWORD={{ admin_password }} ./scripts/initialize.sh
+      LISTENER_TOKEN="{{ listener_token }}" LISTENER_REGISTRATION_TOKEN="{{ listener_registration_token }}" INTERFACE_ENGINE_TOKEN="{{ interface_engine_token }}" INTERFACE_ENGINE_PASSWORD="{{ labs_password }}" ADMIN_TOKEN="{{ admin_token }}" ADMIN_PASSWORD="{{ admin_password }}" ./scripts/initialize.sh
+  # explicitly set a password for the orms user to allow logins on admin-legacy
+  - command: |
+      docker compose exec admin python manage.py shell -c 'user = User.objects.get(username="orms"); user.set_password("{{ orms_password }}"); user.save();'
+    when: "{{ use_orms }}"
   # run the remaining services
   - command: |
       docker compose up -d
@@ -394,7 +418,11 @@ _exclude:
   - "renovate.json5"
   - "ruff.toml"
   - "zizmor.yml"
+  - "LICENSE"
   # - "README.md"
   - extensions
+  - "{% if not db_use_adminer %}compose.adminer.yaml{% endif %}"
+  - "{% if not use_orms %}compose.orms.yaml{% endif %}"
+  - "{% if not use_ofelia %}compose.ofelia.yaml{% endif %}"
   - "{% if not is_test %}scripts/cleanup_db.sh{% endif %}"
   - "{% if not is_test %}tests{% endif %}"
diff --git a/ctt.toml b/ctt.toml
index 10cceed..49605ca 100644
--- a/ctt.toml
+++ b/ctt.toml
@@ -17,8 +17,9 @@ _extra_tasks = [
 
 [output.".ctt/defaults"]
 _extra_tasks = [
+  "! ls compose.orms.yaml",
   "uv run tests/admin_login.py '{{ admin_password }}'",
-  "uv run tests/system_user_login.py '{{ labs_password }}'",
+  "uv run tests/system_user_login.py interface-engine '{{ labs_password }}'",
   "uv run tests/labs_basic_auth.py '{{ labs_password }}'",
   "uv run tests/validate_token.py admin_token {{ admin_token }}",
   "uv run tests/validate_token.py listener_token {{ listener_token }}",
@@ -64,3 +65,12 @@ db_root_password = "root-password"
 # TODO: add test case with TLS enabled
 db_use_tls = 0
 use_custom_certs = false
+
+# orms enabled
+[output.".ctt/orms_enabled"]
+use_orms = true
+_extra_tasks = [
+  "ls compose.orms.yaml",
+  "uv run tests/system_user_login.py orms {{ orms_password }}",
+  "docker compose down",
+]
diff --git a/scripts/init_orms.sh b/scripts/init_orms.sh
new file mode 100644
index 0000000..535b150
--- /dev/null
+++ b/scripts/init_orms.sh
@@ -0,0 +1,37 @@
+#!/bin/bash
+set -euo pipefail
+
+# renovate: datasource=docker depName=alpine
+ALPINE_VERSION="3.23.2"
+WAIT_FOR_IT_VERSION="latest"
+
+echo "Waiting for DB container to be ready..."
+docker run --rm --interactive --network opal-${ENVIRONMENT} chainguard/wait-for-it:${WAIT_FOR_IT_VERSION} --host="$DB_HOST" --port="$DB_PORT" --timeout=20
+
+echo "Running container for mysql-client..."
+docker run --rm --interactive \
+    --env DB_ROOT_USER=${DB_ROOT_USER} \
+    --env DB_ROOT_PASSWORD=${DB_ROOT_PASSWORD} \
+    --env DB_HOST=${DB_HOST} \
+    --env DB_USER=${DB_USER} \
+    --env DB_PASSWORD=${DB_PASSWORD} \
+    --network opal-${ENVIRONMENT} \
+    alpine:${ALPINE_VERSION} sh -s << EOF
+set -euo pipefail
+apk add --no-cache mysql-client
+echo "Connecting to DB server on ${DB_HOST}:${DB_PORT}..."
+echo "Creating ORMS DBs..."
+MYSQL_PWD=${DB_ROOT_PASSWORD} mariadb --protocol tcp --skip-ssl --user ${DB_ROOT_USER} --host ${DB_HOST} --port ${DB_PORT} <<'EOIF'
+CREATE DATABASE IF NOT EXISTS \`OrmsDatabase\` /*!40100 DEFAULT CHARACTER SET latin1 */;
+CREATE DATABASE IF NOT EXISTS \`OrmsLog\` /*!40100 DEFAULT CHARACTER SET latin1 */;
+EOIF
+echo "Successfully created ORMS DBs"
+echo "Granting privileges to DB user..."
+MYSQL_PWD=${DB_ROOT_PASSWORD} mariadb --protocol tcp --skip-ssl --user ${DB_ROOT_USER} --host ${DB_HOST} --port ${DB_PORT} <<'EOIF'
+GRANT ALL PRIVILEGES ON \`OrmsDatabase\`.* TO '$DB_USER'@'%';
+GRANT ALL PRIVILEGES ON \`OrmsLog\`.* TO '$DB_USER'@'%';
+FLUSH PRIVILEGES;
+EOIF
+echo "Successfully granted privileges to DB user"
+echo "Done!"
+EOF
diff --git a/scripts/refresh_data_orms.sh b/scripts/refresh_data_orms.sh
new file mode 100644
index 0000000..69419e4
--- /dev/null
+++ b/scripts/refresh_data_orms.sh
@@ -0,0 +1,44 @@
+#!/bin/bash
+# Description: Refresh data in a non-production environment
+
+set -euo pipefail
+
+echo "Beginning ORMS test data reset..."
+
+# Check for required arguments
+if [ "$#" -ne 1 ]; then
+    echo "Usage: $0 <institution>"
+    echo "Valid institutions: OMI, OHIGPH"
+    exit 1
+fi
+
+institution=$1
+institution_lower=$(echo $1 | tr '[:upper:]' '[:lower:]')
+
+# Validate the institution
+if [[ "$institution" != "OMI" && "$institution" != "OHIGPH" ]]; then
+    echo "Invalid institution: $institution"
+    echo "Valid institutions: OMI, OHIGPH"
+    exit 1
+fi
+
+set -euxo pipefail
+
+echo "Upgrading OrmsDB..."
+docker compose run --rm db-management alembic --name ormsdb upgrade head
+echo "Upgrading OrmsLogDB..."
+docker compose run --rm db-management alembic --name ormslogdb upgrade head
+
+docker compose run --rm db-management python -m db_management.run_sql_scripts OrmsDB db_management/ormsdb/data/truncate/
+docker compose run --rm db-management python -m db_management.run_sql_scripts OrmsLogDB db_management/ormslogdb/data/truncate/
+
+docker compose run --rm db-management python -m db_management.run_sql_scripts OrmsDB db_management/ormsdb/data/initial/
+docker compose run --rm db-management python -m db_management.run_sql_scripts OrmsDB db_management/ormsdb/data/test/
+docker compose run --rm db-management python -m db_management.run_sql_scripts OrmsDB db_management/ormsdb/data/test/$institution_lower/
+docker compose run --rm db-management python -m db_management.run_sql_scripts OrmsLogDB db_management/ormslogdb/data/initial/
+docker compose run --rm db-management python -m db_management.run_sql_scripts OrmsLogDB db_management/ormslogdb/data/test/
+docker compose run --rm db-management python -m db_management.run_sql_scripts OrmsLogDB db_management/ormslogdb/data/test/$institution_lower/
+
+docker compose exec admin python manage.py update_orms_patients
+
+echo "ORMS test data successfully reset."
diff --git a/tests/admin_login.py b/tests/admin_login.py
index cbf9dff..7d68e34 100644
--- a/tests/admin_login.py
+++ b/tests/admin_login.py
@@ -8,7 +8,10 @@
 import requests
 import typer
 
+app = typer.Typer()
 
+
+@app.command(context_settings={'ignore_unknown_options': True})
 def main(admin_password: str):
     response = requests.post(
         'https://localhost/opalAdmin/user/validate-login',
@@ -30,4 +33,4 @@ def main(admin_password: str):
 
 
 if __name__ == '__main__':
-    typer.run(main)
+    app()
diff --git a/tests/labs_basic_auth.py b/tests/labs_basic_auth.py
index d0435f3..6d3c711 100644
--- a/tests/labs_basic_auth.py
+++ b/tests/labs_basic_auth.py
@@ -11,7 +11,10 @@
 import requests
 import typer
 
+app = typer.Typer()
 
+
+@app.command(context_settings={'ignore_unknown_options': True})
 def main(labs_password: str):
     response = requests.post(
         'https://localhost/opalAdmin/labs/api/processLabForPatient.php',
@@ -38,4 +41,4 @@ def main(labs_password: str):
 
 
 if __name__ == '__main__':
-    typer.run(main)
+    app()
diff --git a/tests/system_user_login.py b/tests/system_user_login.py
index c81f589..4576fcb 100644
--- a/tests/system_user_login.py
+++ b/tests/system_user_login.py
@@ -8,13 +8,18 @@
 import requests
 import typer
 
+app = typer.Typer()
+
+
+@app.command(context_settings={'ignore_unknown_options': True})
+def main(username: str, password: str):
+    print(f'Attempting system user login for user: {username}')
 
-def main(labs_password: str):
     response = requests.post(
         'https://localhost/opalAdmin/user/system-login',
         data={
-            'username': 'interface-engine',
-            'password': labs_password,
+            'username': username,
+            'password': password,
         },
         timeout=5,
         allow_redirects=False,
@@ -26,8 +31,8 @@ def main(labs_password: str):
         print(f'System user login failed: {response.status_code} {response.text}')
         raise typer.Exit(code=1)
 
-    print('System user login succeeded')
+    print(f'System user login succeeded for user: {username}')
 
 
 if __name__ == '__main__':
-    typer.run(main)
+    app()