Information for Referring Doctors

Services requiring a referral

Endodontics (Root canals)

• Referral form

Oral and Maxillofacial Pathology Services

• Patient clinical evaluation information
• Biopsy contributor information

Oral and Maxillofacial Surgery

• Referral form
• Important additional information

Periodontics (Gum disease)

• Referral form
• Please email radiographs and the Graduate Periodontal Referral Form to [email protected].

Prosthodontics (Crowns, bridges, dentures and implants)

• Referral form
• Call 614-292-5398

Radiology (X-ray services)

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

Ohio State Dental Faculty Practice 

• Visit the Ohio State Dental Faculty Practice

Upper Arlington Dentistry (off-campus clinic)

• Patient Referral Form

The following services do not require a referral:

General Practice Residency (General Dentistry)

• Call 614-292-2622

Orthodontics (Braces, bite correction)

• Call 614-292-9100

Pediatric Dentistry

• Call 614-292-2027