​​​​​Accepting New Patients!                Same day emergency appointment!

Call Us:  586-294-1010

Family & Cosmetic Dentistry​

Dr. Monica Rajurs, DMD

Patient Forms

​Please print and fill out the forms below so we can expedite your first visit!

Registration and Health History
Patient Privacy Notice

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Click Here To Download Adobe

What should I bring to my first appointment?
Insurance Card (if you have Dental Insurance).
Identification - ID, Driver's License, etc. 
List of current medications.

How early should I arrive to my first appointment?
About 15 minutes prior to your scheduled time. 

What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our dentists page and familiarize yourself with the doctors. ​We look forward to your first visit.