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Patient Referral Forms

The College of Dentistry is proud of the partnership it shares with the Iowa dental community and appreciative of the referrals to our student and faculty clinics.

Specialists are conveniently available at the College for consultation or treatment in a variety of disciplines to help meet the dental health care needs of your patients. These areas include: prosthodontics, periodontics, oral and maxillofacial surgery, endodontics, oral pathology, preventive dentistry, restorative and cosmetic dentistry, pediatric dentistry, dental care for the special needs of the elderly, and dental care for mentally, physically, and medically complex patients.

It is our hope that the available referral forms will assist in the co-treatment of your patients when the need arises. Your continued support helps to educate the next generation of Iowa dental practitioners.

Forms for Referring to Specialty Clinics at the College

Forms for Referring to General Dentists at the College

Upload Patient Images, Radiographs, Photos, Notes

The University of Iowa Dental School & Dental Clinics has subscribed to eDossea to securely, quickly and completely receive all the required patient information from you.  eDossea is HIPAA compliant and specifically designed for dental professionals to securely exchange electronic records.  The images you send will arrive undistorted and the patient information will be complete. There will be an exact record of what was sent stored in our secure eDossea account.  If needed, we will be able to quickly send patient images/records back to you. There is no charge to you for using this system.

  • Click here for instructions
  • Click here to upload images

 For assistance please contact:
The University of Iowa College of Dentistry & Dental Clinics Central Records (319-335-7429)

 

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