Patient Forms & Insurance

Making Your Visit Easy from the Start

At Smile Center Silicon Valley, we know how valuable your time is. That’s why we’ve made taking care of paperwork as simple as possible.

 

For your convenience, our dental patient forms are available online, so you can fill them out in advance. Completing forms at home allows you to provide thorough information at your own pace, including details about your health care history and benefits limitations, avoiding the pressure or rush of the waiting room.

 

When you arrive for your appointment, you’ll breeze directly into your visit with Dr. John Vellequette and our friendly dental team—saving time and stress.

Complete Your Patient Forms Securely Online Below:

If you require assistance, please contact our team for support at:
(408) 245-7500

Step-by-Step Guide: How to Complete Your Forms Online

Filling out our patient forms online is quick and secure. You can complete them in just a few easy steps.

Once submitted, our team reviews your information ahead of time. When you arrive for your appointment, our team will check you in quickly, eliminating the hassle of paperwork.

This process is especially convenient for families bringing multiple children, new patients with comprehensive histories, or anyone who wants to reduce in-office time. It also helps us verify coverage and provide accurate estimates, as fee schedules and benefits vary depending on your plan and network.

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2. Fill in Information

Provide details about your contact information, dental goals, medical history, and insurance coverage, including your benefits plan.

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3. Submit securely

Our system uses HIPAA-compliant encryption to transmit your information safely to our office. Printing, faxing, or mailing is not necessary.

Why Completing Patient Forms Ahead of Time Matters

Patient forms are more than just paperwork—they provide our Sunnyvale dentist and team with important details about your health, medical history, and dental concerns. By filling out your forms in advance, you:

  • Save time at your appointment by skipping in-office paperwork.
  • Provide an accurate health history, including medications, allergies, and prior dental treatment.
  • Share your concerns so our dentists understand your goals, expectations, or anxieties before you arrive.
  • Ensure patient safety, since some medical conditions or prescriptions influence dental procedures.

Most importantly, online forms help us prepare for your visit. If we know you’re interested in cosmetic dentistry, have questions about dental implants, or have specific insurance needs, including your dental plan and coverage through network dentists, we can be ready with tailored answers and treatment options. This small step makes your dental visit smoother, more personalized, and stress-free.

Insurance & Payment Information

We believe dental care should be accessible and affordable while maintaining the highest standard of quality. To make this easier, Smile Center Silicon Valley partners with most major PPO (Preferred Provider Organization) insurance plans. Being in-network helps reduce out-of-pocket expenses, ensures accurate processing of claims, and supports the protection of your oral health.

Please note that we do not accept HMO plans, but we work closely with patients to ensure you get the maximum dental benefits from your existing coverage while safeguarding your health information.

Our experienced front desk team is here to:

The bottom line: we handle the paperwork, so you can focus on your smile and maintaining optimal oral health.

In-Network Insurance Providers

We proudly work with many of the nation’s leading PPO insurance carriers, including:

If you don’t see your provider listed here, please contact our office. We may still be able to process claims with your plan, even if it is not officially “in-network.” Our team carefully reviews your coverage details and benefit plan to determine how it applies to your dental problem, ensuring you understand what is included and what costs you may incur.

What If You Don’t Have Insurance?

Don’t let a lack of insurance prevent you from receiving the dental care services you need. At Smile Center Silicon Valley, we welcome patients with or without insurance. For those without coverage, we offer flexible options to make care manageable:

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Self Pay

We accept cash, checks, and all major credit cards.

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Flexible financing

We can connect you with patient financing services to spread out costs with manageable monthly payments.

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Customized treatment planning

We’ll help prioritize dental emergencies or urgent treatment while scheduling other care in phases to fit your budget.

Your dental health is too important to delay. We actively verify coverage to include preventive services whenever possible. Whether you’re here for preventive care, restorative treatments, or a smile makeover, we will work with you to ensure your care is both accessible and affordable.

Why Insurance Shouldn’t Be Confusing

We know dental insurance can feel overwhelming, especially when navigating coverage across different geographic areas. That’s why our office takes the stress out of the process. Many patients struggle to understand what “PPO” or “out-of-network” means, how deductibles and yearly maximums function, and which treatments their plan covers fully versus partially. We will provide a clear and thorough explanation of all coverage details.

Our administrative team handles the details, including submitting claims, following up with insurers, and providing transparent estimates before treatment begins. You can be confident there will be no hidden fees or unforeseen charges. We believe in upfront communication, so you can confidently move forward with the care you need for a healthier, happier smile, no matter your location within the service geographic areas.

Why Choose Smile Center Silicon Valley

Choosing a dentist means more than just finding someone who takes your insurance. At Smile Center Silicon Valley, we believe convenience, compassion, and quality all go hand in hand. By offering online patient forms, detailed insurance support, and flexible financing, we make it easy for new and returning patients to focus on what’s most important: their oral health, including prevention and treatment of gum disease.

For your convenience, Smile Center Silicon Valley provides our patient forms online. Simply fill them out from the comfort of your home and breeze into your appointment with Dr. John Vellequette and our caring team. If you have questions regarding insurance, coverage, or payment options, please contact our office.

Call us at (408) 245-7500 today to learn more and schedule your next appointment. We’re proud to serve patients in Sunnyvale, CA, and the surrounding area!