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Refer a Patient

Thank you for trusting us with your patients. Dr. Young Jun, DDS, MD, FACS, and Dr. David Roe, DMD, are board-certified oral and maxillofacial surgeons who see referred patients at our offices in Placentia and Huntington Beach.

Send a referral with our secure online form below, or call the office your patient will visit.

How to Refer a Patient

  1. Choose the office your patient will visit: Placentia or Huntington Beach.
  2. Fill in the patient’s details, the teeth and the treatment you would like us to evaluate.
  3. Attach radiographs with the paper clip at the bottom of the form, or send them with your patient.
  4. Sign and submit. The form goes securely to the office you chose.

Send a Referral

Which office will see your patient?

Each form opens in a new tab on our secure forms page. Questions about a referral? Call Placentia (714) 985-9690 or Huntington Beach (714) 847-6044.