Referrals

SOM Peer Support Program clinicians

For providers

If you would like to refer your patient for limited care to our student clinic or to a specialist, please fill out the Dental Referral Form and email to dentalreferrals@ohsu.edu, Fax to 503-346-8283, or mail to 2730 SW Moody Ave, Mail Code: SD-PBS, Portland, OR 97201. 

NOTE: If the referral form is missing information it can delay the referral process.Diagnostic images should be in jpeg format, emailed to Dental Referrals team with the patient’s name, date of birth, and the date the images were taken. If you are unable to email them, please mail a disc to the address above.

In order for us to provide limited care to patients, treatment must be diagnosed by a dental care provider and we ask that you sign our referral form. We also ask that you indicate whether you will be seeing the patient for continuing care or would like the patient to become a patient here. 

If you would like to send someone to become a new patient, please have them call our main line to schedule a new patient exam at 503-494-8867. Once your referral is received, the Referrals Team will route your referral to the appropriate clinic. Your patient will be contacted by the clinic to schedule an appointment. If further information is necessary, we will contact you.

Please note: 

  • Faculty Dental Practice does not accept Oregon or Washington Medicaid and does not offer a discounted rate. 
  • If your referral was denied by Hospital Dental Services, the referral still must be sent to our location to be processed. Referrals sent to Hospital Dental Services do not reach us and are not automatically forwarded. We are at different locations. 

Dental Referrals Team
2730 S.W. Moody Avenue, Portland, OR 97201
Phone: 503-346-4791
Fax: 503-494-1677
Email: dentalreferrals@ohsu.edu   

OHSU Dental Clinics Limited Care Referral Form

For patients

OHSU Dental Clinics provide urgent services, however, you do need to schedule an appointment. Please call 503-494-8867 for more details and to schedule.

If you are looking for a dental care provider for all of your dental needs, a referral is not required. Please call to schedule a new patient exam at 503-494-8867. 

Dental Referrals Team
2730 S.W. Moody Avenue, Portland, OR 97201
Phone: 503-346-4791
Fax: 503-494-1677
Email: dentalreferrals@ohsu.edu