Pediatrics, Bend Oregon, Patient Information

Welcome to Mosaic Pediatrics! We’re looking forward to meeting your growing family.

To get started, here are a few things you’ll need:

Your Child’s First Pediatric Visit – What to Bring

  • Your insurance card
  • Photo ID (or proof of address such as a bill or bank statement)
  • All medications you are currently taking, including dosage information 
  • New Patient Forms (see below)

Reduced Fee Program

Interested in applying to our Sliding Scale Reduced Fee Program? Please bring proof of income with you to your first appointment. If you do not have proof of income, we can discuss this with you when you arrive.

New Patient Forms 

To save time, please fill out and bring the following forms with you to your first appointment. Your nurse or pediatrician will review them with you:

New Patient Registration
Formularios de registro

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

MyChart Patient Portal 

With our MyChart online portal, you can securely access, manage, and receive information about your child’s health.

  • Request medical appointments
  • View your child’s health summary 
  • View test results
  • Request prescription renewals
  • Communicate with your Mosaic care team
  • Access health information resources
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