Patient Referral Form (124kB)
Please use this form to refer a patient to the Dental School and Hospital. Once completed it can be returned by fax to 021 454 5539 for the Restorative Dept and 021 490 1179 for the Oral Surgery Dept.
This form can also be sent by post to University Dental School and Hosptial, Wilton, Cork.
Guidance Notes Patient Referral Form (437kB)
Please also see below a poster which can be downloaded and displayed in your clinic.
Referral Poster (1,702kB)
Urgent Referrals to the Oral Surgery Department for suspected malignant tumours.