Patient
Information Forms



Thank you for choosing our office for all your periodontal needs. We have created a comfortable environment where you can feel confident in the level of dental care you receive.

You may complete the patient registration and medical history forms prior to your first appointment. Download and complete the following forms. These forms can be emailed to office@theperiopocket.com, faxed to (619) 374-2849, or hand carried to us on your first visit.

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What Our Patients Are Saying

  • Denise F.
    I was worried about getting surgery, but Dr. Yvette was so gentle…I was worried for nothing!
    Denise F.
    San Diego, CA
  • Kate R.
    I would rather be seen by Dr. Yvette than any other dentist.
    Kate R.
    Pacific Beach, CA
  • Jessica D.
    Honestly, I don’t want to sound cheesy, but the gum surgery changed my life.
    Jessica D.
    Mission Valley, CA
  • Harry N.
    I just wanted to let Dr. Yvette know how special she is. She’s a magnificent periodontist.
    Harry N.
    Mission Bay, CA
  • Thomas A.
    Dr. Yvette made me feel at ease by explaining things in a way that I could understand.
    Thomas A.
    San Diego, CA

Why
Choose Us?

We are committed to patient care by providing you the best service possible in the areas of periodontics, dental implants, and oral medicine.

From family periodontal maintenance to dental implants, we offer your entire family comprehensive dental care that’s second to none.

 

Ready for Treatment?
Restore Your Smile!


We look forward to hearing from you. Please call our office at (619) 643-5081 or send us a message to request an appointment.