patient forms

Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

» Patient Form (Child) [PDF] | [DOC]
» Patient Form (Adult) [PDF] | [DOC]
» Patient Form (Child & Adult) [PDF] | [DOC]
» HIPAA Form [PDF]

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Spartanburg: 864-585-8709

319 North Pine Street, Suite 5, Spartanburg SC 29302

Roebuck: 864-641-6245

4385 South Church Street Ext., Roebuck SC 29376

Piedmont Orthodontic Associates provides quality orthodontics for children, teens, and adults in Spartanburg, SC and the surrounding areas. Dr. Ernest Gardner, Jr. specializes in orthodontics, offering Invisalign as well as traditional braces. Contact Piedmont Orthodontic Associates to schedule your complimentary orthodontic consultation.

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