To refer a patient to the College of Dentistry's student clinics, use the below form.
STEP 1: Download and complete the Patient Information Form. Save the completed form where you can easily access it, like on your desktop. Upload the completed form and images/radiographs below.
STEP 2: Submit the completed Patient Information Form below. In the Description Box, put the Patient's Name.
STEP 3: Submit images and radiographs below. In the Description Box, put the Patient's Name.