A Mindful Path to Mental Health - Appointment Request

Carolina Bonilla Jacome MD

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Patient Information

Contact Information and Preferences

About your Appointment

If you have not yet requested for your records to be sent to Dr. Bonilla, please do so at your earliest convenience. You may signed the release of information sent to you by MHS, or ask us for one

If you were are switching care from another psychiatrist to Dr. Bonilla, please request that your current or most recent psychiatrist send Dr. Bonilla a copy of your records. You may sign their release of information form, or ask us for one.

If Dr. Bonilla is not in-network with your insurance, we will provide a detailed receipt, also called Superbill, which you can submit to your insurance for reimbursement using your out of network benefits

Thank you for choosing us for you mental health care needs. We look forward to seeing you soon!

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