Information related to the Coronavirus (COVID-19) and U-M Dentistry

The available referral services are listed below (more are in the process of being added). Most services will provide a downloadable PDF. But some referrals also have an online form you can use. The dropdown menu at the top of this page includes our available online forms.

Type Phone PDF Online
Cone-Beam Computed Tomography 734-764-3155 CBCT Form
Endodontics 734-764-1540
Oral & Maxillofacial Surgery
(School of Dentistry)
Extractions, Implants, Alveoplasty, Tori Removal, Pathology Services
734-764-1568 OMFS Form
TMD Orofacial Pain
(University Hospital)
734-936-5955 TMD and Orofacial Pain (PDF) TMD Orofacial Pain
Hospital Dentistry
(University Hospital)
734-936-5950 Hospital Dentistry (PDF) Hospital Dentistry
(School of Dentistry)
Pediatric Dentistry
(School of Dentistry)
734-764-1523 Peds Form
(School of Dentistry)
Periodontic/Implant Treatment, Periodontal Plastic Surgery
734-764-1523 Perio Form
(School of Dentistry)
Obstructive Sleep Apnea Clinic
(School of Dentistry)
734-763-3326 Obstructive Sleep Apnea (PDF)

Updated 12-16-2019