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 52 reviews.

Our Latest Patient Testimonial by Frances

Dr Holmes was very professional and very kind ! Extremely nice staff as a whole gets 5 stars !!! Would recommend anyone to use and would return for any other need from this Dr !!!

- Frances

5 out of 5 stars on

Our Latest Patient Testimonial by K

The experience with Dr Holmes and staff was over the top!!! They made the appt very smooth and comfortable. The preparation beforehand through emails and phone calls were just as smooth. I will return for myself or my family. I will recommend them to friends or anyone asking around. Wow.

- K

5 out of 5 stars on

Our Latest Patient Testimonial by Marian

Your office and Dr. Miller were recommended by my daughter's dentist, her orthodontist, some co workers and a close friend. The staff was professional, friendly and caring. Dr. Miller rocks! She's very personable, kind and a great oral surgeon. My daughter had 4 teeth extracted, we had family and friends praying for her because we didn't know what to expect but I'll tell you that the outcome was amazing. I thank God for the staff there treating my daughter so well and really being concerned that she was comfortable before, during and after the extractions. I thank God also for Dr. Miller. She's a great surgeon and not just because of her surgical expertise and knowledge but she's a caring doctor. My daughter and I were equipped with the information we needed to be sure we cared for her mouth properly once we left the office, her bleeding stopped within 2 hours and she had no pain whatsoever. I got her prescription filled and she didn't have to take any of the medicine. Alot of companies, businesses, etc in America have gone under because they didn't take advantage of what your office has mastered and the answer's not excellent money management skills, investing in the right stocks to make your profits grow, it's excellent customer service. You can have knowledge and skill but without knowing how to really care for your customer, you're still just an average business. Well I'll tell you that you guys are well above average, you are outstanding. Thank you so much for taking such great care of my daughter. Marian Smith

- Marian

5 out of 5 stars on

Our Latest Patient Testimonial by Elise

Dr. Holmes and his staff were excellent in every way. I will never have a tooth pulled anywhere else!

- Elise

4 out of 5 stars on

Our Latest Patient Testimonial by Carrie

The experience from start to finish with this practice with Dr. Holmes was excellent. From the phone call to make an appointment to coming into the office to leaving following surgery everyone was courteous and helpful. Both of my children had surgery on seperate occasions and Dr. Holmes spoke to them directly and explained the procedure to make them feel comfortable and at ease. They both did not swell following surgery and the ice packs provided were so helpful. The staff and Dr. Holmes called to check and make sure how they were doing following surgery and to answer any questions regarding recovery. I have recommended him to many friends and everyone has had an excellent experience. We had no complications and healing and recovery was quick. When I need to have my third child's wisdom teeth removed I will not hesitate to call Dr. Holmes. It was as painless a procedure in all aspects as it could possibly be.

- Carrie

5 out of 5 stars on

Our Latest Patient Testimonial by Austin (Bo)

They made my son feel at ease with the procedure that was being done. Explained everything so that it was easy to understand and answered all questions. FIRST CLASS staff from top to bottom, Thank you so much for everything..

- Austin (Bo)

5 out of 5 stars on

Our Latest Patient Testimonial by Pam

My son Michael suffered facial trauma during a baseball game. Dr Holmes and his very excellent staff took necessary measures to save my son's teeth and later to remove ones that needed to be removed. Three years have passed and Michael now wears braces, and he is an excellent candidate for dental implants thanks to quick thinking during the emergency and well thought out future planning to save and grow bone. My family and I will always be indebted to Dr Holmes and his office for both their professional care and very personal interaction during a very scary time.

- Pam

5 out of 5 stars on

Our Latest Patient Testimonial by Marla

Our son Luke had 2 permanent teeth extracted. Dr. Holmes and his staff did an excellent job of preparing us for what to expect and the procedure went very well and the recovery was very quick. We appreciate the kindness they showed us during the procedure.

- Marla

5 out of 5 stars on

Our Latest Patient Testimonial by martha


- martha

5 out of 5 stars on

Our Latest Patient Testimonial by Cynthia

I would recommend this office to anyone needing any type of tooth pulling/wisdom teeth extraction. They calm you down any way they can and will talk to you like a friend, not just another patient. Very glad I went to that office. Best one yet.

- Cynthia

5 out of 5 stars on