Cosmetic & Family
Dentistry
Recca Puri, DDS
Patients
8339 Lewis Ave
Temperance, MI 48182
Contact Us
734-847-1955
info@bedfordmidentist.com
Hours: M-T-W-TH 9am-5pm lunch 1-2
Accepting
New
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Your dental health is important, and our patients’ safety is our top priority
We are monitoring the COVID-19 situation and all CDC guidelines very closely. Our team has undergone additional training to ensure our processes meet or exceed sanitation and sterilization standards of care in response to this time of global concern. We want to assure you of the measures we take to maintain a clean and safe environment so you can continue to receive needed dental care without fear or concern. Please follow us on Facebook for continuing updates about dental care and our dental office.
Patient Forms
Please click the appropriate buttons below for your printable version of our Patient Forms that can be printed out and completed prior to your visit at Debra Reiner DDS, Cosmetic and Family Dentistry. If you are a new patient please bring these forms with you to your visit. Below you will find the
Patient Information Form, Medical History, HIPPA Compliance and Insurance/Financial Policy Form.
Also included on this page are Post-Operative Instructions for various procedures.
New Patient Forms
New Patients: Please print off these forms, fill out, and bring to your first visit. Thank You!
Patient Update Forms
Post Procedure
Instructions