Welcome

Please locate the service needed for your patient and use the appropriate means below to begin the referral process or to find out more about the services offered by the University of Michigan School of Dentistry.

If you have a technical problem with a referral form, please use the "Provide Feedback" link near the top of the page. If you have questions for a specific department or regarding a certain patient, please use that department's websitt link below to find contact information (or use the phone number if provided below).

DEPARTMENT/SPECIALTY REFERRAL REQUEST FORM
Cone-beam Computed Tomography (CBCT)
Cone-beam Computed Tomography (CBCT) website  
CBCT Form
Delta Dental Integrated Special Care Clinic
Delta Dental Integrated Special Care Clinic website  
Coming soon
Dental Faculty Associates Clinic
Dental Faculty Associates Clinic website  
(734) 764-3155
Dental Student Clinics
Dental Student Clinics website  
(734) 763-6933
Endodontics Clinic
Endodontics Clinic website  
Endo Form
General Dentistry Clinic
General Dentistry Clinic website  
(734) 764-1532
Hospital-Based and Special Care Dentistry
Providing comprehensive dental care in a hospital or specialized setting for patients with special healthcare needs and/or medically complexity, including the treatment of oral infections, trauma, cancer and comprehensive dental care for patients with complex dental treatment needs.
Hospital-Based and Special Care Dentistry website  
HB/SC Form
Obstructive Sleep Apnea Clinic
Obstructive Sleep Apnea Clinic website  
OSA Form
Oral & Maxiollofacial Surgery (Dentistry)
Oral & Maxiollofacial Surgery (Dentistry) website  
OMFS Form
Oral & Maxillofacial Pathology Biopsy Service
Oral & Maxillofacial Pathology Biopsy Service website  
Biopsy Form
Hospital-Based Oral & Maxillofacial Surgery
Providing surgical care for head and neck cancers; skeletal anomalies; jaw conditions; and trauma reconstruction.
Oral & Maxillofacial Surgery/Dentoalveolar website  
HB/OMFS Form
Orthodontics Clinic
Orthodontics Clinic website  
734-764-1520
Pediatric Clinic
Pediatric Clinic website  
Peds Form
Periodontics Clinic
Periodontics Clinic website  
Perio Form
Prosthodontic Clinic
Prosthodontic Clinic website  
(734) 763-3326
TMD/Orofacial Pain Clinic
Providing a thorough assessment and diagnosis of orofacial pain to provide management through a comprehensive and multidisciplinary approach.
TMD/Orofacial Pain Clinic website  
TMD/OP Form
Hospital-Based Wisdom Tooth Clinic
Providing wisdom tooth extractions in a hospital setting for medically complex cases.
TWisdom Tooth Clinic website  
WT Form

Updated 2021-09-28