Patient Forms

To learn more about Patient Forms, read below. To request more information or to schedule an appointment click the buttons below.

Please click on the link(s) below to download our forms. Please print and complete the forms prior to your appointment and bring them with your insurance card to your appointment. If you are unable to print the forms, please plan to arrive 10-15 minutes early for your appointment so that you can complete them in our office.

Patient Registration Form Download

Medical History Form Download

Practice Policies Form Download

Acknowledgement of Receipt of Notice of Privacy Practices Download

Doctors Matthew D. Holley and Graham Mullins

Holley Dental Group

Drs. Matthew D. Holley and Graham Mullins treat patients of all ages in Prattville, AL. Both of our dentists are members of the American Dental Association. Our patients recommend us for:

You can request an appointment by contacting us online or by calling us at (334) 358-4848.

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Google map image of our location in 542 McQueen Smith Rd N  Prattville, AL

Prattville Office

542 McQueen Smith Rd N
Prattville, AL 36066

Open Today 8:00am - 5:00pm

(334) 358-4848 Send a message