Refer a Patient to Oral & Maxillofacial Surgery

Call  801-213-6575

Referring Providers

We ask that all referring providers fax or email patient chart notes to our office. Please also give your patient a copy of their most recent imaging to take to their appointment with us.

Fax: 801-585-2261 
Email: UUSODOMFS@hsc.utah.edu 

Referring Provider Information
Patient Information
Is the Patient a Minor?
Insurance Information
Procedures & Consultations
Procedures
Consultations
Radiographs or Clinical Photos
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