Book Now
Streetsboro: (330) 423-6779
Elyria: (440) 281-8031
Brunswick: (330) 460-6540
Streetsboro
Elyria
Brunswick
Anxiety-Free Dentistry
Dental Anxiety
Sedation Services
Dental Implants
Single & Multiple Dental Implants
Full Mouth Dental Implants
Signature Fit Dentures
Learn About Pricing and Financing
Cosmetic Dentistry
Smile Makeover
Dental Crowns & Bridges
Porcelain Veneers
Teeth Whitening
Dental Services
General Dentistry
Laser Gum Disease Treatment
Tooth Extractions
Root Canal
TMJ Treatment
About Us
Meet the Doctors
Dr. Omar Salameh
Dr. Issa Salameh
Dr. Seim Salameh
Dr. Firas Yacoub
Meet The Streetsboro Team
Meet The Elyria Team
Meet The Brunswick Team
About Us
Our Facility
Patient Center
Patient Forms
Dental Savers Plan
Make a Payment – Streetboro
Make a Payment – Elyria
Make a Payment – Brunswick
Insurance & Financing Options
Blog
Locations
Streetsboro Office
Elyria Office
Brunswick Office
Contact
Anxiety-Free Dentistry
Dental Anxiety
Sedation Services
Dental Implants
Single & Multiple Dental Implants
Full Mouth Dental Implants
Signature Fit Dentures
Learn About Pricing and Financing
Cosmetic Dentistry
Smile Makeover
Dental Crowns & Bridges
Porcelain Veneers
Teeth Whitening
Dental Services
General Dentistry
Laser Gum Disease Treatment
Tooth Extractions
Root Canal
TMJ Treatment
About Us
Meet the Doctors
Dr. Omar Salameh
Dr. Issa Salameh
Dr. Seim Salameh
Dr. Firas Yacoub
Meet The Streetsboro Team
Meet The Elyria Team
Meet The Brunswick Team
About Us
Our Facility
Patient Center
Patient Forms
Dental Savers Plan
Make a Payment – Streetboro
Make a Payment – Elyria
Make a Payment – Brunswick
Insurance & Financing Options
Blog
Locations
Streetsboro Office
Elyria Office
Brunswick Office
Contact
Book Now
Patient Forms
Patient Forms - Signature Smiles Dental
New Patient Paperwork
Schedule Now
New Patient Forms
Please click each link to fill out your new patient forms.
Elyria New Patient Information
Streetsboro New Patient Information
Brunswick New Patient Information
PainPack Information Packet
Pre Operation/Post Operation Instructions
Begin your dental health journey!
Request a consultation.
Book Now
Signature Smiles Dentistry
New Patient Introduction
$99 New Patient
Gift Certificate
Towards Your 1st Sedation Session
First Name
Last Name
Email
Select A Location
Streetsboro
Elyria
Brunswick
Phone
Address 1
Address 2
City
State
Zip
Submit Your Info
Welcome to the Signature Smiles Family! Your sedation package will be mailed out to you shortly.