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:

 

Confirmation

How do you prefer to be contacted? *

  Email   Phone  

 
 

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

 
Jacob O. Layer Family Dentistry
Calendar icon Simplified calendar with two rows of four day squares
Hours
Monday - Thursday
7:00AM - 2:30PM

Friday: Closed
Copyright © 2011-2023 Jacob O. Layer DMD, PC and WEO Media (Touchpoint Communications LLC). All rights reserved.  Sitemap
Jacob O. Layer DMD, PC, 1485 East McAndrews Rd., Medford, OR 97504 | 541-734-0970 | layerdental.com | 6/5/2023 | Related Terms: dentist Medford OR |