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Jacob O. Layer Family Dentistry Forms
Please Click the link below then print and fill out the forms before you come to your New Patient Appointment


New Patient Forms


If you are moving and would like your records sent to your new dentist please print and fill out the form below and send it to us.

Record Release Form







Halloween Candy Buy Back
It's that time of year again! Little goblins and ghouls will be knocking on your door hoping that you will fill their bags with some yummy treats. On November 1st, send those goblins and ghouls to our office and we will buy back that candy for $1 per pound (age 15 & under) and send it to Soldier's Angels to distribute it to our troops. It's a win-win! And by the way, older 'kids' can donate their leftover candy too. You'll be helping your kids take better care of their teeth and helping our soldiers get a little bit of Halloween joy while they work so hard to protect us.
If you'd like more info on this year's candy buy back, please visit: http://www.halloweencandybuyback.com/.


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Jacob O. Layer DMD, PC | www.layerdental.com | 541-734-0970
1485 East McAndrews Rd., Medford, OR 97504



 

 

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