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 44 reviews.

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

Our Latest Patient Testimonial by Wendy M

Dr. Holmes preformed my jaw surgery 3 weeks ago. I could not be more pleased! No pain what so ever. Excellent results. Very great surgeon! Will be recommending your office to my patients!

- Wendy M

5 out of 5 stars on

Our Latest Patient Testimonial by Nancy K

I was very nervous when I got there but the staff talked me through it and all went great! If I ever need to go through that again, hopefully not to soon, I will definitely contact Clark & Holmes

- Nancy K

5 out of 5 stars on

Our Latest Patient Testimonial by Donna L

Your office was highly recommended, the staff was very friendly, not a very long wait time, only thing I would recommend is to go online to do new patient paperwork, to make check in go faster.

- Donna L

5 out of 5 stars on

Our Latest Patient Testimonial by Kayla E

Dr. Holmes is one of the best dentists/oral surgeons I've ever used. I work at a dental office and was referred to him by my boss for a tumor removal and bone grafting in 2013. He is always very punctual and very detailed about treatment plans. I will definitely recommend him to anyone. His staff at Southside are very sweet ladies. They are so kind and will always talk to you while you wait.

- Kayla E

5 out of 5 stars on

Our Latest Patient Testimonial by John

Thanks for a great visit, much easier than I thought

- John

5 out of 5 stars on