2. New Patient Application Form

In order to find patients for whom Mosaic Family Medicine is a good fit and to streamline the process of growing the practice, we ask that you please fill out the following form so that we may review your needs.

Note from Dr. Proffitt: I want to thank everyone for the robust interest in Mosaic Family Medicine and the huge volume of new patients! For now, Mosaic will only accept new patients who are currently pregnant and planning to deliver with Dr. Proffitt. Of course, these new babies are welcome to join Mosaic as well as their whole family. Thanks again everyone for your support!

New Patient Application

 

Verification

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