Dental Forms Grand Junction

We believe in fresh starts.

Dental Patient Forms

To make the registration process even more convenient, we are posting these downloadable forms. You may download, print, and fill them out at your own pace.

Please bring the completed forms to your appointment. These forms help us process information such as relevant medical history, current medications, dental history, and dental insurance coverage faster. This, in turn, allows us to quickly help you find the best treatment options for your dental problems.

For questions and concerns, please call our Grand Junction, CO 970-243-8580.

Please select the appropriate form(s), print them out, and bring them to your appointment already completed:

New Patients Form
HIPAA Policy
Record Release

Download Our Dental Implant Pricing & Information Guide.

Want to know the cost of ESTEEM Dental Implants? Fill out the form below and we'll send you the Pricing Guide right away along with a $350 savings offer from Grand Dental.

ESTEEM Dental Implants Pricing Guide

The Guide will show you:

  • Dental Implant Options
  • Average Pricing
  • Eligibility Factors
  • And much more...

Because we believe in second chances and new beginnings.


A ESTEEM Dental Implants Patient Case Study

When you use ESTEEM Dental Implants, you get the expertise of a complete network of expert full-mouth restoration dentists. Our dental implantologist chooses ESTEEM Dental Implants not just because the techniques and materials are exactly what patients need, but also because of the collection of best practices that the ESTEEM dentists shares. Check out these patient testimonials and case studies from across the ESTEEM Dental Implants offices.

Reach out to us today - Because healthy teeth matter!

Thank you for visiting the website of Grand Dental We're proud to be a trusted and professional dentist serving the Grand Junction, CO community. If you have anxiety about going to the dentist, we'll help you relax. We go above and beyond to make every visit as comfortable and stress-free as possible. Reach out today to learn more, and book a free consultation with our dental care experts.


Please call 970-548-3276 to speak with us immediately about your dental concerns.  You can also use the contact form to email us.

Call (970) 548-3276Email Us

Get a personalized Virtual Smile Consultation from Dr. Benefield 

Our online consults haven't stopped! We are working hard to make sure your dental needs don't have to wait! Connect with us today and get all of your questions answered for free in three easy steps.

    1. Upload a photo of your current smile or area of concern.
    2. We will create a personalized video with recommendations.
    3. View your video and schedule an appointment.
Virtual Smile Consultation

Featured Testimonial

“I would 100% recommend Grand Dental, they are AMAZING!! Everyone is so professional, nice, and knowledgeable. They make sure that you are comfortable and they take the time to explain what they are doing and why. They have been very helpful in coming up with a dental plan that works for me and my budget.” ~ Anjelica

Follow Us Today!

We invite the Grand Junction, CO community to visit our social media channels and keep up to date on our dental practice events, dental patient case studies, blog posts and much more!

We believe in in healthy, beautiful smiles and that you are part of our Grand Junction family.

We are dedicated to offering the best dental care to our neighbors in Grand Junction, CO and surrounding areas such as Orchard Mesa, Clifton, Palisade, Redlands, Appleton, Fruita, Loma, Mack and beyond.

Dr. Eric Benefield
Grand Junction Dentist Dr. Trenten Wood
sharon explains how much she lov 1

// Grand Junction's Obvious Choice

Your Grand Junction Neighbors Know That We're The Obvious Choice For You.

01. Full Mouth Restorations

Have a long history of bad teeth and poor oral health? Dr. Eric Benefield can bring back your smile. LEARN MORE...

02. ESTEEM Dental Implants

We believe in second chances. Dental implants can restore your self-esteem and confidence. LEARN MORE...

03. Cosmetic Dentistry

You can look your very best with our proven Cosmetic Dentistry solutions from Dr. Trenten Wood. LEARN MORE...

04. General & Family Dentistry

We serve your entire family with all the dental services your need. Friendly, fast and reliable. Call us today. LEARN MORE...