Heartland Periodontics
Michael G. Kirsch, DDS, MS
4660 Lakeview Drive, Suite 102
Sebring, FL 33870
Phone: (863) 382-8878 Fax: (863) 382-8021

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Patient Information

Does the patient require antibiotics prior to treatment?

Referring Doctor Information

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Reason For Referral

Periodontal Treatment Completed In Referring/Other Office

Oral Pathology

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