Information for Referring Doctors

Ohio State Dental Clinics and College of Dentistry Services

If you require assistance with these forms, please contact our webmaster.

Endodontics (Root canals)

• Referral form

Oral and Maxillofacial Surgery

• Referral form
• Important additional information

Oral and Maxillofacial Pathology Services

• Patient clinical evaluation information
• Biopsy contributor information

Periodontics (Gum disease)

• Referral form
• Please email radiographs and the Graduate Periodontal Referral Form to PeriodonticsClinic@osu.edu.

Radiology (X-ray services)

• Cone Beam CT Order Form
• Conventional Image Order Form
• Oral and Maxillofacial Radiology Interpretation Service

Orthodontics (Braces, bite correction)

• No referral required
• Call 614-292-9100

Prosthodontics (Crowns, bridges, dentures and implants)

• No referral Required
• Call 614-292-5398

General Practice Residency (General Dentistry)

• No referral required
• Call 614-292-2622

Pediatric Dentistry

• No referral required
• Call 614-292-2027

Ohio State Dental Faculty Practice 

Upper Arlington Dentistry

• Patient Referral Form