Mark A. Dougherty, DDS, Inc.
Periodontics, Cosmetic Gingival Surgery

Appointment Request

Appointments / Scheduling

Because we value your time, you may download and print our health history form for you to complete at your convenience prior to your appointment.  Or you may elect to have us mail the forms to you. Please complete and sign both pages, and bring them with you to your initial appointment.

If you have been instructed by your physician or dentist to take antibiotics prior to dental appointments, please follow their instructions before your examination with us.

Your first visit in our office will include a comprehensive examination, any needed x-rays, and a thorough discussion of your periodontal needs and treatment options. Please plan to be with us for 1–1.5 hours at your first visit.

We offer convenient office hours that will allow you to make an appointment that will easily fit into your schedule. We pride ourselves on the efficiency of our office. It is the rare exception that will keep us from seeing you promptly, at your appointed time.

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to schedule an appointment.

Office Hours:

Tuesday - Thursday 8:00AM - 5:00PM
Friday 8:00AM - 12:00PM

Please do not use this form to cancel or change an existing appointment.

*Items in bold are required.
Are you a current patient?

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.


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Office Location

  • Yorba Linda
  • 17300 Yorba Linda Blvd. Suite H
  • Yorba Linda, CA
  • 92886-3810
  • Map & Directions
  • Call: 714-993-1194