Refer a Patient: Student Clinic


Please Note - Implant Referrals

Patients referred directly to the college for implants by an outside dentist who intends to restore that patient will be appointed to the UNMC Graduate Periodontics Clinic.

How to Refer Patients to the College of Dentistry Student Dental Clinics

Step 1: Download and complete the Patient Referral 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 Referral 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.