New Patient Forms
Thank you for choosing
Dr. Pechak and the Perio & Implant Team
for your Periodontal and Dental Implant Care!
By clicking the above Online Registration Form, please find our new patient forms. For your convenience, you can complete and submit these forms securely online. E‑mail to us simply by clicking "Submit" upon completion. Upon the first visit to The Perio & Implant Center, we do request identity and your signature on these forms at the time of check-in.
We are located in two areas to serve you:
- In Monterey in the Ryan Ranch Commercial Park, directly across the street from The Herald newspaper offices just past UPS, in the middle building #21.
- In Sunnyvale, Silicon Valley, located at 500 S Murphy Ave, Sunnyvale, CA 94086
It is our goal to exceed your expectations in dental care, and in this, we would love to know what we can do for your comfort during the short time in waiting while at the Perio & Implant Center. We have fresh herbal and fruit-infused teas, Kona coffee, Italian Cappuccino, lattes, and espresso, both hot and iced.
Our hygienist is highly skilled and experienced in Periodontal Therapies and will provide amenities like a heated neck or shoulder wrap, aromatherapy, eyewear and the ability to view the pictorial series "Planet Earth", for your comfort.
If you have any questions at all, please do not hesitate in contacting us at 831‑648‑8800 or PechakOffice@Gmail.com. A team member is available at any time, even after hours. If you get our voicemail, just press ONE, and your call will be forwarded to a staff member on duty.