ADA Accessibility Information
Accessibility

A
A

A

Request an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Name: *

Phone: *

Email address: *

Have you visited our office before? *

Yes No  

What is the reason for the appointment? *

  Regular Exam / Cleaning
  Specific Concern / Procedure

What concerns, if any, would you like to speak to the doctor about:

How do you prefer to be contacted? *

  Email   Phone  

By checking this box, I consent to receiving text messages from Skyline Implants & Periodontics. Message and Data Rates may apply. Reply STOP to opt-out of future messaging or reply HELP for additional messaging help. Messaging frequency may vary. See Privacy Policy for more information on your data security. Please be informed that by clicking submit, you are not consenting to any unsolicited SMS from Skyline Implants and Periodontics.


At Skyline Implants & Periodontics in South Ogden, Utah, we obtain verbal consent for SMS communication with new patients during their initial phone call and have them sign this consent form. While we do not use a strict script, we inform them that they may receive SMS messages regarding appointment scheduling or follow-up care. We also advise them that message and data rates may apply, message frequency will vary based on their appointments, and they can request assistance or withdraw their SMS consent at any time. This consent is documented in their patient file.


We also collect consent through our website via a secure webform available at Request Your Appointment. This webform provides comprehensive disclosures about the types of messages we send, applicable messaging and data rates, message frequency, opt-out instructions, and support keywords.
Additionally, we gather consent using a paper form. To date as of 5/13/25. The collected consent records are securely stored in our customer database in specific patient file.

Confirmation

 
 

It may take a moment to submit your information. Please wait for a confirmation message.

 
Copyright © 2021-2025 Skyline Implants & Periodontics and WEO Media (Touchpoint Communications LLC). All rights reserved.  Sitemap
About Us - South Ogden, UT • Skyline Implants & Periodontics
Looking for personalized periodontal care for you and your family? Click to learn more about Skyline Implants & Periodontics in Ogden, UT today!
Skyline Implants & Periodontics, 1508 E. Skyline Dr., Suite #300, South Ogden, Utah 84403 \ (385) 888-7414 \ skylineperio.com \ 7/9/2025 \ Page Phrases: dental implants South Ogden UT \