Go to the U of M home page
One Stop
MyU
: For Students, Faculty, and Staff
Search
University of Minnesota
Dental Clinics
Emergency:
612-273-3000
Appointments:
612-625-2495
Menu
Menu
☰
Dental Clinics
Dental Clinics
Moos Tower Clinics
Campus-Wide Clinics
Community-Based Clinics
Research Center
Urgent Care Clinic
Patient Information
Patient Information
Patient Check-In Information
Forms
Payment & Insurance
Manage Your Dental Records
PatientAccess
About Us
About Us
Conditions Treated
Contact Us
Contact Us
Clinic Phone Numbers
Emergency Information
Directions to Moos Tower
Give
Dental Clinics
Patient Information
About Us
Contact Us
Give
You are here
Home
›
Patient Information
›
Forms
▾
Section sub-menu
▾
Forms
Important School of Dentistry Forms
Registration Form
Adult Health History Form
Child Health History Form
Release of Records
CBCT Referral Form
Patient Check-In Information
Forms
Payment & Insurance
Manage Your Dental Records
PatientAccess
Dental Clinics
Dental Clinics Overview
Moos Tower Clinics
Moos Tower Clinics Overview
Comprehensive Care Clinics
Comprehensive Care Clinics Overview
About
Contact Us
What to Expect at Your Appointment
Points of Pride
Specialty and Advanced Clinics
Specialty and Advanced Clinics Overview
Pediatric Dentistry
Pediatric Dentistry Overview
Why Pediatric Dentistry?
Contact Us
Our Team
Prepare for Your Visit
Advanced Prosthodontics
Advanced Prosthodontics Overview
Contact Us
Our Team
Cleft & Craniofacial Clinic
Cleft & Craniofacial Clinic Overview
About
Contact Us
Our Teams
Prepare for Your Visit
Services and Conditions
Cleft & Craniofacial Resources
Family Support Program
Family Support Program Overview
Enrollment
Program Guidelines
Resources
TMD, Orofacial Pain & Dental Sleep Medicine Clinic
TMD, Orofacial Pain & Dental Sleep Medicine Clinic Overview
About
Contact Us
Our Teams
Prepare for Your Visit
Services and Conditions
About Dental Sleep Medicine
TMD Symptoms & Treatment
Refer a patient to the TMD, Orofacial Pain and Dental Sleep Medicine Clinic
Endodontics
Endodontics Overview
Prepare for Your Visit
Contact us
For Providers
Periodontology
Periodontology Overview
Our Team
Prepare for Your Visit
Contact us
University of Minnesota Oral and Facial Surgery
University of Minnesota Oral and Facial Surgery Overview
How to refer a patient
First Visit
Procedures Performed
Our Clinic and Team
Our Clinic
Procedures Performed
Orthodontics Clinic
Orthodontics Clinic Overview
Graduate Clinic
Graduate Clinic Overview
About the Graduate Clinic
Meet our Doctors and Team
Appointments
Financial & Insurance
Map and Directions
Faculty Clinic
Faculty Clinic Overview
Meet our Doctors and Team
Appointments
Financial & Insurance
Map and Directions
Patient Information
Patient Information Overview
FAQ's About Orthodontics
Patient Forms
Orthodontic Emergencies
Oral Hygiene
Foods to Avoid
Related Links
Treatment Options
Treatment Options Overview
Early Treatment
Adolescent Treatment
Adult Treatment
Orthognathic Surgery
Craniofacial Orthodontics
Technology
Contact Us
Faculty Clinics
Faculty Clinics Overview
Faculty Dental Clinic
Faculty Dental Clinic Overview
Our Teams
Prepare for Your Visit
Contact Us
Orthodontic Faculty Practice
Orthodontic Faculty Practice Overview
Our Teams
Prepare for Your Visit
Contact us
Campus-Wide Clinics
Campus-Wide Clinics Overview
University of Minnesota Physicians Dental Clinic
Pediatric Clinics
Pediatric Clinics Overview
About
Contact Us
Our Team
Community-Based Clinics
Research Center
Urgent Care Clinic
Patient Information
Patient Information Overview
Patient Check-In Information
Forms
Payment & Insurance
Manage Your Dental Records
PatientAccess
About Us
About Us Overview
Conditions Treated
Contact Us
Contact Us Overview
Clinic Phone Numbers
Emergency Information
Directions to Moos Tower
Give