For Patients

Preparing for your visit to Mosaic

Welcome to Mosaic! In preparation for your visit, please review the following information.

What to bring with you:

  • Insurance Card (if you have insurance)
  • Proof of Income (required for application to our Sliding Scale Reduced Fee Program.)
  • Photo Identification (or something with your current address such as a bill or bank statement)
  • All medications that you are currently taking (bring the bottles/container)

For phone or video visits, please review our online MyChart resource.

New patients: You will be asked to complete documents at your visit. If you would like to save time, please print out and complete the forms below before your visit.

Registration Forms

Formularios de registro – Formularios en español

Authorization to Release Protected Health Information

Autorización para divulgar información de salud protegida
Notice of Privacy Practices
Aviso de prácticas de privacidad