Photograph your Insurance Card

Take a photo of your Card and then select Use Photo

Front side

Please place the card, horizontally, within the outline. Make sure the card is centered within the outline.

Front side

Please place the card, horizontally, within the outline. Make sure the card is centered within the outline.

Retake? Go back without using photo

Front

Go back without using photo

Back

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Alert

Do you want to complete the Open questions?

Please select a Zip Code

Zip code

Alert

Are you sure you want to leave this page and go back? The data you entered will not be saved.

No Page

This is the first page of the Registration process

The person responsible for payment must be at least 18 years old. Please review if all the information entered for the person responsible for payment is correct. Once you revise the information, click Next to go to the next page.

Information provided is incorrect.

Attention: It appears that you've made more than three unsuccessful attempts to verify your information. Please contact our front desk at 8474983434 to check if the information you provided during scheduling is updated in our records.

Please Verify Your Choice

Do you have another insurance to add?

No

Yes

To ensure your security, we've automatically ended your session after a page refresh. You can easily resume your work by clicking the link provided in your email or text message. Rest assured, your progress is safely saved, and you can continue from where you left off.

Please wait...

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We can't find you in our system
Let's fix that

Go back and confirm you typed in the correct information

Legal Name(Your name as it appears on a state-issued ID or passport)
Date of Birth(MM/DD/YYYY)
Phone Number

If you continue to have trouble, please reach out directly to your Care Team
or emil help@yosicare.com for assistance

Warning

Existing patient information

Warning

Unfortunately, the office is closed now. Please try again during our regular business hours, or click below to restart and choose "Book a slot" to schedule a visit for a future date

Let’s check for an existing record.

If you have visited us before, your name may appear differently in our system (for example, a different spelling, legal name, or maiden name).

Please go back and verify your details to help us locate your record. If this is your first visit with us, you may continue as a new patient.

Patient Verification

To ensure your security, we need to authenticate your identity. Please check your email or phone for a verification code that has been sent to you. Enter the code in the provided field to complete the authentication process.

To ensure your security, we need to verify your identity. We’ll send a one-time passcode to the email on record.

To ensure your security, we need to verify your identity. We’ll send a one-time passcode to the phone number on record.

Send passcode to my phone xxxxxxxxxx Send passcode to my email xxxxxxxxx@gmail.com I do not recognize this phone or email I do not recognize this email I do not recognize this phone number

Enter Verification code

Enter the 4-digit verification code sent to yourphone xxxxxxxxxx

Didn't receive any code?

Resend OTP in 60 seconds

Sorry, the Patient ID entered is currently inactive

No active record exists for this Patient ID. Please contact the front desk for further assistance.

Multiple Patient Records Found

We found more than one matching patient record. Please contact the front desk for assistance.

No slots found

Enter Verification code

Enter the 4-digit verification code sent to yourphone xxxxxxxxxx

Didn’t receive any code?

Resend OTP in 30 seconds

Capsule Same-Day Delivery

1Get a Text from Capsule

Capsule will text you within an hour to schedule your free, same-day delivery.

2Delivery Is Free

Just pay your normal copay.

3Receive Your Medication

Capsule will deliver within a few hours. You (or someone you trust) will need to sign for it.

Still have question?

Learn more about how Capsule works on their Website, or view their FAQs more?.

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You can resize the image to fit within the frame by dragging the orange scale beneath the image before clicking "Save"

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