Patient Registration

Secure Online Patient Registration Form

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Online registration form

Please call with any questions or to schedule a consultation with one of our Oral Surgeons!

 

 

 

See what our current patients are saying about us!

Clark Holmes

5 out of 5 stars based on 49 reviews.

Our Latest Patient Testimonial by bre d

great staff! surgery was excellent, wasnt painful at all.

- bre d

5 out of 5 stars on

Our Latest Patient Testimonial by Janiece H

My experience here was great! The staff was friendly and the doctor was absolutely amazing.It took no time to get my procedure done and I was comfortable all around. Thank y'all so much for the hospitality!

- Janiece H

5 out of 5 stars on

Our Latest Patient Testimonial by Melissa K

I had the best experience with Dr. Holmes. The office is immaculate, the staff was super friendly and super professional. I highly recommend this office for your oral surgery needs!

- Melissa K

5 out of 5 stars on

Our Latest Patient Testimonial by Marlon G

Great experience for my son and will most definitely recommend this practice to any and everyone!

- Marlon G

5 out of 5 stars on

Our Latest Patient Testimonial by Belinda M

I had an underbite that I was wanting to have corrected for years,but because of horror stories I kept putting it off.my orthodontist referred me to dr Clark and I'm glad he did.i highly recommend him for this type of surgery.he is the best my jaw surgery was nov 1. It was only an overnight stay in the hospital.when I came home I was never really in any kind of pain. Because of him I have the smile I've always wanted.

- Belinda M

5 out of 5 stars on

Our Latest Patient Testimonial by Kelsie P

I had a great experience having my wisdom teeth removed. Dr Clark and the whole staff were so friendly and I would definitely recommend this office to anyone. It was worth the two hour drive. I will never use another oral surgeon.

- Kelsie P

5 out of 5 stars on

Our Latest Patient Testimonial by Kevin N

Dr. Clark cares about the comfort of his patients during the procedure. He is caring and professional.

- Kevin N

5 out of 5 stars on

Our Latest Patient Testimonial by Kevin T

I had a little problem with the billing office, but the problem was solved quickly to my satisfaction. Dr. Holmes really cares about patient comfort.

- Kevin T

5 out of 5 stars on

Our Latest Patient Testimonial by Kristy H

Took really great care of my 8 year old. I highly recommend to anyone. Really great with kids!

- Kristy H

5 out of 5 stars on

Our Latest Patient Testimonial by Michael M

Overall, I was extremely impressed and so satisfied with the services provided by the Trussville office. They made what could have been a "white knuckle" experience into a rather calm event. The anesthesia was administered very well and the pain control was fantastic. Given this, I would strongly recommend this office to anyone needing oral surgery. I cannot see where this could have been handled any better. Thanks you and bless you.

- Michael M

5 out of 5 stars on