U-M Dentistry External Referrals

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) site	CBCT Form
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
Graduate Restorative Clinic General Dentistry Clinic website	GradRest Form
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 Dentistry at Michigan Medicine website Delta Dental Integrated Special Care Clinic at the School of Dentistry	ISCC Form
Obstructive Sleep Apnea Clinic Obstructive Sleep Apnea Clinic website	OSA Form
Outpatient Oral & Maxiollofacial Surgery at the School of Dentistry Providing exposures, extractions (including wisdom teeth), implants, alveoplasty, frenectomy, tori removal, and biopsies (Hard or Soft Tissue, Infection, Drainage, etc.) Oral & Maxiollofacial Surgery (Dentistry) website	OMFS Form
Oral Pathology Biopsy Service Oral Pathology Biopsy Service website	Biopsy Form
Adult Oral & Maxillofacial Surgery at Michigan Medicine Providing adult surgical care for head and neck cancers; skeletal anomalies; jaw conditions; trauma reconstruction; and wisdom teeth extraction. Oral & Maxillofacial Surgery/Dentoalveolar website	OMFS MM Form
Pediatric Oral & Maxillofacial Surgery at Mott Children's Hospital Providing pediatric surgical care for head and neck cancers; skeletal anomalies; jaw conditions; and trauma reconstruction. Oral & Maxillofacial Surgery/Dentoalveolar website	OMFS MCH Form
Orthodontics Clinic Orthodontics Clinic website Please call the orthodontics clinic for any external referral-related questions or requests 734-764-1520	734-764-1520
Pediatric Clinic Pediatric Clinic website	Peds Form
Periodontics Clinic Periodontics Clinic website	Perio Form
Prosthodontic Clinic Prosthodontic Clinic website	Prosth Form
Temporomandibular Disorders and Orofacial Pain Clinic Providing a thorough assessment and diagnosis of orofacial pain to provide management through a comprehensive and multidisciplinary approach. Temporomandibular Disorders and Orofacial Pain Clinic website	TMD/OP Form
Hospital-Based Wisdom Tooth Clinic Providing wisdom tooth extractions in a hospital setting for medically complex cases. On April 23, 2023, the Wisdom Tooth Clinic referral form will no longer be available. All wisdom tooth extraction referrals should be sent using the "Outpatient Oral & Maxillofacial Surgery at the School of Dentistry" form above. TWisdom Tooth Clinic website	WT Form

Updated 2022-03-16