Summit View Periodontics
Dr. Christopher Sakkaris
Gum Disease Therapy and Dental Implants
Call: (303) 450-3144

Patient Forms

PATIENT FORMS

Appointments

Patients are seen on a per-appointment basis and time will be specifically reserved for you with Dr. Sakkaris, Dr. Longville or the hygienist. We ask that you complete an online appointment request or call in advance so that we may schedule an appointment time for you.

If this will be your first visit to our office, you will find the required initial patient documentation under the "New Patient Forms" header below.  Printing these forms, filling them out and bringing them with you will allow us to attend to your dental needs more quickly than completing them in office. Thank you and please contact our office if you have any questions or concerns.

 


 

New Patient Forms

Consent Forms

    Surgical Instructions

      Referring Doctors

       

       


       


      PAYMENT OPTIONS

      To enable greater access to care, we offer our patients a cash payment discount incentive and options for outside financing. Summit View Periodontics accepts most major credit cards. We can offer immediate financing options for your care through companies such as CareCredit and Wells Fargo Health Advantage.

      INSURANCES

      Summit View Periodontics accepts most major Preferred Provider Organization (PPO) insurances and indemnity programs. We will aid you in coordinating therapy with your insurance carrier. Every attempt to ensure accuracy is made. Knowledge of each patient’s particular dental insurance program and payment for services rendered is ultimately the responsibility of the patient. Please contact our office for a current list of accepted programs.

       The associated fees for your treatment will be provided at the end of your preliminary examination. Due to the complex nature of certain treatment needs and timing of your care, these fees can vary. Our schedule of fees will be reassessed semiannually. Your existing treatment plan is guaranteed not to change for ninety days from the day of creation.