Heartland Endodontics & Periodontics
Gayle Obermayr, DDS, MS & Michael G. Kirsch, DDS, MS
Endo - (863) 382-9947
Perio - (863) 382-8878
4660 Lakeview Drive, Sebring, FL 33870

forms

Periodontics Office Forms

To continue making your dental experience a pleasant one, we have conveniently provided our dental forms below so that you can fill them out in the comfort of your home, and bring them into the office with you.


form iconWelcome Letter
form iconPatient Information
form iconMedical History
form iconHIPAA Consent Form

Share us with your friends and family:
patient information

Sebring Specialty Dentist

Endodontics Office Hours

  • Monday:
  • Tuesday:
  • Wednesday:
  • Thursday:
  • Friday:
  • 8:30am - 5:00pm
  • 8:30am - 5:00pm
  • 8:30am - 5:00pm
  • 8:30am - 5:00pm
  • 8:30am - 5:00pm

Periodontics Office Hours

  • Monday:
  • Tuesday:
  • Wednesday:
  • Thursday:
  • Friday:
  • 8:30am - 5:00pm
  • 8:30am - 5:00pm
  • 8:30am - 5:00pm
  • 8:30am - 5:00pm
  • 8:30am - 5:00pm

Contact Info
Endo Phone | (863) 382-9947
Perio Phone | (863) 382-8878
Fax | (863) 382-8021
E-mail |

Thank You!
What's your name?
Valid E-mail please!
Optional
Thank You!
What's your name?
Valid E-mail please!
Optional

(mm/dd format separated by commas please)