google-site-verification: google3d182777ac41add8.html
top of page

Provider Affilliation

To help Synergy Medical determine how we may better serve the offices’ DME and orthotic support needs, please click on the fillable PDF form button below, complete and save, then please fax to 864-457-2289. A representative will contact you soon after!

Having the free Adobe Reader installed will greatly improve the fillable PDF experience in most browsers. Get it at

Please fax to 864-457-2289 .. OR

Email saved PDF to

bottom of page