For Patients

Mosaic Medical | Primary Care Physicians | Family Practice | Pediatrics in Bend, Madras, Prineville, Redmond and Central Oregon
Quality care for all

We proudly serve individuals and families throughout Central Oregon regardless of income or insurance status. Our primary care services keep Central Oregonians at work, in school and out of the emergency room.

Mosaic Medical Welcomes: All Races, All Religions, All Countries of Origin, All Languages, All Genders, All Abilities, All Sexual Orientations, All Ages.

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Financial Assistance — We work with you
Careers — Look for employment
Our history — See why Mosaic was formed
News & Events September 2018
→ See All

Richard Bennett Named Chief Clinical Integration Officer at Mosaic Medical September 5-18 → More

Celebrating America’s Health Centers: National Health Center Week August 12-18 → More

New Provider at Madras Mosaic Medical → More

Patient forms | Formularios del paciente

Below are some of the forms and information you will be given at your first Mosaic Medical appointment. If you would like to save time, print and fill out the registration form and bring it with you.

Estos son unos de los formularios que se pide completar en la primera visita. Si le gustaría ahorrarse tiempo, imprímalos y llénelos y tráigalos a su primera cita. Además, puede llenar la “Autorización para divulgar información de salud protegida” y enviarla por fax a nuestra oficina (al 541-383-1883) en cualquier momento para pedir copias de su expediente.

  • Additional Forms and Resources
    • Below are additional forms that you will also be asked to complete on your first visit. To save time, feel free to print these out and complete them as well. Make sure you bring them to your medical or dental appointment.
  • Authorization to Release Protected Health Information
    Autorización para divulgar información de salud protegida
  • Notice of Privacy Practices
    Aviso de prácticas de privacidad
  • National Health Service Corps Promise
    Promesa del Cuerpo nacional de servicios de salud
  • Health Records
    • If you would like to request copies of your Mosaic Medical medical or dental records, please complete the release of protected health information form (link above) and fax it to: 541-383-1883. You may fax dental or medical records to the same number.