Save Time! Download Your New Patient Forms Here

All new patients must fill out a new patient health history form. You can either download and print below, or simply fill out the form when you arrive for your first visit. Please include your insurance information or a copy of your dental insurance card.


Ready to Book Your Appointment?

Call Us at (970) 245-2990

or email info@elevationfamilydental.com


Save time! Fill out and download your intake forms.

Transfer of Records
Health History Form
HIPPA Acknowledgement
Privacy Notice
Young Adult Woman Smiling with Implants from Elevation Family Dental in Grand Junction

Did you know we offer payment plans for services like Implants?

Payment Plans
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Sleep Apnea or Snoring? See how mouthpieces may help.

Sleep Apnea & Mouthpieces
Man in Natures Smiling after Restorative Treatments from Dr Chamberlain Dentist in Grand Junction

Do you need restorative dental care? Find out with our simple checklist.

Restorative Dentistry Checklist