New Patient Forms
Welcome To Vevera Family Dental
We appreciate the opportunity you’ve given us to serve your dental healthcare needs. You have a choice when it comes to dental care and we are glad you have chosen Vevera Family Dental. We also know that with your choice you’re saying that you trust our office to provide the highest level of service possible for yourself and your family. We do not take that trust lightly. We work hard each and every day to ensure that you made the right decision.
If this is your first time seeing Vevera Family Dental, we would llike to help you to be fully prepared for your first appointment at Vevera Family Dental in Cocoa Beach! Please complete our new patient information forms below and bring the completed forms to your first appointment. If you prefer to complete the forms at the office, please plan to arrive 15 minutes prior to your appointment.
- Health History Form*
- HIPAA Notice of Privacy Practices*
- Release of Dental Records
- HIPAA Policy Patient Copy