Referring Doctors

Thank you for selecting the endodontic office of Samuel H. Ip, DDS, an endodontic specialty practice dedicated to exceptional care using state-of-the-art technology. Dr. Ip is an active specialist member of the American Association of Endodontists, the American Dental Association, and the Orange County Dental Society. Dr. Ip feels that an open communication regarding mutual patients is crucial in delivering excellence in comprehensive patient care. If you have any questions or concerns, please do not hesitate to contact Dr. Ip at the office: (949) 589-4819 or info@DrSamuelIp.com.

Referral Form

You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

Technical Note:

Our online forms use the Adobe Acrobat 5 Plugin. Please download the free plugin from Adobe's web site if it is not already installed on your system. It is important that you have version 5 of the plugin, in order to successfully use our form.