UDA Referral Form - College of Dentistry
402-472-5000

Refer a Patient to UDA

If you are a health care provider and wish to refer a patient to University Dental Associates,

Download, complete and save the UDA Patient Referral Form.

To submit to UDA, email (with any accompanying radiographs) to: uda@unmc.edu.

University Dental Associates

4000 East Campus Loop South
Room 2037
Lincoln, NE 68583-0740

Monday-Thursday: 8 a.m. - 12 p.m.
& 1 p.m. - 5 p.m.
Friday:  8 a.m. - 12 p.m.

Appointments:  402-472-8900

uda@unmc.edu

Please notify us at least 24 hours in advance if you need to reschedule an appointment.