Information for Referring Doctors

The following forms can be used for a variety of referral needs. If you require assistance with these forms, please contact our webmaster.

Services requiring a referral

Endodontics (Root canals)

    Oral and Maxillofacial Pathology Services

    Oral and Maxillofacial Surgery

        Periodontics (Gum disease)

          Prosthodontics (Crowns, bridges, dentures and implants)

          Radiology (X-ray services)

              Ohio State Dental Faculty Practice 

              Upper Arlington Dentistry (off-campus clinic)

              The following services do not require a referral:

              General Practice Residency (General Dentistry)

              Orthodontics (Braces, bite correction)

              Pediatric Dentistry

              Dental Emergency Care Clinic

              Monday-Thursday
              7:30 a.m.-12 p.m.

              Friday
              7:30 a.m.-10:30 a.m.

              Student Dental Clinics

              Monday-Friday
              8:00 a.m.-4:00 p.m.

              Ohio State Dental Faculty Practice

              Monday-Friday
              7:30 a.m.-4:30 p.m.

              Upper Arlington Dental Clinic

              Monday
              7:30 a.m.-5:30 p.m.

              Tuesday-Thursday
              7:30 a.m.-4:30 p.m.

              Friday
              7:30 a.m.-12:30 p.m.