** As we approach the end of the academic year, appointment availability is limited, and we may not be able to accommodate all referrals at this time. Thank you for your patience as we prepare for the new academic year. **

 

PreDoc Referral Form - Department of Endodontics

PreDoc Referral form uses:  Anterior and pre-molar teeth ONLY referred for initial treatment may be evaluated/treated by 3rd or 4th year dental students under faculty supervision.  If the patient needs to have a post and core and/or post space, then the patient will ONLY be considered for treatment by an Endodontic Graduate Resident and NOT pre-doctoral students (A Graduate Resident Referral Form should be used). 

Predoc Referral form

 

Graduate Resident Referral Form - Department of Endodontics

Graduate Resident Referral form uses:  All teeth, post and core and/or post space work is completed by a Graduate Resident.  Please note that if you are referring for an anterior or premolar initial treatment, wait-times are much shorter if you choose the Predoc Referral.

Graduate Resident Referral Form

 

Trauma Referral Form - Department of Endodontics

Trauma Referral form uses:  For health related injuries and/or injuries to the tooth pulp (the soft inner tissue), gums or surrounding tissues often resulting from accidents or severe tooth decay.  

Trauma Referral form