Referrals & Consultation Services for Health Care Providers
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Due to significant demand for appointments, we currently have an extensive wait list for Graduate Endodontics and Graduate Oral Surgery. Thank you for your patience and understanding as we do our best to safely accommodate as many patients as possible.
While this page includes referral information for many types of practices, please keep in mind that the complexity of the patient's medical and dental needs will determine whether they may be seen by a student, resident or faculty provider.
Endodontics
Please use the Limited Treatment and Consultation Referral Form [PDF] to refer a patient to our DMD clinic for root canal therapy (RCT).
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
Please use the Graduate Endodontics Referral Form [PDF] to refer a patient to our clinic.
The form can be sent by secure email to gradendo@louisville.edu or faxed to 502-852-1496.
NOTE: Our practice currently has an extensive wait list. Patients are called to schedule an appointment when their name rises to the top of the wait list. An initial consultation appointment may be necessary to confirm the treatment needed. Thank you for your patience and understanding.
Please use the UofL Dental Associates Referral Form [PDF] to refer a patient to our practice.
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
General Dentistry
Please use the Limited Treatment and Consultation Referral Form [PDF] to refer a patient to our comprehensive care clinic for general dentistry.
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
Please use the Limited Treatment and Consultation Referral Form [PDF] to refer a patient to our General Practice Residency.
The form can be sent to the email address or fax number on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
Please use the UofL School of Dentistry Goodwill Dental Practice Referral Card [PDF] to refer a patient to this location.
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
Please send a secure email to ulsdcdc@louisville.edu or call us at 270-691-6205 to submit a referral.
Please call us at 270-534-3437 to submit a referral.
Please use the UofL School of Dentistry Shelbyville Dental Practice Referral Card [PDF] to refer a patient to this location.
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
Please use the UofL Dental Associates Referral Form [PDF] to refer a patient to our practice.
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
Orofacial Pain & TMJ
Please use the Limited Treatment and Consultation Referral Form [PDF] to refer a patient to our DMD clinic for orofacial pain/TMJ services.
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
Please use the UofL Dental Associates Referral Form [PDF] to refer a patient to our practice.
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
Oral & Maxillofacial Pathology
The University of Louisville Oral Pathology Laboratory offers nationwide surgical pathology services for biopsies from the oral and maxillofacial region. Diagnoses of biopsy specimens are typically reported the day after the tissue is received. Special procedures (i.e. decalcification of hard tissue, special stains, immunohistochemical and immunofluorescent studies) require additional time. We encourage submission of clinical images and radiographs to ensure the most precise diagnostic assessment possible.
Phone/email consultations
A brief consultation with one of our board-certified oral and maxillofacial pathologists may provide important diagnostic or treatment recommendations. Provision of appropriate radiographs/clinical pictures and a complete clinical history will facilitate these discussions. These can be emailed to:
How to submit biopsy specimens
We provide free shipping through United Parcel Service (UPS) for all biopsy specimens. Please call Kathy at our office 502-852-5654 to arrange for shipping of specimens.
How to obtain biopsy kits
To request specimen containers and/or biopsy submission forms, call Kathy at 502-852-5654.
Instructions for specimen handling (will be included in your biopsy kit)
- Submit each biopsy in a separate bottle.
- Label the bottle with the Patient’s Name and Doctor’s name and place in the biohazard bag.
- Place biohazard bag into styrofoam container, tape container shut and, insert styrofoam into cardboard box.
- Fill out Patient Information Form completely, including the signed patient consent.
- Attach legible copies of the patient’s medical primary and secondary insurance cards. Dental insurance information should also be included.
- If applicable, attach clinical photos or radiographs (alternatively these images may be emailed to the pathologists).
- Place cardboard box and all paperwork into UPS laboratory Pak shipping bag and attach shipping label. You may place more than one biopsy in a UPS Pak.
- Put package in a local UPS dropbox or give to a UPS driver in your area.
Note: If you would like to request immunofluorescence examination for vesiculobullous diseases (e.g. pemphigus, pemphigoid), please contact us before the biopsy procedure for special considerations.
Billing and insurance
- Biopsy specimens are typically billed under medical insurance. This information should be included to defray costs to insured patients. Dental insurance information should be included as a backup.
- We are in-network for laboratory services with most insurance plans for the following medical providers:
Private insurers
- Anthem/Blue Cross Blue Shield
- Humana
- Aetna
- United Health Care
- Healthlink
- Physicians Care (MI)
- Cofinity (MI)
Government plans
- Private Insurers Government Plans
- Medicare
- Passport Health Plan (KY)
- TriCare
Out of network insurance will be billed as a courtesy to your patient, with the patient being responsible for the unpaid balance.
Note: Many patients do not understand that when a biopsy is taken they may receive a bill from our laboratory in Louisville, KY. To promote positive relationships with your patients, prior to performing the biopsy procedure, obtain written consent on the patient history form regarding the cost of laboratory services.
Our pathologists specialize in clinical conditions of the mouth, oral cavity, and maxillofacial structures. Services include evaluation, diagnosis, and unless otherwise requested, non-surgical management and follow-up of:
- Chronic or recurrent conditions such as oral ulcers
- Vesiculobullous lesions
- Red/white lesions
- Oral cancer
- Burning mouth, xerostomia
We also perform instant testing for the presence of Candida.
Note: We do not evaluate or manage patients with facial/dental pain except to rule out primary lesions, nor do we evaluate temporomandibular complaints.
Phone/email consultations
A brief consultation with one of our board-certified oral and maxillofacial pathologists may provide important diagnostic or treatment recommendations. Provision of appropriate radiographs/clinical pictures and a complete clinical history will facilitate these discussions. These can be emailed to:
How to refer a patient
School of Dentistry Oral Pathology Clinic (for patients who have KY Medicaid programs)
Patients with oral pathology concerns should be seen through the University of Louisville School of Dentistry oral pathology clinic by calling 502-852-5096.
UofL Dental Associates Faculty Practice
Our faculty are members of UofL Dental Associates. Referring providers and prospective patients can call 502-852-5401 to schedule an appointment with faculty.
Referring providers who wish to provide a referral slip to patients can view and download the slip with this link: UofL Dental Associates Oral Pathology Referral Form [PDF]
Note: Dr. Shumway appoints patients on Tuesday from 8:00 - noon. Patients with acute problems or episodic lesions can often be accommodated on any weekday within 24 hours.
Billing and insurance
Examination for most non-dental/non-periodontal oral conditions is covered by medical insurance. We are in-network with most major insurers (PPO plans mainly) for the following medical providers. However, please verify participation with your specific plan prior to scheduling an appointment. For KY Medicaid programs, patients with oral pathology concerns should be seen through the University of Louisville School of Dentistry oral pathology clinic.
Private insurers
- Anthem/Blue Cross Blue Shield
- Humana
- Aetna
Government plans
- Medicare
- Medicaid (IN)
- Passport Health Plan (KY)
- TriCare
Oral & Maxillofacial Surgery
Please use the Limited Treatment and Consultation Referral Form [PDF] to refer a patient to our DMD clinic for oral surgery.
The form can be sent to the email address or fax number on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
At this time, the Graduate Oral Surgery department does not accept faxed referrals for oral surgery.
If you would like for your patient to be seen in the Graduate Oral Surgery program, you or the patient may call 502-852-0921 to schedule a consult appointment with that department. Due to the high volume of calls, any voicemails will be returned within 24 hours.
You may send the referral and radiographs with the patient, or after you have made the appointment for surgery, you may send the radiographs by secure email to dentalca@louisville.edu. Please include the patient’s name, date of birth, and the date the radiograph was taken.
Please use the UofL Dental Associates Oral and Maxillofacial Surgery Referral Form [PDF] to refer a patient to Dr. Kushner, Dr. Flint, or Dr. Barnes.
The form can be sent by secure email to the email address on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
Please use the UofL Dental Associates Pediatric Cleft and Craniofacial Surgery Referral Card [PDF] to refer a patient to Dr. Barnes.
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
Orthodontics
Please use the Limited Treatment and Consultation Referral Form [PDF] to refer a patient to Graduate Orthodontics.
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
Please use the UofL Dental Associates Referral Form [PDF] to refer a patient to our practice.
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
Pediatric Dentistry
Please use the Limited Treatment and Consultation Referral Form [PDF] to refer a patient to our DMD clinic for pediatric dentistry services.
The form can be sent to the email address or fax number on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
Please use the Limited Treatment and Consultation Referral Form [PDF] to refer a patient to our Graduate Pediatric Dentistry practice.
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
Please send a secure email to ulsdcdc@louisville.edu or call us at 270-691-6205 to submit a referral.
Please use the UofL Dental Associates Referral Form [PDF] to refer a patient to our practice.
Referral forms can be sent by secure email to the email address on the form or faxed to the fax number on the form.
Please use the UofL Dental Associates Pediatric Cleft and Craniofacial Surgery Referral Card [PDF] to refer a patient to Dr. Barnes.
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
Periodontics
Please use the Limited Treatment and Consultation Referral Form [PDF] to refer a patient to our DMD clinic for periodontics services.
The form can be sent to the email address or fax number on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
Please use the Graduate Periodontics Referral Form [PDF] to refer a patient to our clinic.
The form can be sent by secure email to gradperio@louisville.edu or faxed to 502-852-1496.
All referrals will be assigned to a resident by our program director. Once assigned, we will call the patient to schedule.
Please use the UofL Dental Associates Referral Form [PDF] to refer a patient to our practice.
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
Prosthodontics
Please use the Limited Treatment and Consultation Referral Form [PDF] to refer a patient to our DMD clinic for prosthodontics services.
The form can be sent to the email address or fax number on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
Please use the Limited Treatment and Consultation Referral Form [PDF] to refer a patient to Graduate Prosthodontics.
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
IMPORTANT: In addition to completing the referral form, please advise the patient to call us to schedule an appointment.
Please use the UofL Dental Associates Referral Form [PDF] to refer a patient to our practice.
The form can be sent by secure email to the email address on the form or faxed to the fax number on the form.
Radiology
Cone Beam Computed Tomography (CBCT) has revolutionized dental imaging diagnostics. While imaging the patient is technically relatively easy, the formatting, display, and interpretation of resultant CBCT images in all of its inherent three dimensions demands a high level of expertise and experience. We provide dental professionals the opportunity to fully explore and expand the capabilities of this cutting-edge technology.
How to refer a patient
UofL Dental Associates Faculty Practice
As board certified Oral and Maxillofacial Radiologists in the Commonwealth of Kentucky, our faculty provide referral-based CBCT imaging services within our intramural private practice, which is part of UofL Dental Associates. Referring providers and prospective patients can call 502-852-5401 to schedule an appointment with faculty.
In addition to providing imaging services for patients, our radiologists provide professional services including:
- Second opinion or "over-read" interpretive services
- Professional advice on technical issues related to the operation of a wide range of Cone Beam Computed Tomography (CBCT) units
For information, contact Dr. William C. Scarfe at wcscar01@louisville.edu or 502-852-1226.