Endodontics:  Referral Form

If you want to be a patient

  1. Your Dentist will need to complete an electronic endodontic referral form and send/attach a copy of a current x-ray to the Department of Endodontics as soon as possible. 
  2. Referrals must be received prior to making an appointment for all patients. 
  3. Endodontic Referrals must be sent by clicking on the link below and selecting "University of Iowa Endodontics" through edossea:

Electronic Endodontic Referral - link to the Endodontic Referral Form is located at https://edossea.com/university-of-iowa/
     *Link for all departments, including Endododontics, located at the bottom of this page under Services and is called "Patient Referrals"

Paper Referrals are no longer accepted for the majority of the departments at the University of Iowa College of Dentistry.  Please use link located below under Services, "Patient Referrals", to submit all College of Dentistry Referrals.

 

~~Please do not forget to include your most current x-ray/film/image/radiograph with your referral form~~