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Topeka

Periodontics

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Health History Form

Feel free to download and fill out the form before arriving at our office.

HEALTH HISTORY FORM

Filling Out a Form

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Topeka Periodontics, PA
Julie C. Swift, DDS, MS
3100 SW Huntoon, Suite 103
Topeka, Kansas 66604

Phone 785.233.1756
Fax 785.233.1778

info@TopekaPerio.com

Hours: Mon-Thurs 7:30am – 3pm

To view directions to the office, click here

Located in the Westboro Shopping District

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