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Patient Forms

2660 West Market St., Suite 200, Fairlawn, OH 44333

(330) 867-4461
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Patient Forms
2660 West Market St., Suite 200, Fairlawn, OH 44333
(330) 867-4461
Patient Forms
(330) 867-4461

2660 West Market St., Suite 200, Fairlawn, OH 44333

Semans Family Dentistry
  • About
    • Meet Our Team
    • Community Service
    • FAQ
    • COVID / Sterilization
  • Services
    • Preventive Dentistry
      • Dental Hygiene / Exams
      • Athletic Mouthguards
      • Nightguards
      • Periodontal Maintenance
      • Sealants and Fluoride
      • TMJ Therapy
    • Restorative Dentistry
      • Tooth-Colored Fillings
      • Implant Restorations
      • Crowns
      • Bridges
      • Inlays and Onlays
      • Dentures
    • Cosmetic Dentistry
      • Bonding and Porcelain Veneers
      • Teeth Whitening
    • Pediatric Dentistry
  • Patients
    • Financing and Insurance
    • Patient Forms
    • Your First Visit
  • Smile Gallery
  • Reviews
  • Contact
    • Request an Appointment
a
Request an Appointment
Semans Family Dentistry
Appointments
  • About
    • Meet Our Team
    • Community Service
    • FAQ
    • COVID / Sterilization
  • Services
    • Preventive Dentistry
      • Dental Hygiene / Exams
      • Athletic Mouthguards
      • Nightguards
      • Periodontal Maintenance
      • Sealants and Fluoride
      • TMJ Therapy
    • Restorative Dentistry
      • Tooth-Colored Fillings
      • Implant Restorations
      • Crowns
      • Bridges
      • Inlays and Onlays
      • Dentures
    • Cosmetic Dentistry
      • Bonding and Porcelain Veneers
      • Teeth Whitening
    • Pediatric Dentistry
  • Patients
    • Financing and Insurance
    • Patient Forms
    • Your First Visit
  • Smile Gallery
  • Reviews
  • Contact
    • Request an Appointment

Patient Forms

Download and complete our online patient forms below at your convenience. Send them to us at drsemans@semansfamilydentistry.com before your appointment.

Health History
Insurance
Privacy Policy
Appointment Policy
Patient Registration
Financial Policy

Semans Family Dentistry is Accepting New Patients!

As a family practice, we are proud to treat generations of patients. We are committed to providing the highest-quality dental care in a caring, patient-oriented environment.

Book an appointment

Hear From Our Patients

Dr. Semans is proud to exceed the expectations of his patients.

Read More Reviews

Maria C.

Dr. Semans and his staff were very kind, gentle, explained well everything they were doing and made me feel very comfortable. The work they did was beautifully done.

Stephen H.

Tom Semans has been my dentist for 27 years. I would not trust just any dentist during a pandemic, but I trust him.

Donna S.

We always have a wonderful experience at this dentist. Employees are very friendly, informative, and professional. Would recommend Dr. Tom and his staff to all my friends. The office is always clean and I feel safe every visit.

Semans Family Dentistry

Contact Us

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Call Us

(330) 867-4461

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Email Us

drsemans@semansfamilydentistry.com

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Our Location

2660 West Market St. Suite 200
Fairlawn, OH 44333

Get In Touch

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