Are You a Referring Doctor?

The OU College of Dentistry accepts referrals from dentists for limited treatments. 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 three hours long
• Molar endo can require five appointments. 
• Our current fees are:

  • Anterior Endo - $311.00

  • Premolar Endo  - $351.00

  • Molar Endo - $427.00

  • Pre-fab post and core - $126.00

  • Crowns - $550.00 - $650.00

  • SRP - $168.00 per quad.

• Endo and the pre-fab post and core must be pre-paid before an appointment will be scheduled. 
• The first half of the crown fee must be paid at the preparation appointment and the last half is required at the delivery appointment.            

If you would like to refer a patient to one of our student clinics, please download the OU College of Dentistry Patient Referral Form and fill it out. Once completed, you may either send a digital copy 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

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 call: (405) 271-5222 or email: AEGD-clinic@ouhsc.edu

Graduate Orthodontics Referrals

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

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