DOCTOR REFERRAL FORM

Please take a minute to fill out the referral form below, or print and fill out the referral form for your patient(s).

Patient's Information

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Referring Doctor's Information

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Printable Doctor Referral Form

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Email our office at info@byebyesugarbugs.com with any questions.

Brookhurst Pediatric Dentistry and Orthodontics

Our team at Brookhurst Pediatric Dentistry and Orthodontics provides fun, loving, and comfortable dental care for children, teens, and patients with special needs. Dr. Beanca Chu, our Huntington Beach pediatric dentist, and Dr. Shawn Yu, our Huntington Beach orthodontist, are both board-certified and dedicated experts in their dental specialty.

5.0 ★★★★★ 550 Google reviews
Our Office
19201 Brookhurst St #101,
Huntington Beach,
CA 92646, USA
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Call Us
(714) 962-9302
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