Important Information for Patients

The situation regarding COVID-19 continues to evolve. Therefore, we are making a few changes to our scheduling process and our services to keep our patients, community and healthcare staff healthy. Our main phone lines and patient portal are open for your questions. Here's what to expect:

When you call the clinic for an appointment, we will ask you questions about the nature of your visit to determine the best care for you. We may also give you the option of a telehealth visit. For all scheduled appointments, patients will be greeted outside the front door of our main clinic. Our greeter will ask you questions and then give you further directions. We ask that only essential family members accompany a patient. Also, if you are a current patient, you may reach out to us via the patient portal.

For current information on COVID-19 visit the Colorado Department of Public Health & Environment website, Summit County Government website, and

La situación con respecto a COVID-19 continúa evolucionando. Por lo tanto, estamos realizando algunos cambios en nuestro proceso de programación y nuestros servicios para mantener saludables a nuestros pacientes, la comunidad y los trabajadores de la salud. Nuestros teléfonos y portal para pacientes están abiertos para preguntas. Esto es lo que puede esperar:

Cuando llame a la clínica para hacer una cita, le haremos preguntas sobre la naturaleza de su visita para determinar la mejor atención para usted. También podemos darle la opción de una visita de telesalud (videcall) con un proveedor. Para todas las citas programadas, los pacientes serán recibidos fuera de la puerta principal de nuestra clínica principal. Nuestro interlocutor le hará preguntas y luego le dará más instrucciones. Pedimos que solo los miembros esenciales de la familia acompañen a un paciente. Además, si usted es un paciente actual, puede comunicarse con su proveedor a través de nuestro portal para pacientes.

Para obtener más información sobre COVID-19, visite el sitio web del Departamento de Salud Pública y Medio Ambiente de Colorado:…/cdphe/2019-novel-coronavirus y el sitio web del gobierno del condado de Summit Sitio web (igual que el anterior) y:,

How to Become a Patient

To become a patient, complete a registration packet and bring it with you to your first appointment. Please come to your first appointment 15 minutes early to give us time to review the form and to help you fill in any missing information.

Payment options:



In order to qualify for a Care Card to receive discounted services, you will need to fill in additional forms and go through a screening process. We recommend that you complete the process below before you need services because the process takes time.

1. Call 970-668-4040. Tell them you are a new patient.

2. Complete forms

a. New patient will need to complete a Registration Packet

b. Care Card Application

c. If you are self-employed – Self Employment Worksheet

3. To be considered for the Care Card and receive discounted services, please submit your completed application with your supporting documentation to our Clinic or your local School Based Health Center Clinic via drop off, mail or email. The Eligibility Coordinator will evaluate your application and, if eligible, place you on the Sliding Fee Scale and issue your Care Card.  Your copay based on the Care Card is payable upon check in for your appointment and any additional fees not covered on the Care Card, at the end of each visit. If necessary, we will work with you on a payment plan for settlement of outstanding visit charges. 

As a Certified Assistance Application Site, we can also assist you with your Medicaid application. Please submit your completed Medicaid application at the same time of your Care Card application to save effort of duplicating supporting documentation.

Prefer to meet in person with the Eligibility Coordinator?  Call 970-668-4040 to schedule an appointment. Please arrive 15 minutes early and bring your completed application forms.


If you are very ill and need an appointment but have not gone through this process or received your Care Card, let the front desk know. Every attempt will be made to work with you to make sure you get the care you need.

During the Care Card process, we will review your income and family size and, if you are eligible, place you on the Sliding Fee Scale. Fees are accrued based on the care you receive. We can only give you estimates of the costs. You will need to pay your entire bill at the end of each visit, but we will work with you on a payment plan as needed.




When you make an appointment, let us know that you have Medicaid, CHP+ or Medicare. Bring your cards with you to your appointment.

As a Certified Assistance Application Site, we can also assist you with your Medicaid application. This form answers Frequently Asked Questions about Medicaid.



We are in-network with many carriers. However, you should also check with your insurance to confirm that we are an in-network provider.  At the time of service, you will need to pay your copay. We submit your claims to your insurance company for the care you receive.


In-network insurance:

  • BCBS
  • Bright Health
  • Cigna
  • Cofinity
  • CuraLinc EAP
  • Humana
  • Medicaid/CHP+
  • Medicare
  • Multiplan/PHCS
  • PNOA (Providers Network of America)
  • RMHP
  • Veterans/TriWest


If your insurance carrier is not in-network, we cannot directly bill your insurance. You will need to pay the out-of-network cost to receive service with us.



We are in-network with many dental insurance plans and you will be charged for services according to your individual plan. If you do not have dental insurance and have a current Care Card, you will be charged according to the Sliding Fee Scale. If you have an insurance plan that we are out of network with, we will courtesy bill your insurance for you. We will also work with you on payment plans. 

We accept the following dental insurance:

  • Aetna
  • Anthem
  • Cigna
  • Dentaquest
  • Dentemax
  • Guardian
  • Humana
  • Medicaid
  • UHC


We are a provider of the Colorado Dental Health Program for Low Income Seniors. This program provides access to dental care to individuals age 60 and over who are not eligible for dental services under any other dental health care program, such as Health First Colorado (Colorado’s Medicaid Program). Our eligibility staff will screen you for eligibility for this program.  As funds for this program are limited, eligibility does not guarantee coverage.

Medical Records

Current Patients

If you would like us to send your medical records to a different provider, please complete the authorization form and give it to our front desk staff or fax it to 970-668-6699. Please allow 30 business days for processing. 

Not a patient

If you would like us to receive your records from a previous provider, please complete the authorization form and give it to our front desk staff or fax it to 970-668-6699. Your provider will respond to our request on their own timeline.

Call: 970-668-4040

Review of Records

You have the right to review your records with a provider. Complete the Request for Access form and give it to our front desk or fax it to 970-668-6699. Your provider will review the request and contact you. 

You have a right to review your medical records with a provider’s review. If you have concerns, please review the NOTICE OF PRIVACY PRACTICES. You can also review the United States Health Resources and Services Administration (HRSA) policy on the HRSA Privacy Rule

If you have questions about medical records, please call 970-668-4048.


Learn more about fees and the cost of care at the Summit Care Clinic. 

Visit our Fees page


Need help getting to an appointment? Our staff can assist those with disabilities in arranging transportation.

 “This health center is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).”

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