Patient Forms

Download frequently used forms and PDFs.

Registration forms

Adult Registration (for new patients, older than 18 years)

Pediatric Registration (for new patients, ages birth through 18 years)

Sliding Scale Discount Program form

Before filling out this application, learn about the Sliding Scale discount program. Read more

Sliding Scale Application

Grievance form

Patients and others may submit a complaint with Mosaic verbally by calling the main Mosaic Phone number at 541-383-3005, in writing by completing the grievance form and returning it to any Mosaic site, or by mail.

Grievance form

MyChart FAQs

Learn how MyChart can help you take control of your healthcare information: detailed information with screenshots and video provided for easy access.

Preparing for your Mosaic visit

Everything you need to know about visiting Mosaic for the first time, or as a returning patient.