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Patient Forms

Patient reviewing forms on his laptop computerPlease 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
Jacob O. Layer Family Dentistry
Calendar icon Simplified calendar with two rows of four day squares
Monday - Thursday
7:00AM - 2:30PM

Friday: Closed
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Jacob O. Layer DMD, PC, 1485 East McAndrews Rd., Medford, OR 97504 + 541-734-0970 + + 6/23/2024 + Key Phrases: dentist Medford OR +