Please fill out the appointment request form below for an appointment with a Primary Care Provider. We will contact you as soon as possible to schedule your appointment.

This form should not be used for urgent care matters or potentially life threatening conditions. In those situations, please contact 911 or head to the nearest InstaCare or emergency room.

  • For appointments related to Wasatch OB/GYN at Layton Clinic please use the Wasatch OB/GYN form.
  • McKay-Dee Orthopedics and Sports Medicine has moved from Layton Clinic to Layton Parkway Clinic. Please use the McKay-Dee Orthopedics and Sports Medicine form.
  • Northern Utah Pediatrics has moved from Layton Clinic to Layton Parkway Clinic. Please call 801-387-4500 to schedule an appointment.

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