New Patient Forms

new patient forms

For your convenience, our New Patient Forms are available for download here in Adobe Acrobat PDF format. The Adobe Acrobat Reader is FREE and can be downloaded by clicking on the icon below.

Please print and complete these forms at home before your first appointment. If you need assistance with downloading or printing these forms, please contact our office.

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Need a Second Option?

We're always happy to provide a complimentary "Look See" second opinion/consultation at no cost to you. Call us today for more information.

Free Teeth Whitening

Free take-home kit for all new patients with full-fee exam, x-rays and cleaning - or your insurance may cover.

Want the smile you have always dreamed of? 6 Month Smiles (adult ortho) UP TO $500 OFF NEW CASES
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Benke Dental Care

Appointments:
(651) 450-1602

Make an Appointment Now!

Dr. Steven J Benke

Benke Dental Care

5972 Cahill Avenue, Suite 109

Inver Grove Heights, MN 55076

General Info: (651) 450-1602

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Benke Dental Care, 5972 Cahill Avenue, Suite 109, Inver Grove Heights, Minnesota 55076 - (651) 450-1602
Dr. Steven J Benke

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(651) 450-1602

General Info: (651) 450-1602