Contact Form Contact Us to Schedule an Appointment First Name : * Last Name : * Email : * Daytime phone # with area code : * What time of day would you prefer? (please choose one) : SelectMorningAfternoonEither Have you ever been a patient with Dr. Hollis before? : SelectYesNo Reason for your visit and/or additional information that you wish to provide us : * By clicking “submit” below, your information will be sent to the dental office of Alfred W. Hollis, D.D.S., PLLC. A confirmation email from firstname.lastname@example.org will be sent to the email address you provided. Upon receipt, we will call you as soon as possible (before the end of the next business day) to schedule an appointment. Thank you!