• 8177 Charlotte Hwy Suite 100, Indian Land, SC 29707
  • (803) 380-3416
  • Schedule Appointment
Wellness Smiles Dentistry
  • About
    • About Us
    • Our Team
    • Technology
    • Smile Gallery
    • FAQs
    • Blog
    • Weekend Dentist
    • Medicaid & Medicare
  • Services
    • Preventative Dentistry
      • Dental Cleanings and Exams
      • Dental Hygiene
      • Oral Cancer Screenings
      • Fluoride Treatment
      • Dental Sealants
      • Night Guards
    • Children’s Dentistry
      • Children’s Dentistry
    • Cosmetic Dentistry
      • Dental Bonding
      • Porcelain Veneers
      • Teeth Whitening
    • Restorative Dentistry
      • Composite Fillings
      • Dental Crowns
      • Dental Bridges
      • Dentures
      • Inlays and Onlays
      • Tooth Extractions
    • Periodontics
      • Diagnosing Periodontal Disease
      • Scaling and Root Planing
      • Laser Dentistry
      • Gingivectomy Treatment
      • Bacteria Decontamination
    • Orthodontics
      • Orthodontic Aligners
    • Emergency Dentistry
      • Emergency Dentist
    • Sleep Apnea
      • Sleep Apnea Treatment
  • Forms
    • Dental History
    • Medical History Adult
    • Covid Consent
    • Cancellation Policy
    • General Dentistry Informed Consent
    • Notice of Privacy Practices
    • Electronic Email Consent
    • Marketing Release
    • Financial Policy
    • Frequently Asked Questions
    • Smile Questionnaire
  • New Patients
  • Employment Opportunities
  • Contact
  • Schedule Online
  • Make a payment

Patient Forms

Download and print our patient forms at your convenience!

  • Dental and Medical History Form
  • Patient Information Form

Request an Appointment

    Address: 8177 Charlotte Hwy Suite 100, Indian Land, SC 29707 (Next to Food Lion)

    Phone: (803) 380-3416 | Email: [email protected]

    Hours Of Operation

    • Mon: Closed
    • Tue: 9am–5pm
    • Wed and thurs: 10am–7pm
    • Fri: 9am–3pm
    • Sat: By Appointment Only
    Schedule Appointment

    © 2025 – Wellness Smiles Dentistry All rights reserved.

    logo
    • About
      • About Us
      • Our Team
      • Technology
      • Smile Gallery
      • FAQs
      • Blog
      • Weekend Dentist
      • Medicaid & Medicare
    • Services
      • Preventative Dentistry
        • Dental Cleanings and Exams
        • Dental Hygiene
        • Oral Cancer Screenings
        • Fluoride Treatment
        • Dental Sealants
        • Night Guards
      • Children’s Dentistry
        • Children’s Dentistry
      • Cosmetic Dentistry
        • Dental Bonding
        • Porcelain Veneers
        • Teeth Whitening
      • Restorative Dentistry
        • Composite Fillings
        • Dental Crowns
        • Dental Bridges
        • Dentures
        • Inlays and Onlays
        • Tooth Extractions
      • Periodontics
        • Diagnosing Periodontal Disease
        • Scaling and Root Planing
        • Laser Dentistry
        • Gingivectomy Treatment
        • Bacteria Decontamination
      • Orthodontics
        • Orthodontic Aligners
      • Emergency Dentistry
        • Emergency Dentist
      • Sleep Apnea
        • Sleep Apnea Treatment
    • Forms
      • Dental History
      • Medical History Adult
      • Covid Consent
      • Cancellation Policy
      • General Dentistry Informed Consent
      • Notice of Privacy Practices
      • Electronic Email Consent
      • Marketing Release
      • Financial Policy
      • Frequently Asked Questions
      • Smile Questionnaire
    • New Patients
    • Employment Opportunities
    • Contact
    • Schedule Online
    • Make a payment
    803-702-8586