Forms

Online Fillable Form

Sleep Easy Dental Spa offers our patient forms online so you can complete it in the convenience of your own home or office.

New Patient Form

PDF Form

You can save time by printing and complete your form(s) and bring them with you to your appointment.

New Patient Form

Think you could benefit from a better night's sleep? Complete our Sleep Screening Questionnaire to learn more about your symptoms and to get in contact with our medical staff.

READY FOR A BETTER NIGHT'S SLEEP

SLEEP SCREENING QUESTIONNAIRE

Let’s Get Virtual!

At Sleep Easy Dental Spa, we offer

Free Virtual Consultation,

No matter where you are.

Get Started Here

We Love Our Community

We are proud to be a part of Youngstown, OH and we enjoy supporting our neighbors outside of the treatment chair whenever possible! Dr. Verbanic and the team regularly donate time and money to public schools, local food drives and pantries, the BackPack program, and more.

Get Involved with Us

RESERVE YOUR APPOINTMENT TODAY

We Love to serve you!