Are You a Referring Doctor?

Student Care Clinic Referrals

The OU College of Dentistry welcomes referrals from dentists for limited and comprehensive treatment. An ideal referral to one of our student clinics would be a low-income patient primarily in need of crowns and root canal treatments. For more information about our student clinics, click here.  

For those patients whom you refer to us, we respectfully request that you inform your patients of the following and ensure that they are interested in pursuing the recommended treatment in our student clinics:

• Appointments are normally three hours long.
• Endodontic procedures normally take multiple appointments.
• Oklahoma College of Dentistry fees are normally 40 – 60% lower than private practice fees.
• Only procedures listed on the Referral Form will be evaluated for treatment.
• Payment for procedures will be collected before the procedure is performed.
• We accept many insurance plans, including Medicaid, and patients may also qualify for Patient Assistance Funding for non-covered dental services.

If you would like to refer a patient to one of our student clinics, please right click to download and print the OU College of Dentistry Patient Referral Form and complete it. Once completed, you may either send a digital copy of the form and attach x-rays via email to Sabrina-Savage@ouhsc.edu OR you may mail this form with x-rays to the following address:

Sabrina Savage
OU College of Dentistry
1201 N. Stonewall Ave. Suite 238
Oklahoma City, OK 73117

Referral Form

Oral and Maxillofacial Surgery Referrals

The OU College of Dentistry Resident Oral Surgery Clinic accepts referrals from dentists for the following procedures, Wisdom Teeth, Full Mouth Extractions, Biopsy, Alveoplasty and Tori Removal.   

If you would like to refer a patient to our Resident Oral Surgery Clinic, please download the OU College of Dentistry Resident Oral Surgery Clinic Referral Form and fill it out. Once completed, you may either send a digital copy to OMS-Referral@ouhsc.edu along with a current a pano OR you may mail this form with x-rays to the following address: 1201 N. Stonewall Ave. Suite 230 Oklahoma City, OK  73117. You can also contact us by phone at 405-271-4079 for additional information. 

Referral Form

Faculty Practice Referrals

If you would like to refer a patient to Faculty Practice, please download the form and fill it out. Once completed, fax the completed form to (405) 271-2405 or email oudfrontdesk@ouhsc.edu. Please include this form and copies of front and back of patient’s insurance card(s).

Referral Form

Oral Pathology Referrals

If you would like to refer a patient to OUD Oral Pathology, please download the form and fill it out. Once completed, please send copies of medical insurance card (front and back) and demographic sheet to oral-pathology@ouhsc.edu.

Referral Form

Graduate Periodontics Referrals

If you would like to refer a patient to Graduate Periodontics, please download the form and fill it out. Once completed, please send copies of insurance card (front and back) and demographic sheet to gradperio@ouhsc.edu.

Referral Form

AEGD Referrals

If you are seeking complete dentistry with the benefit of reduced fees, the AEGD (Advanced Education in General Dentistry) Clinic may be the right option for you. The AEGD clinic provides patients with a wide array of services to enhance dental health. 

These include:

• Prophylaxis cleaning and examinations
• Dentures and removable partial dentures
• Extractions
• Emergency Dental Care
• Endodontics (treatment of diseases of the dental pulp and surrounding tissue)
• Implants
• Periodontics (treatment of diseases of the tissues surrounding and supporting the teeth, such as the gums)
• Restorative Dentistry

If you would like to refer a patient to AEGD, please download the referral form and email the completed form with available x-rays to dentistry-aegdreferral@ou.edu.  You may also fax the form to (405) 271-3851, although we prefer x-rays be emailed. Please note we are not contracted with any form of Medicaid.

Referral Form

Graduate Orthodontics Referrals

If you would like to refer a patient to Graduate Orthodontics, please call: (405) 271-6969.

Pediatric Dentistry Residency Clinic Referrals

The OU Pediatric Dentistry Residency Clinic welcomes referrals for limited and comprehensive dental treatments, including treatments with sedation and general anesthesia.  To refer a patient, please download the referral form and email the completed form with available x-rays to peds-dentistry@ou.edu or fax to (405) 271-4058.

Referral Form

Oral Implantology Referrals

If you would like to refer a patient to Oral Implantology, please download the form and fill it out. Once completed, you may either send a digital copy to cod-oralimplantology@ouhsc.edu along with a current a pano OR you may mail this form to the following address: 1201 N. Stonewall Ave. Suite 230 Oklahoma City, OK  73117.

Referral Form