accessibility ACCESSIBILITY
Call: (408) 245-7500

New Patient Forms

  John Ashton Vellequette, DDS  
The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Vellequette and our caring staff. We encourage questions and do our best to always deliver quality care.


Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

Patient Registration Form

Medical History Exam 

Bleaching Consent

After Care Whitening

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.



Contact Us

Click the 'Book an Appointment' button to visit our online calendar where you have the ability to book your own appointment!